arXiv:2604.25415v2 Announce Type: replace-cross
Abstract: People increasingly turn to general-purpose AI chatbots for advice about emotional and mental health problems, but the ability of these syste...
By Veith Weilnhammer, Lennart Luettgau, Christopher Summerfield, Raymond Dolan, Elise Wilkinson, Virginia Corno, Viknesh Sounderajah, Matthew M Nour
The paper evaluates the safety of conversational AI therapy bots for Generation Alpha, revealing that while these models understand 76‑82% of youth‑specific vocabulary, they correctly assess clinical risk only 64‑72% of the time, creating a significant vocabulary‑comprehension gap. Six failure patterns—such as sarcasm masking, minimization acceptance, and semantic drift—were identified, with compounded errors leading to a 94% miss rate when three or more patterns co‑occur. The authors estimate 146,880 missed crises annually and recommend mandatory human‑in‑the‑loop systems, quarterly youth‑specific validation, transparent performance disclosure, and regulatory oversight for youth‑facing mental health AI.
By Manisha Mehta, Virendra Mehta
arXiv:2606. 04867v1 Announce Type: new Abstract: As AI companion platforms such as Replika and Character.
By Yanjing Ren, Reza Ebrahimi, TengTeng Ma
arXiv:2602.11391v5 Announce Type: replace
Abstract: Objective: This study develops and validates a patient simulation framework that aligns with the National Institute of Standards and Technology AI...
By Md Tanvir Rouf Shawon, Mohammad Sabik Irbaz, Hadeel R. A. Elyazori, Keerti Reddy Resapu, Yili Lin, Vladimir Franzuela Cardenas, K. Pierre Eklou, Farrokh Alemi, Kevin Lybarger
Anian is a safety‑gated multimodal AI backend designed for perinatal mental‑health support and mindfulness‑intervention routing. It maps user input into a four‑layer hierarchical state representation—emotion, psychosocial constructs, safety risk, and intervention routes—then fuses local and external risk signals to decide whether to generate AI responses or provide fixed safety content. Prototype evaluation on large public corpora showed high classification performance and perfect high‑risk recall in a controlled stress test, though clinical validity remains unestablished.
By Lei Wang, Xiao Wang, Lei Li
arXiv:2609.15855v1 Announce Type: cross
Abstract: % !TEX root = ../main.tex People increasingly use large language models (LLMs) for mental health support, yet their safety in evolving, high-risk con...
By Laura M. Vowels, Matthew J. Vowels, Shivali Sharma, Apoorv Jha, Rehnuma Choudhury, Wasseem El Sarraj, Rachel Francois-Walcott, Aruba Hussain, Sarah Ingram, Angela Loulopoulou, Adva Segal, Elena Volkova
This scoping review examined 48 studies on generative AI chatbots designed to deliver motivational interviewing (MI). It found that most systems were text‑based and disembodied, with about half incorporating dynamic adaptation, and that safety reporting was inconsistent. While user perceptions were generally positive and many studies reported MI‑consistent interactions, evidence for sustained behavioral or functional change remains limited.
By Runze Hu, Jingqi Kong, Yang Yang, Yihang Yang, Jingyao Liu, Haizhou Tang, Shanghang Zhang, Zheng Liu
The paper introduces Safety Nudges, a browser-based tool that displays lightweight, in situ flags when a conversational AI exhibits risky behavior such as hallucination or overconfidence. In a two‑week field study with 45 frequent chatbot users, participants reported that the nudges were useful, clear, and minimally disruptive, and most felt more aware of potential AI harms. However, increased awareness did not automatically translate into measurable changes in user behavior, underscoring the need for relevance, calibration, and user control in nudge design.
By Varshini Elangovan, James Wedgwood, Chhavi Yadav, William Agnew, Sauvik Das, Virginia Smith
arXiv:2607. 22692v1 Announce Type: new Abstract: Large language models (LLMs) are increasingly used for emotional support despite lacking mechanisms to safely govern evolving mental health risk.
By Anabela C. Areias, Catarina Botelho, Ant\'onio Farinhas, Areti Vassilopoulos, Dora Janela, Xin Tong, Nuno M. Guerreiro, Maya D'Eon, Fab\'iola Costa, Ricardo Rei
arXiv:2512. 01241v4 Announce Type: replace-cross Abstract: Large language models (LLMs) and medical AI tools are routinely used by physicians and patients for medical advice, yet their clinical safety profiles remain poorly characterized.
By David Wu, Fateme Nateghi Haredasht, Saloni Kumar Maharaj, Priyank Jain, Jessica Tran, Matthew Gwiazdon, Arjun Rustagi, Jenelle Jindal, Jacob M. Koshy, Vinay Kadiyala, Anup Agarwal, Bassman Tappuni, Brianna French, Sirus Jesudasen, Christopher V. Cosgriff, Rebanta Chakraborty, Jillian Caldwell, Susan Ziolkowski, David J. Iberri, Robert Diep, Rahul S. Dalal, Kira L. Newman, Kristin Galetta, J. Carl Pallais, Nancy Wei, Kathleen M. Buchheit, David I. Hong, Vartan Pahalyants, Ernest Y. Lee, Allen Shih, Tamara B. Kaplan, Vishnu Ravi, Sarita Khemani, Thomas A. Buckley, April S. Liang, Daniel Shirvani, Advait Patil, Nicholas Marshall, Kanav Chopra, Joel Koh, Adi Badhwar, Anastasia Perez, Austin J. Schoeffler, Mahbuba Tusty, Chase M. Walton, Liam G. McCoy, David J. H. Wu, Yingjie Weng, Sumant Ranji, Kevin Schulman, Nigam H. Shah, Jason Hom, Arnold Milstein, Arjun K. Manrai, Adam Rodman, Jonathan H. Chen, Ethan Goh
arXiv:2607. 25485v1 Announce Type: new Abstract: Health AI is evolving from answering questions to agentic systems that converse with patients, reason about health records, and act on their behalf.
By Korosh Vatanparvar, Ashutosh Joshi, Maria Xenochristou, Mohammad Abuzar Hashemi, Prasad Kasu, Deepak Bansal, Daniel Lopez-Martinez, Anchal Nema, Ramya Ganesan, Will Kimbrough, Alex Woody, Yadunandana Rao, Dilek Hakkani-Tur, Wilko Schulz-Mahlendorf
arXiv:2606. 28334v1 Announce Type: cross Abstract: Recent advances in artificial intelligence (AI) and social media data have led to growing optimism about the ability to detect suicide risk at scale.
By Yaakov Ophir, Ofri Hefetz, Refael Tikochinski, Kfir Bar, Shir Lissak, Shulamit Grinapol, Haya Wachtel, Eyal Fruchter, Roi Reichart