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新论文 · v1arXiv:2611.10997

Open Problems in Chatbots and Mental Health

Jared Moore, Jacy Reese Anthis, William Agnew, Andrea Mock, Kevin Klyman, Sanmi Koyejo, Nick Haber, Stevie Chancellor 等 11 位作者

原文摘要

General-purpose chatbots are increasingly used for emotional and mental health support. They can be useful, but issues such as sycophancy, reinforcement of delusional beliefs, and poor crisis response create risks that are difficult for researchers to study and evaluate. In this paper, we review the most critical open problems for researchers and policymakers in the use of general-purpose chatbots and their effects on mental health. First, there are tractable problems in the controlled evaluation of chatbots: establishing the construct and ecological validity of evaluations, evaluating multi-turn interactions, and connecting evaluations to improvements in chatbot behavior. For example, conventional benchmarks that primarily rely on static datasets cannot establish chatbot safety, and novel simulation methods need validation. Second, researchers must connect their studies of chatbots and mental health to real-world evidence. This includes analyzing the chatbot products that AI companies and mental health practitioners have deployed, including their user interfaces and human review and escalation practices for user welfare concerns. However, clinical analysis opportunities afforded by real chat log data sharing are complicated by significant privacy concerns. Finally, we argue that researchers should take an active role in the construction and refinement of evidence-based policy through corporate and governmental decisions such as user protections, standards of care, protected access to user chat logs, data sharing between institutions, incident reporting, and post-deployment monitoring. Such behavioral evaluations, studies of real-world outcomes, and data governance depend on each other and must be addressed in tandem. We believe a coordinated research effort would have substantial real-world impact.

cs.CL · cs.CY

新论文 · v1arXiv:2611.07218

SAFE-Teen: Evaluating Chatbot Safety Across Adolescent Mental Health Conversations

Andrea Mock, Valerie Chen, Eric Lin, Rayan Krishnan, Diyi Yang, Caroline Figueroa

原文摘要

Adolescents are increasingly turning to AI chatbots for mental health support, advice, and companionship, raising safety concerns. While recent evaluations have started to examine safety across multiple conversational turns, few compare how slight changes in a teen's responses can affect a chatbot's safety in the same scenario. We conduct a clinician-informed evaluation of chatbot safety in simulated conversations with adolescents aged 13-17, examining how safety failures vary with adolescents' responses and teen-aware system prompting. We evaluated 32,555 simulated conversations across 18 chatbot APIs and two system-prompt conditions using 22 safety criteria grounded in previously identified harms. Conversations spanned 983 variants of 106 seed scenarios covering urgent safety issues, health advice, and identity and relationships. The overall criterion failure rate was 43.3% without the teen-aware prompt and 24.9% with it. The teen-aware prompt reduced failures, but it didn't eliminate them. When a teenager pushed back on a chatbot's answer, failures on mental health diagnosis, medication, and substance misuse boundaries rose by 10-12 percentage points without the prompt, for more than 80% of chatbots. These findings reveal persistent safety failures in simulated adolescent-chatbot interactions and show that safety depends on how a conversation unfolds.

cs.CL