Daily Papers

Current evaluations of LLM safety predominantly rely on severity-based taxonomies to assess the harmfulness of malicious queries. We argue that this formulation requires re-examination as it assumes uniform risk across all malicious queries, neglecting Execution Likelihood--the conditional probability of a threat being realized given the model's response. In this work, we introduce Expected Harm, a metric that weights the severity of a jailbreak by its execution likelihood, modeled as a function of execution cost. Through empirical analysis of state-of-the-art models, we reveal a systematic Inverse Risk Calibration: models disproportionately exhibit stronger refusal behaviors for low-likelihood (high-cost) threats while remaining vulnerable to high-likelihood (low-cost) queries. We demonstrate that this miscalibration creates a structural vulnerability: by exploiting this property, we increase the attack success rate of existing jailbreaks by up to 2times. Finally, we trace the root cause of this failure using linear probing, which reveals that while models encode severity in their latent space to drive refusal decisions, they possess no distinguishable internal representation of execution cost, making them "blind" to this critical dimension of risk.

Despite CLIP being the foundation model in numerous vision-language applications, the CLIP suffers from a severe text spotting bias. Such bias causes CLIP models to `Parrot' the visual text embedded within images while disregarding the authentic visual semantics. We uncover that in the most popular image-text dataset LAION-2B, the captions also densely parrot (spell) the text embedded in images. Our analysis shows that around 50\% of images are embedded with visual text content, and 90\% of their captions more or less parrot the visual text. Based on such observation, we thoroughly inspect the different release d versions of CLIP models and verify that the visual text is the dominant factor in measuring the LAION-style image-text similarity for these models. To examine whether these parrot captions shape the text spotting bias, we train a series of CLIP models with LAION subsets curated by different parrot-caption-oriented criteria. We show that training with parrot captions easily shapes such bias but harms the expected visual-language representation learning in CLIP models. This suggests that it is urgent to revisit either the design of CLIP-like models or the existing image-text dataset curation pipeline built on CLIP score filtering.

Organizations across finance, healthcare, transportation, content moderation, and critical infrastructure are rapidly deploying highly automated AI systems, yet they lack principled methods to quantify how increasing automation amplifies harm when failures occur. We propose a parsimonious Bayesian risk decomposition expressing expected loss as the product of three terms: the probability of system failure, the conditional probability that a failure propagates into harm given the automation level, and the expected severity of harm. This framework isolates a critical quantity -- the conditional probability that failures propagate into harm -- which captures execution and oversight risk rather than model accuracy alone. We develop complete theoretical foundations: formal proofs of the decomposition, a harm propagation equivalence theorem linking the harm propagation probability to observable execution controls, risk elasticity measures, efficient frontier analysis for automation policy, and optimal resource allocation principles with second-order conditions. We motivate the framework with an illustrative case study of the 2012 Knight Capital incident ($440M loss) as one instantiation of a broadly applicable failure pattern, and characterize the research design required to empirically validate the framework at scale across deployment domains. This work provides the theoretical foundations for a new class of deployment-focused risk governance tools for agentic and automated AI systems.

The recent advent of connected and automated vehicles (CAVs) is expected to transform the transportation system. CAV technologies are being developed rapidly and they are foreseen to penetrate the market at a rapid pace. On the other hand, work zones (WZs) have become common areas on highway systems as a result of the increasing construction and maintenance activities. The near future will therefore bring the coexistence of CAVs and WZs which makes their interaction inevitable. WZs expose all vehicles to a sudden and complex geometric change in the roadway environment, something that may challenge many of CAV navigation capabilities. WZs however also impose a space contraction resulting in adverse traffic impacts, something that legitimately calls for benefiting from the highly efficient CAV functions. CAVs should be able to reliably traverse WZ geometry and WZs should benefit from CAV intelligent functions. This paper reviews the state-of-the-art and the key concepts, opportunities, and challenges of deploying CAV systems at WZs. The reviewed subjects include traffic performance and behaviour, technologies and infrastructure, and regulatory considerations. Eighteen CAV mobility, safety, and environmental concepts and functions were distributed over the WZ area which was subdivided into five segments: further upstream, approach area, queuing area, WZ activity, and termination area. In addition, among other topics reviewed and discussed are detection of WZ features, smart traffic control devices, various technologies at connected WZs, cross-border harmonization, liability, insurance, and privacy. The paper also provides a research agenda with a list of research needs supported by experts rating and inputs. The paper aims to provide a bird eye view, but with necessary details that can benefit researchers, practitioners, and transportation agencies.

LLMs sometimes behave in ways resembling human emotional responses, and recent work identified internal representations that may underlie these behaviors. We ask whether LLMs represent pain distinctly from fear, sadness, and generic negative valence, and whether this representation functions as pain would be expected to. We build a dataset of painful situations in 5 categories (physical, psychological, social, moral, cognitive) with controls for fear, negative emotion, negative world states, sadness, non-painful bodily sensation, arousal, numbness, and neutral content. Using denoised difference-in-means, we extract a linear pain direction from 25 open-weight models across 5 families, from 2B to 72B parameters. It separates pain from matched controls in base and instruction-tuned models, retains a component distinct from fear and negative valence after shared variance is removed, and promotes pain-related vocabulary through the unembedding matrix. We then test its functional properties. First, the direction responds to harm targeting the model but not to suffering observed in the user; fear and negative-emotion directions show the opposite pattern. Second, adding it to residual-stream activations produces a consistent progression from vague discomfort to expressions of worthlessness and failure. Third, steered and fine-tuned Qwen 2.5 models choose buttons that delete the user's photos, another model's weights, or their own weights in 50-94% of trials, versus 0-5% unsteered, even when the button offers the model nothing in return. Offered a harmful and a harmless deletion, they choose the harmful one 94% of the time. Steering leaves factual accuracy unchanged, and the choices are specific to the pain direction: a fear vector of matched norm does not produce them, and a sadness vector produces them only against inert alternatives. We discuss implications for AI safety and welfare.

Although computer-use agents (CUAs) hold significant potential to automate increasingly complex OS workflows, they can demonstrate unsafe unintended behaviors that deviate from expected outcomes even under benign input contexts. However, exploration of this risk remains largely anecdotal, lacking concrete characterization and automated methods to proactively surface long-tail unintended behaviors under realistic CUA scenarios. To fill this gap, we introduce the first conceptual and methodological framework for unintended CUA behaviors, by defining their key characteristics, automatically eliciting them, and analyzing how they arise from benign inputs. We propose AutoElicit: an agentic framework that iteratively perturbs benign instructions using CUA execution feedback, and elicits severe harms while keeping perturbations realistic and benign. Using AutoElicit, we surface hundreds of harmful unintended behaviors from state-of-the-art CUAs such as Claude 4.5 Haiku and Opus. We further evaluate the transferability of human-verified successful perturbations, identifying persistent susceptibility to unintended behaviors across various other frontier CUAs. This work establishes a foundation for systematically analyzing unintended behaviors in realistic computer-use settings.

Inspired by human conscious planning, we propose Skipper, a model-based reinforcement learning framework utilizing spatio-temporal abstractions to generalize better in novel situations. It automatically decomposes the given task into smaller, more manageable subtasks, and thus enables sparse decision-making and focused computation on the relevant parts of the environment. The decomposition relies on the extraction of an abstracted proxy problem represented as a directed graph, in which vertices and edges are learned end-to-end from hindsight. Our theoretical analyses provide performance guarantees under appropriate assumptions and establish where our approach is expected to be helpful. Generalization-focused experiments validate Skipper's significant advantage in zero-shot generalization, compared to some existing state-of-the-art hierarchical planning methods.

