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An Interpretable Multimodal Framework for Student Mental Health Risk Assessment Using Temporal Embeddings and Fuzzy Inference

Shah, A.; Mehta, A.; Bhensdadia, C. K.

2026-05-20 health informatics
10.64898/2026.05.16.26352630 medRxiv
Show abstract

Mental health challenges among university students have increased due to academic pressure, lifestyle changes, and continuous digital engagement. Existing approaches for mental health assessment often rely either on self-reported psychological scales or isolated behavioral indicators, limiting their ability to capture complex temporal and contextual patterns. This study proposes an interpretable multimodal framework for student mental health risk assessment using behavioral sensing, academic information, ecological momentary assessments (EMA), and psychometric survey data. A bidirectional Long Short-Term Memory autoencoder is employed to learn latent temporal representations from day-level behavioral sequences, while graph embeddings capture structural relationships among students using similarity-based neighborhood graphs. These representations are fused with academic and survey-derived features and reduced using Principal Component Analysis and Uniform Manifold Approximation and Projection. K-means clustering is then applied to identify behaviorally distinct student groups. Experimental analysis on the StudentLife dataset demonstrates meaningful clustering performance with a Silhouette Score of 0.4209 and Adjusted Rand Index stability of 0.6869. The identified clusters correspond to low-risk, moderate-risk, and high-risk behavioral profiles. To improve interpretability and practical usability, a fuzzy inference system is introduced to compute mental risk, academic risk, and wellbeing indices using psychometric indicators including PHQ-9, PSS, PANAS, VR-12, and Big Five personality traits. The results demonstrate the potential of combining multimodal behavioral modeling with interpretable fuzzy reasoning to support early mental health risk assessment in educational settings.

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