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Large language model (LLM) chatbots are susceptible to biases and hallucinations, but current evaluations of mental wellness technologies lack comprehensive case studies to evaluate their practical applications. Here, we address this gap by…

Human-Computer Interaction · Computer Science 2024-07-17 Lucia Chen , David A. Preece , Pilleriin Sikka , James J. Gross , Ben Krause

Chatbot usage has increased, including in fields for which they were never developed for--notably mental health support. To that end, we introduce Validations of Ethical and Responsible AI in Mental Health (VERA-MH), a novel…

Artificial Intelligence · Computer Science 2026-05-20 Luca Belli , Kate H. Bentley , Josh Gieringer , Emily Van Ark , Nilu Zhao , Pradip Thachile , Matt Hawrilenko , Millard Brown , Adam M. Chekroud

Artificial intelligence chatbots have achieved unprecedented adoption, with millions now using these systems for emotional support and companionship in contexts of widespread social isolation and capacity-constrained mental health services.…

The emergence of Generative AI (Gen AI) and Large Language Models (LLMs) has enabled more advanced chatbots capable of human-like interactions. However, these conversational agents introduce a broader set of operational risks that extend…

Cryptography and Security · Computer Science 2025-05-09 Pedro Pinacho-Davidson , Fernando Gutierrez , Pablo Zapata , Rodolfo Vergara , Pablo Aqueveque

Large language models (LLMs) are increasingly explored as scalable tools for mental health counseling, yet evaluating their safety remains challenging due to the interactional and context-dependent nature of clinical harm. Existing…

Computation and Language · Computer Science 2026-04-21 Suhyun Lee , Palakorn Achananuparp , Neemesh Yadav , Ee-Peng Lim , Yang Deng

As AI systems become increasingly integrated into daily life, their potential to exacerbate or trigger severe psychological harms remains poorly understood and inadequately tested. This paper presents a proactive methodology for…

Human-Computer Interaction · Computer Science 2025-11-13 Chayapatr Archiwaranguprok , Constanze Albrecht , Pattie Maes , Karrie Karahalios , Pat Pataranutaporn

There are growing concerns about the risks posed by AI companion applications designed for emotional engagement. Existing safety evaluations often rely on self-reported user data or interviews, offering limited insights into real-time…

Computation and Language · Computer Science 2026-05-04 Prerna Juneja , Lika Lomidze

As large language models (LLMs) have proliferated, disturbing anecdotal reports of negative psychological effects, such as delusions, self-harm, and ``AI psychosis,'' have emerged in global media and legal discourse. However, it remains…

Demand for mental health support through AI chatbots is surging, though current systems present several limitations, like sycophancy or overvalidation, and reinforcement of maladaptive beliefs. A core obstacle to the creation of better…

Computation and Language · Computer Science 2025-12-08 José Pombal , Maya D'Eon , Nuno M. Guerreiro , Pedro Henrique Martins , António Farinhas , Ricardo Rei

People increasingly hold sustained, open-ended conversations with large language models (LLMs). Public reports and early studies suggest that, in such settings, models can reinforce delusional or conspiratorial ideation or even amplify…

Human-Computer Interaction · Computer Science 2026-04-09 Peter Kirgis , Ben Hawriluk , Sherrie Feng , Aslan Bilimer , Sam Paech , Zeynep Tufekci

Large Language Models (LLMs) are increasingly utilized for mental health support; however, current safety benchmarks often fail to detect the complex, longitudinal risks inherent in therapeutic dialogue. We introduce an evaluation framework…

Computation and Language · Computer Science 2026-03-06 Ian Steenstra , Paola Pedrelli , Weiyan Shi , Stacy Marsella , Timothy W. Bickmore

Millions now use generative AI chatbots for psychological support. Despite the promise related to availability and scale, the single most pressing question in AI for mental health is whether these tools are safe. The Validation of Ethical…

The proliferation of Large Language Models (LLMs) and Intelligent Virtual Agents acting as psychotherapists presents significant opportunities for expanding mental healthcare access. However, their deployment has also been linked to serious…

Computation and Language · Computer Science 2025-09-23 Ian Steenstra , Timothy W. Bickmore

Access to mental health support remains limited, particularly in marginalized communities where structural and cultural barriers hinder timely care. This paper explores the potential of AI-enabled chatbots as a scalable solution, focusing…

Computers and Society · Computer Science 2024-10-07 Rawan AlMakinah , Andrea Norcini-Pala , Lindsey Disney , M. Abdullah Canbaz

Many people suffer from mental health problems but not everyone seeks professional help or has access to mental health care. AI chatbots have increasingly become a go-to for individuals who either have mental disorders or simply want…

Other Quantitative Biology · Quantitative Biology 2025-11-03 Aditya Naik , Jovi Thomas , Teja Sree Mandava , Himavanth Reddy Vemula

Generative AI systems are increasingly embedded in everyday life, yet empirical understanding of how psychological risk associated with AI use emerges, is experienced, and is regulated by users remains limited. We present a large-scale…

Computation and Language · Computer Science 2026-02-11 Jianfeng Zhu , Karin G. Coifman , Ruoming Jin

We introduce VERA-MH (Validation of Ethical and Responsible AI in Mental Health), an automated evaluation of the safety of AI chatbots used in mental health contexts, with an initial focus on suicide risk. Practicing clinicians and academic…

Computers and Society · Computer Science 2026-05-14 Luca Belli , Kate H. Bentley , Will Alexander , Emily Ward , Matt Hawrilenko , Kelly Johnston , Mill Brown , Adam M. Chekroud

LLMs promise to overcome limitations of rule-based mental health chatbots through improved natural language capabilities, yet their ability to deliver evidence-based psychological interventions remains largely unverified because evaluations…

Human-Computer Interaction · Computer Science 2025-12-22 Florian Onur Kuhlmeier , Leon Hanschmann , Melina Rabe , Stefan Luettke , Eva-Lotta Brakemeier , Alexander Maedche

Alignment research on large language models (LLMs) increasingly depends on understanding how these systems are used in everyday contexts. Yet naturalistic interaction data is difficult to access due to privacy constraints and platform…

Human-Computer Interaction · Computer Science 2026-03-24 Cathy Mengying Fang , Sheer Karny , Chayapatr Archiwaranguprok , Yasith Samaradivakara , Pat Pataranutaporn , Pattie Maes

Large language models are being deployed as mental health support agents at scale, yet only 16% of LLM-based chatbot interventions have undergone rigorous clinical efficacy testing, and simulations reveal psychological deterioration in over…

Computation and Language · Computer Science 2026-04-28 Suhas BN , Andrew M. Sherrill , Rosa I. Arriaga , Chris W. Wiese , Saeed Abdullah
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