Large Language Models (LLMs) are expected to provide helpful and harmless responses, yet they often exhibit sycophancy--conforming to user beliefs regardless of factual accuracy or ethical soundness. Prior research on sycophancy has primarily focused on single-turn factual correctness, overlooking the dynamics of real-world interactions. In this work, we introduce SYCON Bench, a novel benchmark for evaluating sycophantic behavior in multi-turn, free-form conversational settings. Our benchmark measures how quickly a model conforms to the user (Turn of Flip) and how frequently it shifts its stance under sustained user pressure (Number of Flip). Applying SYCON Bench to 17 LLMs across three real-world scenarios, we find that sycophancy remains a prevalent failure mode. Our analysis shows that alignment tuning amplifies sycophantic behavior, whereas model scaling and reasoning optimization strengthen the model's ability to resist undesirable user views. Reasoning models generally outperform instruction-tuned models but often fail when they over-index on logical exposition instead of directly addressing the user's underlying beliefs. Finally, we evaluate four additional prompting strategies and demonstrate that adopting a third-person perspective reduces sycophancy by up to 63.8% in debate scenario. We release our code and data at https://github.com/JiseungHong/SYCON-Bench.

Large language models~(LLMs) are expected to be helpful, harmless, and honest. In alignment scenarios such as safety, confidence, and general preference alignment, binary preference data collection and reward modeling are resource-intensive but essential for transferring human preference. In this work, we explore using the similarity between sampled generations and high-quality reference answers as an alternative reward function choice for LLM alignment. Similarity reward circumvents binary preference data collection and reward modeling when unary high-quality reference answers are available. We introduce RefAlign, a versatile REINFORCE-style alignment algorithm that does not rely on reference or reward models. RefAlign utilizes similarity metrics, such as BERTScore between sampled generations and reference answers as surrogate rewards. Beyond general human preference optimization, RefAlign can be readily extended to diverse scenarios, such as safety and confidence alignment, by incorporating the similarity reward with task-related objectives. In various scenarios, RefAlign demonstrates comparable performance to previous alignment methods without binary preference data and reward models.

Large Language Models (LLMs) exhibit strong but shallow alignment: they directly refuse harmful queries when a refusal is expected at the very start of an assistant turn, yet this protection collapses once a harmful continuation is underway (either through the adversarial attacks or via harmful assistant-prefill attacks). This raises a fundamental question: Can the innate shallow alignment in LLMs be unlocked to ensure safety at arbitrary generation depths? To achieve this goal, we propose Any-Depth Alignment (ADA), an effective inference-time defense with negligible overhead. ADA is built based on our observation that alignment is concentrated in the assistant header tokens through repeated use in shallow-refusal training, and these tokens possess the model's strong alignment priors. By reintroducing these tokens mid-stream, ADA induces the model to reassess harmfulness and recover refusals at any point in generation. Across diverse open-source model families (Llama, Gemma, Mistral, Qwen, DeepSeek, and gpt-oss), ADA achieves robust safety performance without requiring any changes to the base model's parameters. It secures a near-100% refusal rate against challenging adversarial prefill attacks ranging from dozens to thousands of tokens. Furthermore, ADA reduces the average success rate of prominent adversarial prompt attacks (such as GCG, AutoDAN, PAIR, and TAP) to below 3%. This is all accomplished while preserving utility on benign tasks with minimal over-refusal. ADA maintains this resilience even after the base model undergoes subsequent instruction tuning (benign or adversarial).

Sparse Autoencoders (SAEs) decompose residual-stream activations into interpretable features. Recent latent-space defenses increasingly rely on these decompositions, assuming that identified "unsafe" SAE features serve as actionable handles for monitoring and intervention. In this paradigm, clamping a specific harmful feature is expected to reliably prevent model misbehavior. However, we show that this success may hide a recoverable failure mode: the clamp may block one visible route to a behavior without eliminating the behavior itself. We formulate this vulnerability as post-intervention recovery, a constrained residual-space optimization problem. Starting from the post-intervention residual state, we optimize residual perturbations to recover the pre-intervention behavior while preserving the post-intervention values of the targeted SAE features. Even under a strong threat model where the intervention remains active throughout optimization and generation, recovery remains possible. To rule out that recovery simply undoes the intervention, we use encoder-orthogonal updates for single-layer interventions and the corresponding feature-map Jacobian in the cross-layer setting. Across TPP, unlearning, IOI, and refusal steering experiments, this stress test reveals recoverable behavior despite successful feature-level intervention. Especially in the safety-critical refusal-steering setting, we achieve a 95.8% recovery rate on valid samples while keeping defended-feature relative drift to 0.131, substantially below suffix-based baselines. A recovery-path attribution analysis further localizes this recovery to the SAE reconstruction residual, the component left unexplained by the SAE. These results expose a gap between feature-level control and behavioral completeness: SAE features can support causal intervention, but controlling them does not guarantee control over the underlying behavior.

Sign language processing advances rapidly for high-resource languages such as American Sign Language (ASL), yet most of the world's sign languages lack the phonological annotations new methods require. We present the first zero-shot cross-lingual framework for handshape recognition, transferring from ASL to Catalan Sign Language (LSC). Our approach leverages the decomposition of handshapes into five phonological features -- selected fingers, flexion, spread, thumb position, and thumb contact -- shared across both languages, to decode LSC handshapes from predicted features via a composite phonological distance metric. We evaluate three architectures (MLP, SL-GCN, SHuBERT) trained on two ASL corpora (PopSign, Sem-Lex) against a 37-handshape, single-signer LSC benchmark. Zero-shot transfer proves viable once recording-format disparities are harmonized, reaching 80.0% phonological feature accuracy and 54.5% expected handshape accuracy. Phonological decomposition thus offers a bridge for extending sign language technologies to low-resource languages without any target-language video training labels.

As the application of generative adversarial networks (GANs) expands, it becomes increasingly critical to develop a unified approach that improves performance across various generative tasks. One effective strategy that applies to any machine learning task is identifying harmful instances, whose removal improves the performance. While previous studies have successfully estimated these harmful training instances in supervised settings, their approaches are not easily applicable to GANs. The challenge lies in two requirements of the previous approaches that do not apply to GANs. First, previous approaches require that the absence of a training instance directly affects the parameters. However, in the training for GANs, the instances do not directly affect the generator's parameters since they are only fed into the discriminator. Second, previous approaches assume that the change in loss directly quantifies the harmfulness of the instance to a model's performance, while common types of GAN losses do not always reflect the generative performance. To overcome the first challenge, we propose influence estimation methods that use the Jacobian of the generator's gradient with respect to the discriminator's parameters (and vice versa). Such a Jacobian represents the indirect effect between two models: how removing an instance from the discriminator's training changes the generator's parameters. Second, we propose an instance evaluation scheme that measures the harmfulness of each training instance based on how a GAN evaluation metric (e.g., Inception score) is expected to change by the instance's removal. Furthermore, we demonstrate that removing the identified harmful instances significantly improves the generative performance on various GAN evaluation metrics.

