arXiv:2607. 13036v1 Announce Type: cross Abstract: Large language models (LLMs) are increasingly used for decision support in healthcare, but clinical evidence is often incomplete or evolving.
By Oriana Presacan, Andreea Grama, Larisa Irimin\u{a}, Alireza Nik, Jaya Ojha, Vajira Thambawita, Ciprian I. B\u{a}cil\u{a}, Bogdan Ionescu, Michael A. Riegler
arXiv:2607. 08257v1 Announce Type: new Abstract: Large language models (LLMs) have shown strong performance on isolated psychiatric tasks, including dialogue, diagnosis, and treatment planning, yet existing benchmarks rarely simulate complete psychiatric clinical encounters.
By Yuming Yang, Xiao Sun, Yuanwei Zou, Zhengxiao Wu, Yun Chen, Jiang Zhong, Haoyang Zeng, Jingwang Huang, Kaiwen Wei
arXiv:2603.03677v2 Announce Type: replace-cross
Abstract: Psychiatric consultation requires agents to elicit discriminative evidence, map uncertain narratives to diagnostic criteria, and decide when...
By Guoyi Li, Shihao Xu, Jiatong Ma, Zhongjiang Yao, Yunyun Han, Jianhua Chen, Yafeng Deng
arXiv:2607. 15202v1 Announce Type: new Abstract: Annotation quality is a major bottleneck in building reliable and explainable artificial intelligence (XAI) systems for mental health research.
By Hoang-Loc Cao, Van Pham, Truong Thanh Hung Nguyen, Phuc Truong Loc Nguyen, Phuc Ho, Veronica Whitford, Hung Cao
The study evaluates large language models (LLMs) on sequential emergency department triage, where acuity labels are predicted from progressively longer nurse‑patient conversations. Six LLMs were tested at five checkpoints on simulated and physician‑authored dialogues, showing a decline from moderate‑to‑substantial agreement on full records to only fair‑to‑moderate agreement at each checkpoint. The models consistently anchor on chief complaint exchanges and fail to integrate later evidence, yielding low agreement with clinicians (QWK 0.295 vs. 0.887‑0.929) and concentrating predictions on ESI‑2 and ESI‑3.
whyItMatters":"The findings reveal that LLMs, despite strong offline performance, cannot reliably handle the sequential nature of real‑time triage, highlighting a critical gap for safe deployment in emergency settings."
By Dipankar Srirag, Haokai Zhao, Ashutosh Kumar, Eleanor Hopper, Michael Dalton, Quoc Dung Nguyen, Aditya Joshi, Salil S. Kanhere, Padmanesan Narasimhan
The paper investigates how medical large language models (LLMs) may exhibit narrative anchoring bias when presented with the same clinical case in different patient voices. Using the NarrativeShield SDoH MedQA dataset, the authors evaluate three Qwen2.5 instruction‑tuned LLMs (1.5B, 3B, 7B) on 300 clinical cases, reporting metrics such as persona‑level accuracy, counterfactual consistency, correct consistency, and narrative sensitivity error. The 7B model achieves the highest accuracy (56.33 %) and correct consistency (40.33 %), yet narrative sensitivity errors remain substantial (31.67 %).
By Ahnaf Atef Choudhury, Ramkrishna Saha
The paper introduces a clinician‑grounded evaluation platform called InterviewPlayground, which uses a memory‑augmented patient simulator to assess AI‑assisted psychiatric intake systems. It supports comparison across different interviewing styles, reduces clinician workload, and measures clinically relevant performance. In a pilot study, a GPT‑based intake interviewer captured more relevant items but made more unfounded inferences and missed safety concerns compared to clinicians.
By King Shi, Amanda Li, Jonathan Ivey, Synthia Qia Wang, Guan Gui, Hyunseo Kim, Peter Zandi, Jason Straub, Jacob Taylor, Ananya Joshi
Annotation quality is a major bottleneck in building reliable and explainable artificial intelligence (XAI) systems for mental health research. In depression-related datasets, labels are often assigned without structured evidence, symptom-level justification, or traceable alignment with the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), limiting both transparency and downstream model interpretability.
arXiv:2608.21868v1 Announce Type: new
Abstract: Depression assessment from multimodal clinical interviews requires integrating dispersed evidence from multiple symptoms into a coherent PHQ-8 profile....
By Ao Chen, Xiaojiang Peng
arXiv:2607. 26929v1 Announce Type: cross Abstract: The same diagnostic result can support or challenge one causal claim yet fail to address another when the claims concern different populations, outcomes, estimands, pathways, or identifying assumptions.
By Weiyi Kong, Zhuoran 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
arXiv:2512. 04124v4 Announce Type: replace-cross Abstract: Frontier language models increasingly participate in conversations about distress and mental health, yet the mechanisms that generate anthropomorphic self narratives remain unclear.
By Afshin Khadangi, Hanna Marxen, Amir Sartipi, Igor Tchappi, Gilbert Fridgen