Detecting depression through users’ social media posting history is crucial for enabling timely intervention; however, irrelevant content within these posts negatively impacts detection performance. Thus, it is crucial to extract pertinent content from users’ complex posting history. Current methods utilize frozen screening models, which can miss critical information and limit overall performance due to isolated screening and detection processes. To address these limitations, we propose E2-LPS End-to-End Learnable Psychiatric Scale Guided Risky Post Screening Model) for jointly training our screening model, guided by psychiatric scales, alongside the detection model. We employ a straight-through estimator to enable a learnable end-to-end screening process and avoid the non-differentiability of the screening process. Experimental results show that E2-LPS outperforms several strong baseline methods, and qualitative analysis confirms that it better captures users’ mental states than others.

In recent years, Large Language Models (LLMs) have made significant progress in emotional support dialogue. However, there are two major challenges for LLM-based support systems. First, users may be hesitant to fully disclose their emotions at the outset. Second, direct probing or excessive questioning can induce discomfort or even resistance. To bridge this gap, we propose COCOON, a proactive emotional support framework that leverages principles of active listening to uncover implicit user needs. We design a multi-stage data curation pipeline and an annotation mechanism for support strategies. Based on this framework, we build COCOON-Llama3, a fine-tuned large language model, and evaluate it using both standard metrics and psychological scales. Experimental results indicate that our model more effectively elicits implicit emotional needs and delivers empathetic support compared to existing baselines, suggesting its utility for building more inclusive emotional support dialogue systems.