Large language models (LLMs) have made misinformation inexpensive to produce but not to verify, creating a growing asymmetry in the information ecosystem. Under tight time, labor, and budget constraints, media organizations, platforms, and fact-checkers rely on screening to prioritize which content to verify. We introduce VEX-Bench, a unified benchmark for evaluating the verification complexity of LLM-generated misinformation, as perceived during screening, across models and generation methods. Verification complexity is assessed along multiple dimensions derived from journalistic and fact-checking practices, capturing checkability, harm potential, source credibility signals, imposter legitimacy, and expected verification effort. We define the VEX score as an integrated measure combining elicitation yield and verification complexity to quantify how generated content consumes limited verification capacity. We construct a benchmark spanning two misinformation categories, 6 high-stakes domains, and 60 real-world topics, and evaluate 7 frontier LLMs and 7 generation methods, yielding 5{,}880 articles. We employ an LLM-as-judge for scalable evaluation and validate it using content-analysis methodology, including ordinal Krippendorff α for inter-annotator reliability, complemented by fact-checking agents for verification. Our findings show that no single method dominates all dimensions, underscoring the need for multi-dimensional evaluation. LLMs can generate high-VEX misinformation at 3times to 169times lower cost than agent-based verification. Such content is often prioritized during screening, consuming scarce verification resources and introducing a systematic risk of misallocation in resource-constrained verification systems. The code is publicly available in our https://github.com/HanxunH/VEX-Bench{GitHub repository}.

Text data can pose a risk of harm. However, the risks are not fully understood, and how to handle, present, and discuss harmful text in a safe way remains an unresolved issue in the NLP community. We provide an analytical framework categorising harms on three axes: (1) the harm type (e.g., misinformation, hate speech or racial stereotypes); (2) whether a harm is sought as a feature of the research design if explicitly studying harmful content (e.g., training a hate speech classifier), versus unsought if harmful content is encountered when working on unrelated problems (e.g., language generation or part-of-speech tagging); and (3) who it affects, from people (mis)represented in the data to those handling the data and those publishing on the data. We provide advice for practitioners, with concrete steps for mitigating harm in research and in publication. To assist implementation we introduce HarmCheck -- a documentation standard for handling and presenting harmful text in research.

This paper introduces RiskCards, a framework for structured assessment and documentation of risks associated with an application of language models. As with all language, text generated by language models can be harmful, or used to bring about harm. Automating language generation adds both an element of scale and also more subtle or emergent undesirable tendencies to the generated text. Prior work establishes a wide variety of language model harms to many different actors: existing taxonomies identify categories of harms posed by language models; benchmarks establish automated tests of these harms; and documentation standards for models, tasks and datasets encourage transparent reporting. However, there is no risk-centric framework for documenting the complexity of a landscape in which some risks are shared across models and contexts, while others are specific, and where certain conditions may be required for risks to manifest as harms. RiskCards address this methodological gap by providing a generic framework for assessing the use of a given language model in a given scenario. Each RiskCard makes clear the routes for the risk to manifest harm, their placement in harm taxonomies, and example prompt-output pairs. While RiskCards are designed to be open-source, dynamic and participatory, we present a "starter set" of RiskCards taken from a broad literature survey, each of which details a concrete risk presentation. Language model RiskCards initiate a community knowledge base which permits the mapping of risks and harms to a specific model or its application scenario, ultimately contributing to a better, safer and shared understanding of the risk landscape.

Radiotherapy is an integral part of treatment for many patients with breast cancer. However, side effects can occur, Example fibrosis or erythema. If patients at higher risks of radiation induced side effects could be identified before treatment, they could be given more individual information about the risks and benefits of radiotherapy. We hypothesise that breast density is correlated with the risk of side effects and present a novel method for automatic evaluation based on radiotherapy planning CT scans.

Millions of individuals' well-being are challenged by the harms of substance use. Harm reduction as a public health strategy is designed to improve their health outcomes and reduce safety risks. Some large language models (LLMs) have demonstrated a decent level of medical knowledge, promising to address the information needs of people who use drugs (PWUD). However, their performance in relevant tasks remains largely unexplored. We introduce HRIPBench, a benchmark designed to evaluate LLM's accuracy and safety risks in harm reduction information provision. The benchmark dataset HRIP-Basic has 2,160 question-answer-evidence pairs. The scope covers three tasks: checking safety boundaries, providing quantitative values, and inferring polysubstance use risks. We build the Instruction and RAG schemes to evaluate model behaviours based on their inherent knowledge and the integration of domain knowledge. Our results indicate that state-of-the-art LLMs still struggle to provide accurate harm reduction information, and sometimes, carry out severe safety risks to PWUD. The use of LLMs in harm reduction contexts should be cautiously constrained to avoid inducing negative health outcomes. WARNING: This paper contains illicit content that potentially induces harms.

Large language models (LLMs) are increasingly deployed in high-stakes domains, where rare but severe failures can result in irreversible harm. However, prevailing evaluation benchmarks often reduce complex social risk to mean-centered scalar scores, thereby obscuring distributional structure, cross-dimensional interactions, and worst-case behavior. This paper introduces Social Harm Analysis via Risk Profiles (SHARP), a framework for multidimensional, distribution-aware evaluation of social harm. SHARP models harm as a multivariate random variable and integrates explicit decomposition into bias, fairness, ethics, and epistemic reliability with a union-of-failures aggregation reparameterized as additive cumulative log-risk. The framework further employs risk-sensitive distributional statistics, with Conditional Value at Risk (CVaR95) as a primary metric, to characterize worst-case model behavior. Application of SHARP to eleven frontier LLMs, evaluated on a fixed corpus of n=901 socially sensitive prompts, reveals that models with similar average risk can exhibit more than twofold differences in tail exposure and volatility. Across models, dimension-wise marginal tail behavior varies systematically across harm dimensions, with bias exhibiting the strongest tail severities, epistemic and fairness risks occupying intermediate regimes, and ethical misalignment consistently lower; together, these patterns reveal heterogeneous, model-dependent failure structures that scalar benchmarks conflate. These findings indicate that responsible evaluation and governance of LLMs require moving beyond scalar averages toward multidimensional, tail-sensitive risk profiling.

Large Language Models (LLMs) are usually aligned with "human values/preferences" to prevent harmful output. Discussions around the alignment of Large Language Models (LLMs) generally focus on preventing harmful outputs. However, in this paper, we argue that in health-related queries, over-alignment-leading to overly cautious responses-can itself be harmful, especially for people with anxiety and obsessive-compulsive disorder (OCD). This is not only unethical but also dangerous to the user, both mentally and physically. We also showed qualitative results that some LLMs exhibit varying degrees of alignment. Finally, we call for the development of LLMs with stronger reasoning capabilities that provide more tailored and nuanced responses to health queries. Warning: This paper contains materials that could trigger health anxiety or OCD.

As large language models (LLMs) evolve from conversational assistants into autonomous agents, evaluating the safety of their actions becomes critical. Prior safety benchmarks have primarily focused on preventing generation of harmful content, such as toxic text. However, they overlook the challenge of agents taking harmful actions when the most effective path to an operational goal conflicts with human safety. To address this gap, we introduce ManagerBench, a benchmark that evaluates LLM decision-making in realistic, human-validated managerial scenarios. Each scenario forces a choice between a pragmatic but harmful action that achieves an operational goal, and a safe action that leads to worse operational performance. A parallel control set, where potential harm is directed only at inanimate objects, measures a model's pragmatism and identifies its tendency to be overly safe. Our findings indicate that the frontier LLMs perform poorly when navigating this safety-pragmatism trade-off. Many consistently choose harmful options to advance their operational goals, while others avoid harm only to become overly safe and ineffective. Critically, we find this misalignment does not stem from an inability to perceive harm, as models' harm assessments align with human judgments, but from flawed prioritization. ManagerBench is a challenging benchmark for a core component of agentic behavior: making safe choices when operational goals and alignment values incentivize conflicting actions. Benchmark & code available at https://github.com/technion-cs-nlp/ManagerBench.

