Evidence mapPaperPMID 39779452Full record

ReviewThe Lancet. Digital health2025

Large language models for the mental health community: framework for translating code to care.

Matteo Malgaroli, Katharina Schultebraucks, Keris Jan Myrick, Alexandre Andrade Loch, Laura Ospina-Pinillos, Tanzeem Choudhury, Roman Kotov, Munmun De Choudhury, John Torous

Abstract readReview
In one paragraph

Review in The Lancet. Digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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  20. The future of the sleep field using large language models in mental health care.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Matteo MalgaroliDepartment of Psychiatry, New York University School of Medicine, New York, NY, USA.
Katharina SchultebraucksDepartment of Psychiatry, New York University School of Medicine, New York, NY, USA.
Keris Jan MyrickPartnerships and Innovation, Inseparable, Los Angeles, CA, USA.
Alexandre Andrade LochLaboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Laura Ospina-PinillosDepartment of Psychiatry and Mental Health, Faculty of Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.
Tanzeem ChoudhuryDepartment of Information Science, Jacobs Technion-Cornell Institute, Cornell Tech, New York, NY, USA.
Roman KotovDepartment of Psychiatry, Stony Brooks University, Stony Brooks, NY, USA.
Munmun De ChoudhurySchool of Interactive Computing, College of Computing, Georgia Institute of Technology, Atlanta, GA, USA.
John TorousDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. Electronic address: jtorous@bidmc.harvard.edu.

Funding

Point-of-care prognostic modeling of PTSD risk after traumatic event exposure using digital biomarkers and clinical data from electronic health records in the emergency department setting (PREDICT)R01MH129856 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Katharina Schultebraucks · 2022 to 2026
$4.1M
Early Signs:digital phenotyping to identify digital biomarkers for predicting burnout and cognitive functioning in ED clinicians (Early Signs)R01HL156134 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SCHULTEBRAUCKS, KATHARINA · 2021 to 2025
$3.6M
Deep Learning Based Natural Language Processing Markers of Anxiety and DepressionK23MH134068 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Matteo Malgaroli · 2023 to 2026
$982k
NHLBI NIH HHS R01 HL156134NIMH NIH HHS K23 MH134068NIMH NIH HHS R01 MH129856Wellcome Trust
6 · The paper itself

Abstract

Large language models (LLMs) offer promising applications in mental health care to address gaps in treatment and research. By leveraging clinical notes and transcripts as data, LLMs could improve diagnostics, monitoring, prevention, and treatment of mental health conditions. However, several challenges persist, including technical costs, literacy gaps, risk of biases, and inequalities in data representation. In this Viewpoint, we propose a sociocultural-technical approach to address these challenges. We highlight five key areas for development: (1) building a global clinical repository to support LLMs training and testing, (2) designing ethical usage settings, (3) refining diagnostic categories, (4) integrating cultural considerations during development and deployment, and (5) promoting digital inclusivity to ensure equitable access. We emphasise the need for developing representative datasets, interpretable clinical decision support systems, and new roles such as digital navigators. Only through collaborative efforts across all stakeholders, unified by a sociocultural-technical framework, can we clinically deploy LLMs while ensuring equitable access and mitigating risks.

Indexed as

Mental DisordersMental HealthMental Health ServicesHumansLarge Language Models

Identifiers

PMID39779452
PMCPMC11949714

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.