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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

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

Large language models (LLMs) are increasingly utilized in healthcare applications. However, their deployment in clinical practice raises significant safety concerns, including the potential spread of harmful information. This study…

Cryptography and Security · Computer Science 2025-03-05 Hang Zhang , Qian Lou , Yanshan Wang

This paper presents a comprehensive empirical study on the safety alignment capabilities. We evaluate what matters for safety alignment in LLMs and LRMs to provide essential insights for developing more secure and reliable AI systems. We…

Computation and Language · Computer Science 2026-02-25 Xing Li , Hui-Ling Zhen , Lihao Yin , Xianzhi Yu , Zhenhua Dong , Mingxuan Yuan

The remarkable capabilities of Large Language Models (LLMs) make them increasingly compelling for adoption in real-world healthcare applications. However, the risks associated with using LLMs in medical applications have not been…

Large language models (LLMs) are increasingly used for mental health support, yet existing safety evaluations rely primarily on small, simulation-based test sets that have an unknown relationship to the linguistic distribution of real…

Computers and Society · Computer Science 2026-01-27 Caitlin A. Stamatis , Jonah Meyerhoff , Richard Zhang , Olivier Tieleman , Matteo Malgaroli , Thomas D. Hull

Artificial Intelligence (AI) is revolutionizing scientific research, yet its growing integration into laboratory environments presents critical safety challenges. Large language models (LLMs) and vision language models (VLMs) now assist in…

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

Current safety alignment for Large Language Models (LLMs) implicitly optimizes for a "modal adult user," leaving models vulnerable to distributional shifts in user cognition. We present ChildSafe, a benchmark that quantifies alignment…

Computers and Society · Computer Science 2026-01-21 Abhejay Murali , Saleh Afroogh , Kevin Chen , David Atkinson , Amit Dhurandhar , Junfeng Jiao

Large language models (LLMs) are increasingly considered for deployment as the control component of robotic health attendants, yet their safety in this context remains poorly characterized. We introduce a dataset of 270 harmful instructions…

Artificial Intelligence · Computer Science 2026-04-30 Mahiro Nakao , Kazuhiro Takemoto

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

Large language models (LLMs) are increasingly used for mental-health support; yet prevailing evaluation methods--fluency metrics, preference tests, and generic dialogue benchmarks--fail to capture the clinically critical dimensions of…

Computation and Language · Computer Science 2026-03-20 Fangrui Huang , Souhad Chbeir , Arpandeep Khatua , Sheng Wang , Sijun Tan , Kenan Ye , Lily Bailey , Merryn Daniel , Ryan Louie , Sanmi Koyejo , Ehsan Adeli

Large language models (LLMs) have been widely used for mental health support. However, current safety evaluations in this field are mostly limited to detecting whether LLMs output prohibited words in single-turn conversations, neglecting…

Computation and Language · Computer Science 2026-01-22 Youyou Cheng , Zhuangwei Kang , Kerry Jiang , Chenyu Sun , Qiyang Pan

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

There is a significant gap between patient needs and available mental health support today. In this paper, we aim to thoroughly examine the potential of using Large Language Models (LLMs) to assist professional psychotherapy. To this end,…

Computation and Language · Computer Science 2025-01-28 Mian Zhang , Xianjun Yang , Xinlu Zhang , Travis Labrum , Jamie C. Chiu , Shaun M. Eack , Fei Fang , William Yang Wang , Zhiyu Zoey Chen

As large language models (LLMs) increasingly mediate emotionally sensitive conversations, especially in mental health contexts, their ability to recognize and respond to high-risk situations becomes a matter of public safety. This study…

Construction remains one of the most hazardous sectors. Recent advancements in AI, particularly Large Language Models (LLMs), offer promising opportunities for enhancing workplace safety. However, responsible integration of LLMs requires…

Artificial Intelligence · Computer Science 2024-11-14 Farouq Sammour , Jia Xu , Xi Wang , Mo Hu , Zhenyu Zhang

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

As large language models (LLMs) are increasingly deployed in high-stakes settings, the risk of generating harmful or toxic content remains a central challenge. Post-hoc alignment methods are brittle: once unsafe patterns are learned during…

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