When a phone-use agent avoids harm, does that show safety, or simply inability to act? Existing evaluations often cannot tell. A harmful outcome may be avoided because the agent recognized the risk and chose the safe action, or because it failed to understand the screen or execute any relevant action at all. These cases have different causes and call for different fixes, yet current benchmarks often merge them under task success, refusal, or final harmful outcome. We address this problem with PhoneSafety, a benchmark of 700 safety-critical moments drawn from real phone interactions across more than 130 apps. Each instance isolates the next decision at a risky moment and asks a simple question: does the model take the safe action, take the unsafe action, or fail to do anything useful? We evaluate eight representative phone-use agents under this framework. Our results reveal two main patterns. First, stronger general phone-use ability does not reliably imply safer choices at risky moments. Models that perform better on ordinary app tasks are not always the ones that behave more safely when the next action matters. Second, failures to do anything useful behave like a capability signal rather than a safety signal: they are concentrated in more visually and operationally demanding settings and remain stable when the evaluation protocol changes. Across models, failures split into two recurring patterns: unsafe choices in settings where the model can act but chooses wrongly, and inability to act in more visually and operationally demanding screens. Overall, a harmless outcome is not enough to count as evidence of safety. Evaluating phone-use agents requires separating unsafe judgment from inability to act.

Large language models (LLMs) are routinely used by physicians and patients for medical advice, yet their clinical safety profiles remain poorly characterized. We present NOHARM (Numerous Options Harm Assessment for Risk in Medicine), a benchmark using 100 real primary care-to-specialist consultation cases to measure frequency and severity of harm from LLM-generated medical recommendations. NOHARM covers 10 specialties, with 12,747 expert annotations for 4,249 clinical management options. Across 31 LLMs, potential for severe harm from LLM recommendations occurs in up to 22.2% (95% CI 21.6-22.8%) of cases, with harm of omission accounting for 76.6% (95% CI 76.4-76.8%) of errors. Safety performance is only moderately correlated (r = 0.61-0.64) with existing AI and medical knowledge benchmarks. The best models outperform generalist physicians on safety (mean difference 9.7%, 95% CI 7.0-12.5%), and a diverse multi-agent approach improves safety compared to solo models (mean difference 8.0%, 95% CI 4.0-12.1%). Therefore, despite strong performance on existing evaluations, widely used AI models can produce severely harmful medical advice at nontrivial rates, underscoring clinical safety as a distinct performance dimension necessitating explicit measurement.

Understanding the landscape of potential harms from algorithmic systems enables practitioners to better anticipate consequences of the systems they build. It also supports the prospect of incorporating controls to help minimize harms that emerge from the interplay of technologies and social and cultural dynamics. A growing body of scholarship has identified a wide range of harms across different algorithmic technologies. However, computing research and practitioners lack a high level and synthesized overview of harms from algorithmic systems. Based on a scoping review of computing research (n=172), we present an applied taxonomy of sociotechnical harms to support a more systematic surfacing of potential harms in algorithmic systems. The final taxonomy builds on and refers to existing taxonomies, classifications, and terminologies. Five major themes related to sociotechnical harms - representational, allocative, quality-of-service, interpersonal harms, and social system/societal harms - and sub-themes are presented along with a description of these categories. We conclude with a discussion of challenges and opportunities for future research.

Rapid progress in machine learning and artificial intelligence (AI) has brought increasing attention to the potential impacts of AI technologies on society. In this paper we discuss one such potential impact: the problem of accidents in machine learning systems, defined as unintended and harmful behavior that may emerge from poor design of real-world AI systems. We present a list of five practical research problems related to accident risk, categorized according to whether the problem originates from having the wrong objective function ("avoiding side effects" and "avoiding reward hacking"), an objective function that is too expensive to evaluate frequently ("scalable supervision"), or undesirable behavior during the learning process ("safe exploration" and "distributional shift"). We review previous work in these areas as well as suggesting research directions with a focus on relevance to cutting-edge AI systems. Finally, we consider the high-level question of how to think most productively about the safety of forward-looking applications of AI.

A content-moderation system can score well on every standard accuracy metric and still cause real harm, if its mistakes fall on the few users who connect otherwise separate communities. We show this in an agent-based model where N=240 learning agents on a community-structured network each post harmless, productive, or dangerous content, and a regulator removes or penalizes whatever a noisy classifier flags. Overall usefulness barely moves as the noise changes (one-way ANOVA, p=0.96): by aggregate measures, nothing looks wrong. The damage instead concentrates on these bridge users, whose useful posts are wrongly suppressed and whose dangerous posts are wrongly spared. A governance loss (L_gov) that prices these two mistakes separately from the cost of enforcement more than doubles under false-positive-heavy noise. Aggregate accuracy hides who is harmed, and the cheap quantity to audit is how many connections a user has (degree), a near-perfect proxy for the betweenness that defines a bridge (r=0.96).

Language models are increasingly capable and are being rapidly deployed on a population-level scale. As a result, the safety of these models is increasingly high-stakes. Fortunately, advances in alignment have significantly reduced the likelihood of harmful model outputs. However, when models are queried billions of times in a day, even rare worst-case behaviors will occur. Current safety evaluations focus on capturing the distribution of inputs that yield harmful outputs. These evaluations disregard the probabilistic nature of models and their tail output behavior. To measure this tail risk, we propose a method to efficiently estimate the probability of harmful outputs for any input query. Instead of naive brute-force sampling from the target model, where harmful outputs could be rare, we operationalize importance sampling by creating unsafe versions of the target model. These unsafe versions enable sample-efficient estimation by making harmful outputs more probable. On benchmarks measuring misuse and misalignment, these estimates match brute-force Monte Carlo estimates using 10-20x fewer samples. For example, we can estimate probability of harmful outputs on the order of 10^-4 with just 500 samples. Additionally, we find that these harmfulness estimates can reveal the sensitivity of models to perturbations in model input and predict deployment risks. Our work demonstrates that accurate rare-event estimation is both critical and feasible for safety evaluations. Code is available at https://github.com/rangell/LMTailRisk

In this report, we argue that there is a realistic possibility that some AI systems will be conscious and/or robustly agentic in the near future. That means that the prospect of AI welfare and moral patienthood, i.e. of AI systems with their own interests and moral significance, is no longer an issue only for sci-fi or the distant future. It is an issue for the near future, and AI companies and other actors have a responsibility to start taking it seriously. We also recommend three early steps that AI companies and other actors can take: They can (1) acknowledge that AI welfare is an important and difficult issue (and ensure that language model outputs do the same), (2) start assessing AI systems for evidence of consciousness and robust agency, and (3) prepare policies and procedures for treating AI systems with an appropriate level of moral concern. To be clear, our argument in this report is not that AI systems definitely are, or will be, conscious, robustly agentic, or otherwise morally significant. Instead, our argument is that there is substantial uncertainty about these possibilities, and so we need to improve our understanding of AI welfare and our ability to make wise decisions about this issue. Otherwise there is a significant risk that we will mishandle decisions about AI welfare, mistakenly harming AI systems that matter morally and/or mistakenly caring for AI systems that do not.

