This study presents a systematic comparison of three approaches for the analysis of mental health text using large language models (LLMs): prompt engineering, retrieval augmented generation (RAG), and fine-tuning. Using LLaMA 3, we evaluate these approaches on emotion classification and mental health condition detection tasks across two datasets. Fine-tuning achieves the highest accuracy (91% for emotion classification, 80% for mental health conditions) but requires substantial computational resources and large training sets, while prompt engineering and RAG offer more flexible deployment with moderate performance (40-68% accuracy). Our findings provide practical insights for implementing LLM-based solutions in mental health applications, highlighting the trade-offs between accuracy, computational requirements, and deployment flexibility.

Sign Language Translation (SLT) is a crucial technology for fostering communication accessibility for the Deaf and Hard-of-Hearing (DHH) community. A dominant approach in SLT involves a two-stage pipeline: first, transcribing video to sign language glosses, and then translating these glosses into natural text. This second stage, gloss-to-text translation, is a challenging, low-resource machine translation task due to data scarcity and significant syntactic divergence. While prior work has often relied on training translation models from scratch, we show that fine-tuning large, pre-trained language models (PLMs) offers a more effective and data-efficient paradigm. In this work, we conduct a comprehensive bidirectional evaluation of several PLMs (T5, Flan-T5, mBART, and Llama) on this task. We use a collection of popular SLT datasets (RWTH-PHOENIX-14T, SIGNUM, and ASLG-PC12) and evaluate performance using standard machine translation metrics. Our results show that fine-tuned PLMs consistently and significantly outperform Transformer models trained from scratch, establishing new state-of-the-art results. Crucially, our bidirectional analysis reveals a significant performance gap, with Text-to-Gloss translation posing a greater challenge than Gloss-to-Text. We conclude that leveraging the linguistic knowledge of pre-trained models is a superior strategy for gloss translation and provides a more practical foundation for building robust, real-world SLT systems.