A Trust-Aware Explainable AI Framework for Mental Health Classification Using SHAP and Permissioned Blockchain

Artificial intelligence applications in mental health diagnosis face persistent challenges related to interpretability, trust, and the integrity of results. This study presents a trust-aware explainable deep learning framework that combines systematic benchmarking, SHAP-based interpretability, and permissioned blockchain verification to achieve secure mental health classification. The Depression & Mental Health Classification Dataset was used, which contains 1999 records, 21 features, and 12 classes. Data preprocessing included categorical encoding and Z-score normalization for continuous variables. To ensure robust evaluation, a stratified train–test split was applied, and class imbalance was addressed using the Synthetic Minority Over-sampling Technique (SMOTE). Eight machine learning and deep learning models were assessed under identical preprocessing and validation settings. In addition, two models were proposed: Feature Attention XGBoost (FA-XGBoost) and Feature Attention Feedforward Neural Network (FA-FNN). The FA-FNN model achieved the best performance, attaining an accuracy of 96.00%, precision of 98.31%, recall of 97.31%, and F1-score of 98.04%. To address deep learning’s black-box limitation, SHapley Additive ExPlanations (SHAPs) were used to provide both global feature importance and instance-level explanations, enabling transparent identification of the most influential mental health markers. Beyond interpretability, a permissioned blockchain layer was added to provide tamper-proof logging and traceable verification of AI results. The framework securely stores cryptographic hashes of model versions, prediction results, and generated SHAP artifacts, including visualization images, without exposing sensitive medical data. By integrating explainable decision-making, high-performance classification, and blockchain-based trust enforcement, the proposed framework creates a transparent and secure pipeline suitable for real-world mental healthcare systems. Controlled experiments on a permissioned Ethereum-InterPlanetary File System (IPFS) network demonstrated predictable latency, stable throughput (≈28–30 transactions/s), and lower operational costs, proving the framework’s suitability for enterprise and healthcare deployments.