PurposeThe overload of user-generated content in online mental health community makes the focus and resonance tendencies of the participating groups less clear. Thus, the purpose of this paper is to build an early identification mechanism for users' high attention content to promote early intervention and effective dissemination of professional medical guidance.Design/methodology/approachWe decouple the identification mechanism from two processes: early feature combing and algorithmic model construction. Firstly, based on the differentiated needs and concerns of the participant groups, the multiple features of “information content + source users” are refined. Secondly, a multi-level fusion model is constructed for features processing. Specifically, Bidirectional Encoder Representation from Transformers (BERT)-Bi-directional Long-Short Term Memory (BiLSTM)-Linear are used to refine the semantic features, while Graph Attention Networks (GAT) is used to capture the entity attributes and relation features. Finally, the Convolutional Neural Network (CNN) is used to optimize the multi-level fusion features.FindingsThe results show that the ACC of the multi-level fusion model is 84.42%, F1 is 79.43% and R is 76.71%. Compared with other baseline models and single feature elements, the ACC and F1 values are improved to different degrees.Originality/valueThe originality of this paper lies in analyzing multiple features based on early stages and constructing a new multi-level fusion model for processing. Further, the study is valuable for the orientation of psychological patients' needs and early guidance of professional medical care.