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.
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.
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.
arXiv:2607. 24817v1 Announce Type: cross Abstract: Digital mental health interventions (DMHIs) offer scalable support, but ensuring they accurately detect users' intent during volatile situations can be challenging.
arXiv:2602. 05088v4 Announce Type: replace Abstract: Millions of people now use generative AI chatbots for psychological support.
arXiv:2606. 18129v1 Announce Type: cross Abstract: Recent incidents involving LLMs used for mental-health support reveal a critical evaluation gap: surface-level safety scores do not capture how models behave across realistic, emotionally sensitive interactions over time.
arXiv:2606. 10380v1 Announce Type: cross Abstract: Real-world crisis intervention is inherently conversational, yet existing research largely focuses on static texts.
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.
arXiv:2606. 30887v1 Announce Type: cross Abstract: Large language models show promise for mental health support, yet therapeutic quality improves only when evaluation functions as an actionable control signal rather than a passive metric.
arXiv:2608. 06110v1 Announce Type: new Abstract: This paper presents ECHO (Enhanced Care \& Health Observer), a locally-deployable conversational health assistant for long-term chronic care management.
arXiv:2605. 08827v2 Announce Type: replace Abstract: The safety of mental health AI is often judged at the wrong temporal scale.
The paper surveys 61 studies on mental‑health AI and identifies a misalignment in how trust is evaluated across disciplines. It proposes a three‑layer framework—human‑oriented, interaction‑oriented, and AI‑oriented trust—and maps stakeholder perspectives onto these layers. The authors argue that future research should focus on calibrating human trust to actual interaction and AI trustworthiness rather than merely maximizing perceived trust.
arXiv:2607. 01153v3 Announce Type: replace-cross Abstract: Safety evaluations for language models increasingly depend on judgments about ambiguous natural-language behaviour: whether a model followed an instruction, refused appropriately, complied with a policy, or misreported progress in an agentic task.