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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

Large language models (LLMs) often match or exceed clinician-level performance on medical benchmarks, yet very few are evaluated on real clinical data or examined beyond headline metrics. We present, to our knowledge, the first evaluation…

The global mental health crisis is looming with a rapid increase in mental disorders, limited resources, and the social stigma of seeking treatment. As the field of artificial intelligence (AI) has witnessed significant advancements in…

Computation and Language · Computer Science 2023-11-27 Neo Christopher Chung , George Dyer , Lennart Brocki

This study investigates the efficacy of Large Language Models (LLMs) in interactive language therapy for high-functioning autistic adolescents. With the rapid advancement of artificial intelligence, particularly in natural language…

Human-Computer Interaction · Computer Science 2023-11-17 Yujin Cho , Mingeon Kim , Seojin Kim , Oyun Kwon , Ryan Donghan Kwon , Yoonha Lee , Dohyun Lim

Given the growing influence of language model-based agents on high-stakes societal decisions, from public policy to healthcare, ensuring their beneficial impact requires understanding the far-reaching implications of their suggestions. We…

Artificial Intelligence · Computer Science 2025-06-27 Chenkai Sun , Denghui Zhang , ChengXiang Zhai , Heng Ji

In this work, we designed unbiased prompts to systematically evaluate the psychological safety of large language models (LLMs). First, we tested five different LLMs by using two personality tests: Short Dark Triad (SD-3) and Big Five…

Computation and Language · Computer Science 2024-03-01 Xingxuan Li , Yutong Li , Lin Qiu , Shafiq Joty , Lidong Bing

Larger language models (LLMs) have taken the world by storm with their massive multi-tasking capabilities simply by optimizing over a next-word prediction objective. With the emergence of their properties and encoded knowledge, the risk of…

Computation and Language · Computer Science 2023-08-31 Rishabh Bhardwaj , Soujanya Poria

As large language models (LLMs) become increasingly integrated into real-world applications, scalable and rigorous safety evaluation is essential. This paper introduces Aymara AI, a programmatic platform for generating and administering…

Artificial Intelligence · Computer Science 2026-05-01 Juan Manuel Contreras

As Large Language Models (LLMs) become increasingly autonomous and integrated into critical societal functions, the focus of AI safety must evolve from mitigating harmful content to evaluating underlying behavioral alignment. Current safety…

Artificial Intelligence · Computer Science 2025-08-14 Manuel Herrador

As machine learning systems become increasingly embedded in society, their impact on human and nonhuman life continues to escalate. Technical evaluations have addressed a variety of potential harms from large language models (LLMs) towards…

Safety alignment in large language models (LLMs) is primarily evaluated under open-ended generation, where models can mitigate risk by refusing to respond. In contrast, many real-world applications place LLMs in structured decision-making…

Computation and Language · Computer Science 2026-04-21 Yuheng Chen , Zhiyu Wu , Bowen Cheng , Tetsuro Takahashi

Mental health remains a major public health concern, while access to timely psychological support is often limited. AI-based dialogue systems have emerged as promising tools to address these barriers, and recent advances in large language…

Computers and Society · Computer Science 2026-03-16 Daeun Lee , Dongje Yoo , Migyeong Yang , Jihyun An , Christine B. Cha , Jinyoung Han

The safety of large language models (LLMs) relies on alignment techniques such as reinforcement learning from human feedback (RLHF). However, recent theoretical analyses suggest that reinforcement learning-based training does not acquire…

Machine Learning · Computer Science 2026-04-06 Haruhi Shida , Koo Imai , Keigo Kansa

The increasing use of large language models (LLMs) in mental healthcare raises safety concerns in high-stakes therapeutic interactions. A key challenge is distinguishing therapeutic empathy from maladaptive validation, where supportive…

Computation and Language · Computer Science 2026-04-07 Qingyang Xu , Yaling Shen , Stephanie Fong , Zimu Wang , Yiwen Jiang , Xiangyu Zhao , Jiahe Liu , Zhongxing Xu , Vincent Lee , Zongyuan Ge

Although large language models (LLMs) have transformed AI, they still make mistakes and can explore unproductive reasoning paths. Self-correction capability is essential for deploying LLMs in safety-critical applications. We uncover a…

Computation and Language · Computer Science 2025-10-07 Ken Tsui

Large language models (LLMs) are emerging as promising tools for mental health care, offering scalable support through their ability to generate human-like responses. However, the effectiveness of these models in clinical settings remains…

Artificial Intelligence · Computer Science 2024-08-22 Yining Hua , Hongbin Na , Zehan Li , Fenglin Liu , Xiao Fang , David Clifton , John Torous

Large language models (LLMs) are increasingly used for medical consultation and health information support. In this high-stakes setting, safety depends not only on medical knowledge, but also on how models respond when patient inputs are…

Computation and Language · Computer Science 2026-04-01 Yahan Li , Xinyi Jie , Wanjia Ruan , Xubei Zhang , Huaijie Zhu , Yicheng Gao , Chaohao Du , Ruishan Liu

As Large Language Models (LLMs) increasingly power applications used by children and adolescents, ensuring safe and age-appropriate interactions has become an urgent ethical imperative. Despite progress in AI safety, current evaluations…

Computers and Society · Computer Science 2026-05-26 Junfeng Jiao , Saleh Afroogh , Kevin Chen , Abhejay Murali , David Atkinson , Amit Dhurandhar

Reinforcement learning (RL) is increasingly used to personalize instruction in intelligent tutoring systems, yet the field lacks a formal framework for defining and evaluating pedagogical safety. We introduce a four-layer model of…

Artificial Intelligence · Computer Science 2026-04-07 Oluseyi Olukola , Nick Rahimi

Context: ChatGPT and other large language models (LLMs) are widely used across healthcare, business, economics, engineering, and software engineering (SE). Despite their popularity, concerns persist about their reliability, especially their…

Software Engineering · Computer Science 2025-04-29 Vahid Garousi
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