arXiv Computation and Language

Analyzing LLM Reasoning to Uncover Mental Health Stigma

The paper investigates how large language models (LLMs) can exhibit stigma toward people with psychological conditions by examining their intermediate reasoning steps rather than just final answers. Using clinical expertise, the authors develop a framework to identify and rate stigmatizing language in LLM reasoning, distinguishing between overt prejudice and subtler biases. They also expand an existing mental health stigma benchmark to include more psychological conditions, finding that reasoning analysis reveals far more stigma than traditional multiple-choice evaluations and exposes flaws in the models’ logic and understanding of mental health.

arXiv Computation and Language
Sep 2

SDARE-Bench: Evaluating Large Language Models on Conversational Stigma Detection and Response in Dyadic and Group Dialogue

arXiv:2609.01548v1 Announce Type: new Abstract: Large Language Models (LLMs) are increasingly used in advice seeking and decision making that may affect social judgements. Despite stigma's profound e...

By Stephanie Fong, Yiwen Jiang, Zimu Wang, Hongxi Yang, Yaling Shen, Hiu Weh Naomi Chow, Heung Ying Lai, Xiangyu Zhao, Qingyang Xu, Zhongxing Xu, Jiahe Liu, Guilherme C. Oliveira, Vincent Lee, Zongyuan Ge, Dominic Dwyer
arXiv AI
Sep 18

Behavioral Coherence: A Method for Sensitive-Domain LLM Evaluation

The paper introduces behavioral coherence evaluation, a design‑time method that uses validation evidence from an established instrument to test relationships among outputs of large language models (LLMs). Using the Individual Level Abortion Stigma Scale, the authors prompted five LLMs to complete questionnaires for 627 personas and found that the models scored personas lower on self‑judgment but higher on worries about judgment, often reversing the reference direction for Black personas. Expert review highlighted that disclosure guidance from the models requires context about relationship safety, legal risk, and trusted support.

By Anika Sharma, Malavika Mampally, Chidaksh Ravuru, Kandyce Brennan, Neil Gaikwad
arXiv Computation and Language
Aug 27

Adaptive Triggering for Bias Correction in LLM Reasoning

The paper introduces an adaptive triggering mechanism for bias correction in large language model (LLM) reasoning. By framing bias intervention as an online change‑point detection problem, the authors update a CUSUM statistic at each step using either a white‑box next‑token probability signal or a black‑box LLM judge signal, and inject corrective prompts only when the accumulated evidence exceeds a calibrated threshold. Experiments on gpt‑4o‑mini and six open‑weight models show that adaptive black‑box triggering restores most of the accuracy lost by fixed‑interval interventions while reducing the number of corrections, whereas the white‑box signal improves ambiguous‑item accuracy but can hurt disambiguated‑item accuracy due to difficulty distinguishing stereotype reliance from correct evidence.

By Nayoung Kim, Mickey Mancenido, Huan Liu
arXiv AI
Aug 20

Large Language Models in Mental Health: A Systematic Review of Applications, Innovations, and Ethical Challenges

The paper reviews how large language models are applied in mental health, covering areas such as social media analysis, clinical conversational agents, therapy support tools, prompt engineering, and multimodal learning. It synthesizes interdisciplinary studies that use social media posts, electronic medical records, and multimodal inputs to detect depression, assess suicide risk, provide personalized therapy, and generate psychoeducational content. The review also discusses advances in model interpretability, annotation strategies, multimodal fusion techniques, and highlights ethical, sociotechnical, and regulatory challenges while proposing frameworks for safe, equitable, and accountable deployment.

By Yisong Chen, Yifan Gao, Sijing Yu, Chuqing Zhao, Yang Lu