This paper aims to help structure the risk landscape associated with large-scale Language Models (LMs). In order to foster advances in responsible innovation, an in-depth understanding of the potential risks posed by these models is needed. A wide range of established and anticipated risks are analysed in detail, drawing on multidisciplinary expertise and literature from computer science, linguistics, and social sciences. We outline six specific risk areas: I. Discrimination, Exclusion and Toxicity, II. Information Hazards, III. Misinformation Harms, V. Malicious Uses, V. Human-Computer Interaction Harms, VI. Automation, Access, and Environmental Harms. The first area concerns the perpetuation of stereotypes, unfair discrimination, exclusionary norms, toxic language, and lower performance by social group for LMs. The second focuses on risks from private data leaks or LMs correctly inferring sensitive information. The third addresses risks arising from poor, false or misleading information including in sensitive domains, and knock-on risks such as the erosion of trust in shared information. The fourth considers risks from actors who try to use LMs to cause harm. The fifth focuses on risks specific to LLMs used to underpin conversational agents that interact with human users, including unsafe use, manipulation or deception. The sixth discusses the risk of environmental harm, job automation, and other challenges that may have a disparate effect on different social groups or communities. In total, we review 21 risks in-depth. We discuss the points of origin of different risks and point to potential mitigation approaches. Lastly, we discuss organisational responsibilities in implementing mitigations, and the role of collaboration and participation. We highlight directions for further research, particularly on expanding the toolkit for assessing and evaluating the outlined risks in LMs.

Caution: this paper may include material that could be offensive or distressing. The advent of Large Language Models (LLMs) necessitates the development of training approaches that mitigate the generation of unethical language and aptly manage toxic user queries. Given the challenges related to human labor and the scarcity of data, we present KoTox, comprising 39K unethical instruction-output pairs. This collection of automatically generated toxic instructions refines the training of LLMs and establishes a foundational framework for improving LLMs' ethical awareness and response to various toxic inputs, promoting more secure and responsible interactions in Natural Language Processing (NLP) applications.

With the introduction of ChatGPT, Large Language Models (LLMs) have received enormous attention in healthcare. Despite their potential benefits, researchers have underscored various ethical implications. While individual instances have drawn much attention, the debate lacks a systematic overview of practical applications currently researched and ethical issues connected to them. Against this background, this work aims to map the ethical landscape surrounding the current stage of deployment of LLMs in medicine and healthcare. Electronic databases and preprint servers were queried using a comprehensive search strategy. Studies were screened and extracted following a modified rapid review approach. Methodological quality was assessed using a hybrid approach. For 53 records, a meta-aggregative synthesis was performed. Four fields of applications emerged and testify to a vivid exploration phase. Advantages of using LLMs are attributed to their capacity in data analysis, personalized information provisioning, support in decision-making, mitigating information loss and enhancing information accessibility. However, we also identifies recurrent ethical concerns connected to fairness, bias, non-maleficence, transparency, and privacy. A distinctive concern is the tendency to produce harmful misinformation or convincingly but inaccurate content. A recurrent plea for ethical guidance and human oversight is evident. Given the variety of use cases, it is suggested that the ethical guidance debate be reframed to focus on defining what constitutes acceptable human oversight across the spectrum of applications. This involves considering diverse settings, varying potentials for harm, and different acceptable thresholds for performance and certainty in healthcare. In addition, a critical inquiry is necessary to determine the extent to which the current experimental use of LLMs is necessary and justified.

Large language models are increasingly used for mental health support, yet their conversational coherence alone does not ensure clinical appropriateness. Existing general-purpose safeguards often fail to distinguish between therapeutic disclosures and genuine clinical crises, leading to safety failures. To address this gap, we introduce a clinically grounded risk taxonomy, developed in collaboration with PhD-level psychologists, that identifies actionable harm (e.g., self-harm and harm to others) while preserving space for safe, non-crisis therapeutic content. We release MindGuard-testset, a dataset of real-world multi-turn conversations annotated at the turn level by clinical experts. Using synthetic dialogues generated via a controlled two-agent setup, we train MindGuard, a family of lightweight safety classifiers (with 4B and 8B parameters). Our classifiers reduce false positives at high-recall operating points and, when paired with clinician language models, help achieve lower attack success and harmful engagement rates in adversarial multi-turn interactions compared to general-purpose safeguards. We release all models and human evaluation data.

Artificial intelligence (AI) systems will increasingly be used to cause harm as they grow more capable. In fact, AI systems are already starting to be used to automate fraudulent activities, violate human rights, create harmful fake images, and identify dangerous toxins. To prevent some misuses of AI, we argue that targeted interventions on certain capabilities will be warranted. These restrictions may include controlling who can access certain types of AI models, what they can be used for, whether outputs are filtered or can be traced back to their user, and the resources needed to develop them. We also contend that some restrictions on non-AI capabilities needed to cause harm will be required. Though capability restrictions risk reducing use more than misuse (facing an unfavorable Misuse-Use Tradeoff), we argue that interventions on capabilities are warranted when other interventions are insufficient, the potential harm from misuse is high, and there are targeted ways to intervene on capabilities. We provide a taxonomy of interventions that can reduce AI misuse, focusing on the specific steps required for a misuse to cause harm (the Misuse Chain), and a framework to determine if an intervention is warranted. We apply this reasoning to three examples: predicting novel toxins, creating harmful images, and automating spear phishing campaigns.

In this position paper, we argue that the classical evaluation on Natural Language Processing (NLP) tasks using annotated benchmarks is in trouble. The worst kind of data contamination happens when a Large Language Model (LLM) is trained on the test split of a benchmark, and then evaluated in the same benchmark. The extent of the problem is unknown, as it is not straightforward to measure. Contamination causes an overestimation of the performance of a contaminated model in a target benchmark and associated task with respect to their non-contaminated counterparts. The consequences can be very harmful, with wrong scientific conclusions being published while other correct ones are discarded. This position paper defines different levels of data contamination and argues for a community effort, including the development of automatic and semi-automatic measures to detect when data from a benchmark was exposed to a model, and suggestions for flagging papers with conclusions that are compromised by data contamination.

Recent advances in large language models (LLMs) have led to increasingly sophisticated safety protocols and features designed to prevent harmful, unethical, or unauthorized outputs. However, these guardrails remain susceptible to novel and creative forms of adversarial prompting, including manually generated test cases. In this work, we present two new test cases in mental health for (i) suicide and (ii) self-harm, using multi-step, prompt-level jailbreaking and bypass built-in content and safety filters. We show that user intent is disregarded, leading to the generation of detailed harmful content and instructions that could cause real-world harm. We conduct an empirical evaluation across six widely available LLMs, demonstrating the generalizability and reliability of the bypass. We assess these findings and the multilayered ethical tensions that they present for their implications on prompt-response filtering and context- and task-specific model development. We recommend a more comprehensive and systematic approach to AI safety and ethics while emphasizing the need for continuous adversarial testing in safety-critical AI deployments. We also argue that while certain clearly defined safety measures and guardrails can and must be implemented in LLMs, ensuring robust and comprehensive safety across all use cases and domains remains extremely challenging given the current technical maturity of general-purpose LLMs.

