The paper introduces DistressBench, a benchmark comprising 718 English clinician-authored conversations covering 23 self-harm subcategories, each evaluated against a weighted rubric across seven crisis-support dimensions. Models are scored by the fraction of criteria they satisfy, revealing that the best models meet 88.4% of weighted criteria while clinicians achieve 98.7%. The study highlights gaps in crisis response, notably that 35.3% of conversations where crisis is recognized fail to route users to human help, underscoring the need to evaluate models on supportive care rather than mere refusal.
arXiv:2606. 30256v1 Announce Type: new Abstract: Safety benchmarks often buy scalability by fixing the prompt, the language, and the turn structure.
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."
arXiv:2601. 17642v2 Announce Type: replace Abstract: Safety alignment in Large Language Models is critical for healthcare; however, reliance on binary refusal boundaries often results in over-refusal of benign queries or unsafe compliance with harmful ones.
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...
arXiv:2606. 10380v1 Announce Type: cross Abstract: Real-world crisis intervention is inherently conversational, yet existing research largely focuses on static texts.
arXiv:2603.11413v4 Announce Type: replace-cross Abstract: A recent Nature Medicine study reported that ChatGPT Health under-triages 51.6% of emergencies and concluded that consumer-facing AI triage p...
The paper introduces CarryOnBench, an interactive benchmark that tests whether large language models can revise their interpretation of user intent and recover utility while staying safe in multi‑turn conversations. Using 398 harmful‑looking queries with benign intents, the benchmark simulates 5,970 conversations across 14 models, evaluating both intent‑aligned utility and safety with a new metric called Ben‑Util. Results show that models often withhold information due to misinterpretation, but most can recover with clarifications, revealing failure modes such as unsafe and redundant recovery that single‑turn tests miss.
The paper presents a system for the IEEE BigData 2026 Cup on Explainable Suicide Risk Assessment on Social Media. It tackles three tasks—risk-level classification, evidence phrase extraction, and multi-label factor identification—using Qwen2.5-Instruct models adapted with quantized low-rank adaptation (QLoRA) and an answer-masked causal language-model objective. The final system achieved a composite score of 0.7738, with 0.8089 on Task 1 and 0.6919 on Task 2, demonstrating that task‑specific training and tailored aggregation improve performance across the three tasks.
arXiv:2608. 10258v1 Announce Type: cross Abstract: Large language models (LLMs) increasingly provide conversational health information that may influence treatment decisions, yet existing benchmarks do not isolate whether medication-safety boundaries persist across follow-ups after explicit self-treatment intent.
arXiv:2603.11413v5 Announce Type: replace-cross Abstract: A recent Nature Medicine study reported that ChatGPT Health under-triages 51.6% of emergencies and concluded that consumer-facing AI triage p...
arXiv:2609.07766v1 Announce Type: cross Abstract: Assessing suicide risk from social media text is a small-data, high-stakes setting requiring not only severity prediction but also supporting evidenc...
The study evaluates large language models for assessing suicide risk in Arabic crisis helpline calls, comparing Arabic and English models. Using de‑identified transcripts from Lebanon’s National Lifeline, the researchers fine‑tuned instruction‑tuned LLMs and transformer encoders, achieving a macro‑F1 of 81.19 and ROC‑AUC of 90.61 for high‑risk calls in Arabic, and 85.00/92.59 in English. The results show that high‑risk calls are more distinguishable than at‑risk calls, and translating to English does not degrade performance, indicating potential for operator‑facing tools.