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ACL Findings2025

MAGI: Multi-Agent Guided Interview for Psychiatric Assessment

Guanqun Bi, Zhuang Chen, Zhoufu Liu, Hongkai Wang, Xiyao Xiao, Yuqiang Xie, Wen Zhang, Yongkang Huang, Yuxuan Chen, Libiao Peng, Minlie Huang

Abstract

Automating structured psychiatric interviews could revolutionize mental healthcare accessibility, yet existing large language models (LLMs) approaches fail to align with psychiatric diagnostic protocols. We present MAGI, the first framework that transforms the goldstandard Mini International Neuropsychiatric Interview (MINI) into automatic computational workflows through coordinated multi-agent collaboration. MAGI dynamically navigates clinical logic via four specialized agents: 1) an interview tree guided navigation agent adhering to the MINI's branching structure, 2) an adaptive question agent blending diagnostic probing, explaining, and empathy, 3) a judgment agent validating whether the response from participants meet the node, and 4) a diagnosis agent generating Psychometric Chain-of-Thought (PsyCoT) traces that explicitly map symptoms to clinical criteria. Experimental results on 1,002 real-world participants covering depression, generalized anxiety, social anxiety, and suicide show that MAGI advances LLMassisted mental health assessment by combining clinical rigor, conversational adaptability, and explainable reasoning.

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Cited by top-tier papers3

  1. Unveiling the Landscape of Clinical Depression Assessment: From Behavioral Signatures to Psychiatric ReasoningZhuang Chen, Guanqun Bi, Wen Zhang, Jiawei Hu et al.AAAI 2026 · 2 citations
  2. Toward Flexible Psychiatric History-Taking and Visualization: Exploring Clinician Perspectives with Large Language ModelsYugyeong Jung, Thu Hoang Anh Vo, Hyun Seung Moon, Jae Young Choi et al.CHI 2026 · 1 citation
  3. Rethinking Depression Prediction from a Fine-Grained Subscore Modeling Perspective via Multi-Task LearningZhenguang Wang, Bo Li, Wenhui Tan, Peng Cao et al.ACL 2026

Builds on4

  1. Generative Agents: Interactive Simulacra of Human BehaviorJoon Sung Park, Joseph C. O'Brien, Carrie Jun Cai, Meredith Ringel Morris et al.UIST 2023 · 1,882 citations
  2. Cognitive Reframing of Negative Thoughts through Human-Language Model InteractionAshish Sharma, Kevin Rushton, Inna E. Lin, David Wadden et al.ACL 2023 · 32 citations
  3. Empowering Psychotherapy with Large Language Models: Cognitive Distortion Detection through Diagnosis of Thought PromptingZhiyu Chen, Yujie Lu, William Yang WangEMNLP Findings 2023 · 22 citations
  4. A Computational Approach to Understanding Empathy Expressed in Text-Based Mental Health SupportAshish Sharma, Adam S. Miner, David C. Atkins, Tim AlthoffEMNLP 2020 · 21 citations

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  2. LLM Questionnaire Completion for Automatic Psychiatric AssessmentGony Rosenman, Talma Hendler, Lior WolfEMNLP Findings 2024 · 12 citations
  3. MDD-5k: A New Diagnostic Conversation Dataset for Mental Disorders Synthesized via Neuro-Symbolic LLM AgentsCongchi Yin, Feng Li, Shu Zhang, Zike Wang et al.AAAI 2025 · 18 citations
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