They Look Like Each Other: Case-based Reasoning for Explainable Depression Detection on Twitter using Large Language Models

Depression is a common mental health issue that requires prompt diagnosis and treatment. Despite the promise of social media data for depression detection, the opacity of employed deep learning models hinders interpretability and raises bias concerns. We address this challenge by introducing ProtoDep, a novel, explainable framework for Twitter-based depression detection. ProtoDep leverages prototype learning and the generative power of LLMs to provide transparent explanations at three levels: (i) symptom-level explanations for each tweet and user, (ii) case-based explanations comparing the user to similar individuals, and (iii) transparent decision-making through classification weights. Evaluated on five benchmark datasets, ProtoDep achieves near state-of-the-art performance while learning meaningful prototypes. This multi-faceted approach offers significant potential to enhance the reliability and transparency of depression detection on social media, ultimately aiding mental health professionals in delivering more informed care.