LLM-Based Schema-Aware Split Learning for Privacy-Preserving Mental Distress Prediction Across Heterogeneous Surveys

Rising societal and lifestyle complexity has been linked to a growing prevalence of mental distress worldwide. Educational institutions, workplaces, clinics, etc. collect large volumes of mental health survey data to understand and reduce this burden. Collaborative analysis of such data could yield effective generalizable predictive models. Privacy constraints and varied survey designs (i.e., different questions, scales, and formats) hinder direct integration. We propose a schema-aware split learning (SL) framework that preserves privacy, using a large language model (LLM) as a shared semantic encoder to harmonize heterogeneous survey schemas across institutions. We serialize each survey record into a natural-language description, unifying disparate survey schemas into a common format. The LLM is fine-tuned for mental distress assessment via Low-Rank Adaptation (LoRA) and partitioned across client and server. Clients retain the raw survey responses locally and run only a lightweight front-end, so original records never leave the institution that collected them. The resource-intensive backbone runs on the server, minimizing client-side computation. Using LLaMA-3.2-3B-Instruct, the framework attains an average ANLS of 0.708 with only 2,000 training samples, surpasses federated learning (FL) in eight of nine settings, and cuts per-client computation by three orders of magnitude, while generalizing to unseen datasets. Overall, it enables accurate, privacy-preserving, and resource-efficient collaborative learning from heterogeneous mental health survey data.