在自动自杀风险评估中,大型语言模型的性能与人类专家的评级相比,自动自杀风险评估的性能相比
Julia Thomas1,2,3, Zohar Elyoseph4,5, Lars Kuchinke6
1krisenchat gGmbH, Berlin, Germany.
Scientific reports
|November 10, 2025
概括
大型语言模型 (LLM) 在临床数据中显示出对自杀风险评估的前景. 最佳条件涉及零温度和特定提示,但由于可变的项目有效性,LLM最适合初始选.
科学领域:
- 人工智能的人工智能
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 大型语言模型 (LLM) 为心理诊断提供了潜力.
- 系统评估对于它们在临床环境中的可靠和有效应用至关重要.
- 自杀风险评估是一个关键领域,需要准确的评估工具.
研究的目的:
- 通过LLMs.研究可靠和有效的心理评估的条件.
- 将LLM生成的自杀风险评级与人类专家评级进行比较.
- 分析不同LLM配置对评估绩效的影响.
主要方法:
- 分析了100个青年危机文本,由四位专家使用护士全球自杀评估量表 (NGASR) 进行评级.
- LLM (Mixtral-8x7B-Instruct) 评级在三个温度设置和提示风格 (零射击,少数射击,思维链) 中生成.
- 相互评级可靠性的比较,LLM对人类的协议 (克里多夫的α),以及对人类评级的分类指标.
主要成果:
- 法律法规的配置显著影响了评估的可靠性和准确性.
- 在温度0时的零射击提示为高/非常高风险带来了完美的相互评级可靠性.
- 几次射击提示显示了非常高风险 (α=0.78) 和分类性能的最佳人 - 人工智能协议.
- 较低的温度始终提高了可靠性和准确性,但关键的临床项目显示出不良的有效性.
结论:
- 基于LLM的心理评估的最佳条件包括零温度和特定任务的提示.
- 在临床项目上的不一致表现和适度的人类-AI协议限制了LLM的初始查.
- 精心的参数控制和验证对于在心理评估中使用LLM至关重要.
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