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Related papers: Characterizing Delusional Spirals through Human-LL…

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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

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

Background: Emerging reports of "AI psychosis" are on the rise, where user-LLM interactions may exacerbate or induce psychosis or adverse psychological symptoms. Whilst the sycophantic and agreeable nature of LLMs can be beneficial, it…

Machine Learning · Computer Science 2025-09-18 Joshua Au Yeung , Jacopo Dalmasso , Luca Foschini , Richard JB Dobson , Zeljko Kraljevic

As ChatGPT and other Large Language Model (LLM)-based AI chatbots become increasingly integrated into individuals' daily lives, important research questions arise. What concerns and risks do these systems pose for individual users? What…

Computers and Society · Computer Science 2025-08-15 Chengen Wang , Murat Kantarcioglu

Conversational AI systems are increasingly used for personal reflection and emotional disclosure, raising concerns about their effects on vulnerable users. Recent anecdotal reports suggest that prolonged interactions with AI may reinforce…

Human-Computer Interaction · Computer Science 2026-03-23 Soorya Ram Shimgekar , Vipin Gunda , Jiwon Kim , Violeta J. Rodriguez , Hari Sundaram , Koustuv Saha

Recent advancements in LLMs enable chatbots to interact with individuals on a range of queries, including sensitive mental health contexts. Despite uncertainties about their effectiveness and reliability, the development of LLMs in these…

Human-Computer Interaction · Computer Science 2025-04-29 Dong Whi Yoo , Jiayue Melissa Shi , Violeta J. Rodriguez , Koustuv Saha

People experiencing severe distress increasingly use Large Language Model (LLM) chatbots as mental health support tools. Discussions on social media have described how engagements were lifesaving for some, but evidence suggests that…

Human-Computer Interaction · Computer Science 2025-05-12 Inhwa Song , Sachin R. Pendse , Neha Kumar , Munmun De Choudhury

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

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

There is growing concern that AI chatbots might fuel delusional beliefs in users. Some have suggested that humans and chatbots mutually reinforce false beliefs over time, but quantitative evidence is lacking. Using a unique dataset of chat…

Computation and Language · Computer Science 2026-04-29 Ashish Mehta , Jared Moore , Jacy Reese Anthis , William Agnew , Eric Lin , Peggy Yin , Desmond C. Ong , Nick Haber , Carol Dweck

Large language models (LLMs) chatbots like ChatGPT are increasingly used for mental health support. They offer accessible, therapeutic support but also raise concerns about misinformation, over-reliance, and risks in high-stakes contexts of…

Computers and Society · Computer Science 2025-12-09 Lingyao Li , Xiaoshan Huang , Renkai Ma , Ben Zefeng Zhang , Haolun Wu , Fan Yang , Chen Chen

Individuals are increasingly relying on large language model (LLM)-enabled conversational agents for emotional support. While prior research has examined privacy and security issues in chatbots specifically designed for mental health…

Computers and Society · Computer Science 2025-07-16 Jabari Kwesi , Jiaxun Cao , Riya Manchanda , Pardis Emami-Naeini

Many Large Language Model (LLM) chatbots are designed and used for companionship, and people have reported forming friendships, mentorships, and romantic partnerships with them. Concerns that companion chatbots may harm or replace real…

Human-Computer Interaction · Computer Science 2025-10-15 Rose E. Guingrich , Michael S. A. Graziano

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.…

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

As conversational AI systems increasingly permeate the socio-emotional realms of human life, they bring both benefits and risks to individuals and society. Despite extensive research on detecting and categorizing harms in AI systems, less…

Human-Computer Interaction · Computer Science 2026-05-06 Renwen Zhang , Han Li , Han Meng , Jinyuan Zhan , Hongyuan Gan , Yi-Chieh Lee

Large language model-powered chatbots have transformed how people seek information, especially in high-stakes contexts like mental health. Despite their support capabilities, safe detection and response to crises such as suicidal ideation…

Computation and Language · Computer Science 2026-04-09 Adrian Arnaiz-Rodriguez , Miguel Baidal , Erik Derner , Jenn Layton Annable , Mark Ball , Mark Ince , Elvira Perez Vallejos , Nuria Oliver

Recent advancements in large language models (LLMs) promise to expand mental health interventions by emulating therapeutic techniques, potentially easing barriers to care. Yet there is a lack of real-world empirical evidence evaluating the…

Human-Computer Interaction · Computer Science 2025-01-28 Yinzhou Wang , Yimeng Wang , Ye Xiao , Liabette Escamilla , Bianca Augustine , Kelly Crace , Gang Zhou , Yixuan Zhang

Millions of users turn to consumer AI chatbots to discuss mental health and behavioral concerns. While this presents unprecedented opportunities to deliver population-level support, it also highlights an urgent need for rigorous and…

Neurons and Cognition · Quantitative Biology 2026-03-10 Veith Weilnhammer , Kevin YC Hou , Lennart Luettgau , Christopher Summerfield , Raymond Dolan , Matthew M Nour

We introduce findings and methods to facilitate evidence-based discussion about how large language models (LLMs) should behave in response to user signals of risk of suicidal thoughts and behaviors (STB). People are already using LLMs as…

Human-Computer Interaction · Computer Science 2025-11-03 Nick Judd , Alexandre Vaz , Kevin Paeth , Layla Inés Davis , Milena Esherick , Jason Brand , Inês Amaro , Tony Rousmaniere
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