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Record W4410050779 · doi:10.1038/s41746-025-01647-6

The FAIIR conversational AI agent assistant for youth mental health service provision

2025· article· en· W4410050779 on OpenAlexafffund
Stephen Obadinma, Alia Lachana, Maia Norman, Jocelyn A. Rankin, Joanna Yu, Xiaodan Zhu, Darren Mastropaolo, Deval Pandya, Roxana Sultan, Elham Dolatabadi

Bibliographic record

Venuenpj Digital Medicine · 2025
Typearticle
Languageen
FieldComputer Science
TopicMachine Learning in Healthcare
Canadian institutionsCanada Research ChairsYork UniversityUniversity of TorontoTrent UniversityUniversity of WaterlooHumber PolytechnicThe King's UniversitySchwartz/Reisman Emergency Medicine InstituteQueen's University
FundersCanadian Institutes of Health ResearchNatural Sciences and Engineering Research Council of CanadaGovernment of CanadaCanadian Institute for Advanced Research
KeywordsMental healthService (business)PsychologyMental health serviceApplied psychologyMedical educationComputer scienceBusinessPsychiatryMedicineMarketing

Abstract

fetched live from OpenAlex

Frontline crisis support plays a critical role in youth mental health services, where Crisis Responders (CRs) engage in conversations and assign issue tags to guide interventions. To enhance this process, we introduce FAIIR (Frontline Assistant: Issue Identification and Recommendation), an ensemble of domain-adapted transformer models trained on 780,000 conversations. FAIIR aims to reduce CR's cognitive burden, enhance issue identification accuracy, and streamline post-conversation administrative tasks. Evaluated on retrospective data, FAIIR achieves an average AUC ROC of 94%, an average F1-score of 64%, and an average recall score of 81%. During the silent testing phase, its performance remained robust, with less than a 2% drop in all metrics. CRs exhibited 90.9% agreement with its predictions, and expert agreement with FAIIR exceeded their agreement with original labels. These findings highlight FAIIR's potential to assist CRs in prioritizing urgent cases and ensuring appropriate resource allocation in crisis interventions.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.008
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.010
Threshold uncertainty score0.020

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.008
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0010.002
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0060.004

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.025
GPT teacher head0.331
Teacher spread0.306 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations8
Published2025
Admission routes2
Has abstractyes

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