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About this paper

Aya E. Fouda, Abdelrahamn A. Hassan, Radwa J. Hanafy, Mohammed E. Fouda

PsychiatryBench introduces a multi-task benchmark for evaluating large language models (LLMs) in psychiatry, comprising 5,188 expert-annotated items from authoritative clinical sources across eleven distinct task types. The evaluation of 15 leading LLMs demonstrates a performance increase with newer models, with top performers achieving around 84% average scores, while also revealing persistent challenges in fine-grained clinical discrimination and multi-label classification.

Key insights

  • LLMs show strong psychiatric knowledge and coherent clinical interpretations, but their capabilities are uneven across tasks, with substantial gaps identified in clinical consistency and safety for complex multi-turn follow-up and management.
  • Domain-specialized models like MedGemma can rival generalist models in knowledge-intensive tasks, while top-tier generalists demonstrate superior performance in fluid, multi-step reasoning and cross-task consistency.
  • A clear positive correlation exists between model release date and average performance, with 'thinking' variants (multi-step inference) providing architecture-dependent benefits, especially in demanding clinical judgment tasks.

Summary by alphaXiv.

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