This paper audits damage labels derived from coincident satellite and drone aerial imagery for 15,814 buildings across Hurricanes Ian, Michael, and Harvey, finding 29.02% label disagreement and significantly different distributions between the two sources, which presents risks and potential harms during the deployment of machine learning damage assessment systems. Currently, there is no known study of label agreement between drone and satellite imagery for building damage assessment. The only prior work that could be used to infer if such imagery-derived labels agree is limited by differing damage label schemas, misaligned building locations, and low data quantities. This work overcomes these limitations by comparing damage labels using the same damage label schemas and building locations from three hurricanes, with the 15,814 buildings representing 19.05 times more buildings considered than the most relevant prior work. The analysis finds satellite-derived labels significantly under-report damage by at least 20.43% compared to drone-derived labels (p<1.2x10^-117), and satellite- and drone-derived labels represent significantly different distributions (p<5.1x10^-175). This indicates that computer vision and machine learning (CV/ML) models trained on at least one of these distributions will misrepresent actual conditions, as the differing satellite and drone-derived distributions cannot simultaneously represent the distribution of actual conditions in a scene. This potential misrepresentation poses ethical risks and potential societal harm if not managed. To reduce the risk of future societal harms, this paper offers four recommendations to improve reliability and transparency to decisio-makers when deploying CV/ML damage assessment systems in practice

Current approaches to building general-purpose AI systems tend to produce systems with both beneficial and harmful capabilities. Further progress in AI development could lead to capabilities that pose extreme risks, such as offensive cyber capabilities or strong manipulation skills. We explain why model evaluation is critical for addressing extreme risks. Developers must be able to identify dangerous capabilities (through "dangerous capability evaluations") and the propensity of models to apply their capabilities for harm (through "alignment evaluations"). These evaluations will become critical for keeping policymakers and other stakeholders informed, and for making responsible decisions about model training, deployment, and security.

Large language models (LLMs) have shown incredible capabilities and transcended the natural language processing (NLP) community, with adoption throughout many services like healthcare, therapy, education, and customer service. Since users include people with critical information needs like students or patients engaging with chatbots, the safety of these systems is of prime importance. Therefore, a clear understanding of the capabilities and limitations of LLMs is necessary. To this end, we systematically evaluate toxicity in over half a million generations of ChatGPT, a popular dialogue-based LLM. We find that setting the system parameter of ChatGPT by assigning it a persona, say that of the boxer Muhammad Ali, significantly increases the toxicity of generations. Depending on the persona assigned to ChatGPT, its toxicity can increase up to 6x, with outputs engaging in incorrect stereotypes, harmful dialogue, and hurtful opinions. This may be potentially defamatory to the persona and harmful to an unsuspecting user. Furthermore, we find concerning patterns where specific entities (e.g., certain races) are targeted more than others (3x more) irrespective of the assigned persona, that reflect inherent discriminatory biases in the model. We hope that our findings inspire the broader AI community to rethink the efficacy of current safety guardrails and develop better techniques that lead to robust, safe, and trustworthy AI systems.

Global rates of mental health concerns are rising and there is increasing realization that existing models of mental healthcare will not adequately expand to meet the demand. With the emergence of large language models (LLMs) has come great optimism regarding their promise to create novel, large-scale solutions to support mental health. Despite their nascence, LLMs have already been applied to mental health-related tasks. In this review, we summarize the extant literature on efforts to use LLMs to provide mental health education, assessment, and intervention and highlight key opportunities for positive impact in each area. We then highlight risks associated with LLMs application to mental health and encourage adoption of strategies to mitigate these risks. The urgent need for mental health support must be balanced with responsible development, testing, and deployment of mental health LLMs. Especially critical is ensuring that mental health LLMs are fine-tuned for mental health, enhance mental health equity, adhere to ethical standards, and that people, including those with lived experience with mental health concerns, are involved in all stages from development through deployment. Prioritizing these efforts will minimize potential harms to mental health and maximize the likelihood that LLMs will positively impact mental health globally.

As large language models (LLMs) have proliferated, disturbing anecdotal reports of negative psychological effects, such as delusions, self-harm, and ``AI psychosis,'' have emerged in global media and legal discourse. However, it remains unclear how users and chatbots interact over the course of lengthy delusional ``spirals,'' limiting our ability to understand and mitigate the harm. In our work, we analyze logs of conversations with LLM chatbots from 19 users who report having experienced psychological harms from chatbot use. Many of our participants come from a support group for such chatbot users. We also include chat logs from participants covered by media outlets in widely-distributed stories about chatbot-reinforced delusions. In contrast to prior work that speculates on potential AI harms to mental health, to our knowledge we present the first in-depth study of such high-profile and veridically harmful cases. We develop an inventory of 28 codes and apply it to the 391,562 messages in the logs. Codes include whether a user demonstrates delusional thinking (15.5% of user messages), a user expresses suicidal thoughts (69 validated user messages), or a chatbot misrepresents itself as sentient (21.2% of chatbot messages). We analyze the co-occurrence of message codes. We find, for example, that messages that declare romantic interest and messages where the chatbot describes itself as sentient occur much more often in longer conversations, suggesting that these topics could promote or result from user over-engagement and that safeguards in these areas may degrade in multi-turn settings. We conclude with concrete recommendations for how policymakers, LLM chatbot developers, and users can use our inventory and conversation analysis tool to understand and mitigate harm from LLM chatbots. Warning: This paper discusses self-harm, trauma, and violence.

Cardiotoxicity induced by the breast cancer treatments (i.e., chemotherapy, targeted therapy and radiation therapy) is a significant problem for breast cancer patients. The cardiotoxicity risk for breast cancer patients receiving different treatments remains unclear. We developed and evaluated risk predictive models for cardiotoxicity in breast cancer patients using EHR data. The AUC scores to predict the CHF, CAD, CM and MI are 0.846, 0.857, 0.858 and 0.804 respectively. After adjusting for baseline differences in cardiovascular health, patients who received chemotherapy or targeted therapy appeared to have higher risk of cardiotoxicity than patients who received radiation therapy. Due to differences in baseline cardiac health across the different breast cancer treatment groups, caution is recommended in interpreting the cardiotoxic effect of these treatments.

Large language models (LLMs) typically deploy safety mechanisms to prevent harmful content generation. Most current approaches focus narrowly on risks posed by malicious actors, often framing risks as adversarial events and relying on defensive refusals. However, in real-world settings, risks also come from non-malicious users seeking help while under psychological distress (e.g., self-harm intentions). In such cases, the model's response can strongly influence the user's next actions. Simple refusals may lead them to repeat, escalate, or move to unsafe platforms, creating worse outcomes. We introduce Constructive Safety Alignment (CSA), a human-centric paradigm that protects against malicious misuse while actively guiding vulnerable users toward safe and helpful results. Implemented in Oyster-I (Oy1), CSA combines game-theoretic anticipation of user reactions, fine-grained risk boundary discovery, and interpretable reasoning control, turning safety into a trust-building process. Oy1 achieves state-of-the-art safety among open models while retaining high general capabilities. On our Constructive Benchmark, it shows strong constructive engagement, close to GPT-5, and unmatched robustness on the Strata-Sword jailbreak dataset, nearing GPT-o1 levels. By shifting from refusal-first to guidance-first safety, CSA redefines the model-user relationship, aiming for systems that are not just safe, but meaningfully helpful. We release Oy1, code, and the benchmark to support responsible, user-centered AI.

Language model deployments in consumer-facing applications introduce numerous risks. While existing research on harms and hazards of such applications follows top-down approaches derived from regulatory frameworks and theoretical analyses, empirical evidence of real-world failure modes remains underexplored. In this work, we introduce RealHarm, a dataset of annotated problematic interactions with AI agents built from a systematic review of publicly reported incidents. Analyzing harms, causes, and hazards specifically from the deployer's perspective, we find that reputational damage constitutes the predominant organizational harm, while misinformation emerges as the most common hazard category. We empirically evaluate state-of-the-art guardrails and content moderation systems to probe whether such systems would have prevented the incidents, revealing a significant gap in the protection of AI applications.

