Decoding the mind: A RAG-LLM on ICD-11 for decision support in psychology
This paper explores the use of Large Language Models (LLMs) in mental health to assist psychologists and psychiatrists with diagnostic decision-making according to the ICD-11 classification system. ICD-11 is the 11th revision of the International Classification of Diseases, a globally used diagnostic tool for health conditions, including mental, behavioural, and neurodevelopmental disorders. In detail, we propose LLMind Chat, an AI-powered tool with a user-friendly interface designed to support mental health professionals in their diagnostic processes. LLMind Chat leverages a Retrieval Augmented Generation (RAG) model based on the Gemma 2 (27B parameters), specifically adapted to the context of the ICD-11. This RAG model combines the strengths of Gemma 2 with a comprehensive knowledge base derived from the ICD-11, allowing it to access and process relevant information from the classification manual in real-time. LLMind’s diagnostic accuracy was rigorously evaluated against the DSM-5-TR Clinical Cases manual, using automated metrics and mental health professionals’ expert validation. The result suggests that LLMind Chat can serve as a reliable decision-support tool, enhancing diagnostic reasoning and potentially reducing misclassifications. • LLMind Chat, an AI-powered tool for mental health diagnosis support. • Gemma 2 language model and ICD-11 for augmented retrieval generation. • LLMind’s diagnostic accuracy was evaluated against DSM-5-TR clinical cases. • LLMind Chat shows promise as a reliable support tool for clinicians.
Authors
- Anna Panzeri (ORCID: https://orcid.org/0000-0001-5999-858X)
- Marco Cremaschi (ORCID: https://orcid.org/0000-0001-7840-6228)
- Andrea Maurino (ORCID: https://orcid.org/0000-0001-9803-3668)
- Andrea Spoto (ORCID: https://orcid.org/0000-0002-7580-544X)
- Davide Ditolve
- Cesare Curcio
Publication Details
- Journal
- Expert Systems with Applications
- Published
- 2025-03-31
- DOI
- https://doi.org/10.1016/j.eswa.2025.127191
- Citations
- 12
- Primary Topic
- Clinical Reasoning and Diagnostic Skills
- Type
- article
- Field-Weighted Citation Impact
- 18.19