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

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
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article

Decoding the mind: A RAG-LLM on ICD-11 for decision support in psychology

Anna Panzeri, Marco Cremaschi, Andrea Maurino, Andrea Spoto et al.
12 citations
Expert Systems with Applications
Clinical Reasoning and Diagnostic Skills
18.19
article

Decoding the mind: A RAG-LLM on ICD-11 for decision support in psychology

Anna Panzeri, Marco Cremaschi, Andrea Maurino, Andrea Spoto, Davide Ditolve, Cesare Curcio
article en
12 citations

Abstract

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.

Expert Systems with ApplicationsVol. 279
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Openalex Percentile: Top 1%
Clinical Reasoning and Diagnostic Skills
18.19
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