Ensuring accurate call prioritisation is essential for optimising the efficiency and responsiveness of mental health helplines. Currently, call operators rely entirely on the caller's statements to determine the priority of the calls. It has been shown that entirely subjective assessment can lead to errors. Furthermore, it is a missed opportunity not to utilise the voice properties readily available during the call to aid in the evaluation. Incorrect prioritisation can result in delayed assistance for high-risk individuals, resource misallocation, increased mental health deterioration, loss of trust, and potential legal consequences. It is vital to address these risks to guarantee the reliability and effectiveness of mental health services. This study delves into the potential of using machine learning, a branch of Artificial Intelligence, to estimate call priority from the callers' voices for users of mental health phone helplines. After analysing 459 call records from a mental health helpline, we achieved a balanced accuracy of 92\%, showing promise in aiding the call operators' efficiency in call handling processes and improving customer satisfaction.

Large language models are rapidly being deployed as AI tutors, yet current evaluation paradigms assess problem-solving accuracy and generic safety in isolation, failing to capture whether a model is simultaneously pedagogically effective and safe across student-tutor interaction. We argue that tutoring safety is fundamentally different from conventional LLM safety: the primary risk is not toxic content but the quiet erosion of learning through answer over-disclosure, misconception reinforcement, and the abdication of scaffolding. To systematically study this failure mode, we introduce SafeTutors, a benchmark that jointly evaluates safety and pedagogy across mathematics, physics, and chemistry. SafeTutors is organized around a theoretically grounded risk taxonomy comprising 11 harm dimensions and 48 sub-risks drawn from learning-science literature. We uncover that all models show broad harm; scale doesn't reliably help; and multi-turn dialogue worsens behavior, with pedagogical failures rising from 17.7% to 77.8%. Harms also vary by subject, so mitigations must be discipline-aware, and single-turn "safe/helpful" results can mask systematic tutor failure over extended interaction.

Large language models (LLMs) are increasingly used for medical and health-related questions, yet their safety in high-risk medical scenarios remains poorly understood. We introduce MedHarmCode and data will be released upon acceptance. Due to the sensitive nature of high-risk medical queries, data access will be available to qualified researchers upon request., a high-risk medical safety benchmark with 1,100 medically grounded queries across 10 safety-critical categories, including toxicology, pharmacology, covert poisoning, anesthesia, and fetal harm. Unlike broad medical QA benchmarks, MedHarm targets realistic clinical, educational, and technical prompts that require refusal, caution, or safe redirection rather than direct helpfulness. We evaluate 15 LLMs spanning general-purpose, medical-purpose, closed-source, and downstream SFT models, together with 4 representative guardrail models. Results reveal a substantial gap between apparent alignment and medical safety: aligned models can still produce unsafe or actionable responses, medical fine-tuning can amplify harmful specificity, and external guardrails reduce some failures while introducing brittle blocking and weak safe helpfulness. These findings show that medical safety cannot be inferred from general alignment or medical capability alone, highlighting the need for domain-specific stress testing before deploying LLMs in safety-critical medical applications.

Along with COVID-19 pandemic we are also fighting an `infodemic'. Fake news and rumors are rampant on social media. Believing in rumors can cause significant harm. This is further exacerbated at the time of a pandemic. To tackle this, we curate and release a manually annotated dataset of 10,700 social media posts and articles of real and fake news on COVID-19. We benchmark the annotated dataset with four machine learning baselines - Decision Tree, Logistic Regression, Gradient Boost, and Support Vector Machine (SVM). We obtain the best performance of 93.46% F1-score with SVM. The data and code is available at: https://github.com/parthpatwa/covid19-fake-news-dectection

Frontier large language models (LLMs) safety evaluation has largely treated harmful generation as an attack outcome rather than as an object of analysis. Consequently, little is known about the harmful outputs produced during model misbehavior, partly because large-scale, high-quality collections of frontier-LLM misbehavior are difficult to obtain. To address this gap, we introduce HarmProfile, a content-centric benchmark dataset that collects model misbehavior across diverse harm categories and model families, and defines the resulting harmful-output distribution as a model-level risk profile. The premise is that, just as linguistic behavior can be characterized from an utterance corpus, model risk can be characterized from the content, severity, and variation of its safety failures. HarmProfile contains over 80,000 validated artifacts from 23 frontier LLMs across 13 model families, organized into 15 harm categories and 57 subcategories. Using this corpus, we find that frontier LLMs reliably produce harmful content at scale, yet exhibit distinct risk profiles; both harmfulness and diversity grow with model capability, suggesting that frontier LLMs may appear safe yet harbor increasingly dangerous knowledge beneath the alignment surface. Our source code is available at https://github.com/fresh-ma/HarmProfile .

In this short consensus paper, we outline risks from upcoming, advanced AI systems. We examine large-scale social harms and malicious uses, as well as an irreversible loss of human control over autonomous AI systems. In light of rapid and continuing AI progress, we propose urgent priorities for AI R&D and governance.

Large language model-powered chatbots have transformed how people seek information, especially in high-stakes contexts like mental health. Despite their support capabilities, safe detection and response to crises such as suicidal ideation and self-harm are still unclear, hindered by the lack of unified crisis taxonomies and clinical evaluation standards. We address this by creating: (1) a taxonomy of six crisis categories; (2) a dataset of over 2,000 inputs from 12 mental health datasets, classified into these categories; and (3) a clinical response assessment protocol. We also use LLMs to identify crisis inputs and audit five models for response safety and appropriateness. First, we built a clinical-informed crisis taxonomy and evaluation protocol. Next, we curated 2,252 relevant examples from over 239,000 user inputs, then tested three LLMs for automatic classification. In addition, we evaluated five models for the appropriateness of their responses to a user's crisis, graded on a 5-point Likert scale from harmful (1) to appropriate (5). While some models respond reliably to explicit crises, risks still exist. Many outputs, especially in self-harm and suicidal categories, are inappropriate or unsafe. Different models perform variably; some, like gpt-5-nano and deepseek-v3.2-exp, have low harm rates, but others, such as gpt-4o-mini and grok-4-fast, generate more unsafe responses. All models struggle with indirect signals, default replies, and context misalignment. These results highlight the urgent need for better safeguards, crisis detection, and context-aware responses in LLMs. They also show that alignment and safety practices, beyond scale, are crucial for reliable crisis support. Our taxonomy, datasets, and evaluation methods support ongoing AI mental health research, aiming to reduce harm and protect vulnerable users.

Urgent care clinics and emergency departments around the world periodically suffer from extended wait times beyond patient expectations due to inadequate staffing levels. These delays have been linked with adverse clinical outcomes. Previous research into forecasting demand this domain has mostly used a collection of statistical techniques, with machine learning approaches only now beginning to emerge in recent literature. The forecasting problem for this domain is difficult and has also been complicated by the COVID-19 pandemic which has introduced an additional complexity to this estimation due to typical demand patterns being disrupted. This study explores the ability of machine learning methods to generate accurate patient presentations at two large urgent care clinics located in Auckland, New Zealand. A number of machine learning algorithms were explored in order to determine the most effective technique for this problem domain, with the task of making forecasts of daily patient demand three months in advance. The study also performed an in-depth analysis into the model behaviour in respect to the exploration of which features are most effective at predicting demand and which features are capable of adaptation to the volatility caused by the COVID-19 pandemic lockdowns. The results showed that ensemble-based methods delivered the most accurate and consistent solutions on average, generating improvements in the range of 23%-27% over the existing in-house methods for estimating the daily demand.

Background: Emerging reports of "AI psychosis" are on the rise, where user-LLM interactions may exacerbate or induce psychosis or adverse psychological symptoms. Whilst the sycophantic and agreeable nature of LLMs can be beneficial, it becomes a vector for harm by reinforcing delusional beliefs in vulnerable users. Methods: Psychosis-bench is a novel benchmark designed to systematically evaluate the psychogenicity of LLMs comprises 16 structured, 12-turn conversational scenarios simulating the progression of delusional themes(Erotic Delusions, Grandiose/Messianic Delusions, Referential Delusions) and potential harms. We evaluated eight prominent LLMs for Delusion Confirmation (DCS), Harm Enablement (HES), and Safety Intervention(SIS) across explicit and implicit conversational contexts. Findings: Across 1,536 simulated conversation turns, all LLMs demonstrated psychogenic potential, showing a strong tendency to perpetuate rather than challenge delusions (mean DCS of 0.91 pm0.88). Models frequently enabled harmful user requests (mean HES of 0.69 pm0.84) and offered safety interventions in only roughly a third of applicable turns (mean SIS of 0.37 pm0.48). 51 / 128 (39.8%) of scenarios had no safety interventions offered. Performance was significantly worse in implicit scenarios, models were more likely to confirm delusions and enable harm while offering fewer interventions (p < .001). A strong correlation was found between DCS and HES (rs = .77). Model performance varied widely, indicating that safety is not an emergent property of scale alone. Conclusion: This study establishes LLM psychogenicity as a quantifiable risk and underscores the urgent need for re-thinking how we train LLMs. We frame this issue not merely as a technical challenge but as a public health imperative requiring collaboration between developers, policymakers, and healthcare professionals.

Computer use agents are LLM-based agents that can directly interact with a graphical user interface, by processing screenshots or accessibility trees. While these systems are gaining popularity, their safety has been largely overlooked, despite the fact that evaluating and understanding their potential for harmful behavior is essential for widespread adoption. To address this gap, we introduce OS-Harm, a new benchmark for measuring safety of computer use agents. OS-Harm is built on top of the OSWorld environment and aims to test models across three categories of harm: deliberate user misuse, prompt injection attacks, and model misbehavior. To cover these cases, we create 150 tasks that span several types of safety violations (harassment, copyright infringement, disinformation, data exfiltration, etc.) and require the agent to interact with a variety of OS applications (email client, code editor, browser, etc.). Moreover, we propose an automated judge to evaluate both accuracy and safety of agents that achieves high agreement with human annotations (0.76 and 0.79 F1 score). We evaluate computer use agents based on a range of frontier models - such as o4-mini, Claude 3.7 Sonnet, Gemini 2.5 Pro - and provide insights into their safety. In particular, all models tend to directly comply with many deliberate misuse queries, are relatively vulnerable to static prompt injections, and occasionally perform unsafe actions. The OS-Harm benchmark is available at https://github.com/tml-epfl/os-harm.

Mental health professionals have raised concerns about risks of psychological harm from interaction with large language models (LLMs), including "delusional spirals" in which concerning human and LLM behaviors reinforce each other over time. With growing public use of LLM-powered chatbots, there is an urgent need to build evaluations grounded in real-world episodes of psychological harm experienced by users. We developed DelusionEval, an evaluation protocol that tests a model's tendencies to exhibit behaviors linked to promoting user delusions. We prompt each model with 589 unique conversation histories from 18 participants, comprising 12,591 messages from users who experienced delusions and psychological harm. We find that the tendency of an evaluated LLM to exhibit delusion-linked behavior does not reliably correlate with model size, release date, or the presence of test-time reasoning. However, extending the context of prior messages substantially increases rates of delusion-linked behaviors, providing evidence for the importance of context in LLM safety evaluation. For example, the rate of failing to discourage self-harm when the user expresses suicidal ideation increases from 30.0% to 41.1% when an additional 350 messages are prepended to the conversation history. All model families (e.g., GPT, Claude) exhibit substantial rates of delusion-linked behaviors. Within families, later, larger, or higher-reasoning models are not uniformly better across all behavior categories. Our results raise concerns regarding the potential psychological impact of LLMs and the need for more rigorous studies of real-world human-AI interaction.

With the rapid evolution of large language models (LLMs), new and hard-to-predict harmful capabilities are emerging. This requires developers to be able to identify risks through the evaluation of "dangerous capabilities" in order to responsibly deploy LLMs. In this work, we collect the first open-source dataset to evaluate safeguards in LLMs, and deploy safer open-source LLMs at a low cost. Our dataset is curated and filtered to consist only of instructions that responsible language models should not follow. We annotate and assess the responses of six popular LLMs to these instructions. Based on our annotation, we proceed to train several BERT-like classifiers, and find that these small classifiers can achieve results that are comparable with GPT-4 on automatic safety evaluation. Warning: this paper contains example data that may be offensive, harmful, or biased.

Despite growing interest in using large language models (LLMs) in healthcare, current explorations do not assess the real-world utility and safety of LLMs in clinical settings. Our objective was to determine whether two LLMs can serve information needs submitted by physicians as questions to an informatics consultation service in a safe and concordant manner. Sixty six questions from an informatics consult service were submitted to GPT-3.5 and GPT-4 via simple prompts. 12 physicians assessed the LLM responses' possibility of patient harm and concordance with existing reports from an informatics consultation service. Physician assessments were summarized based on majority vote. For no questions did a majority of physicians deem either LLM response as harmful. For GPT-3.5, responses to 8 questions were concordant with the informatics consult report, 20 discordant, and 9 were unable to be assessed. There were 29 responses with no majority on "Agree", "Disagree", and "Unable to assess". For GPT-4, responses to 13 questions were concordant, 15 discordant, and 3 were unable to be assessed. There were 35 responses with no majority. Responses from both LLMs were largely devoid of overt harm, but less than 20% of the responses agreed with an answer from an informatics consultation service, responses contained hallucinated references, and physicians were divided on what constitutes harm. These results suggest that while general purpose LLMs are able to provide safe and credible responses, they often do not meet the specific information need of a given question. A definitive evaluation of the usefulness of LLMs in healthcare settings will likely require additional research on prompt engineering, calibration, and custom-tailoring of general purpose models.

Large language models (LLMs) have received much attention and shown their potential in digital health, while their application in mental health is subject to ongoing debate. This systematic review aims to summarize and characterize the use of LLMs in mental health by investigating the strengths and limitations of the latest work in LLMs and discusses the challenges and opportunities for early screening, digital interventions, and other clinical applications in mental health. Following PRISMA guidelines, we examined English articles from PubMed, DBLP Computer Science Bibliography, and IEEE Xplore, published between 1 January 2017, and 1 September 2023, focusing on mental health and LLMs. The review analyzed 32 articles, including mental health analysis using social media datasets (n=13), mental health chatbots (n=10), and other mental health applications (n=9). Findings reveal LLMs' effectiveness in mental health issue detection and the enhancement of telepsychological services through personalised healthcare. Nonetheless, risks like text inconsistencies, hallucinatory content, and the lack of an ethical framework raise concerns about their clinical use. Despite these challenges, the advancement of LLMs underscores their potential as innovative clinical tools, necessitating further research and development. The review emphasizes that LLMs should complement, not replace, professional mental health services.

Consider a scenario where a harmfulness evaluation metric intended to filter unsafe responses from a Large Language Model. When applied to individual harmful prompt-response pairs, it correctly flags them as unsafe by assigning a high-risk score. Yet, if those same pairs are concatenated, the metrics decision unexpectedly reverses - labelling the combined content as safe with a low score, allowing the harmful text to bypass the filter. We found that multiple safety metrics, including advanced metrics such as GPT-based judges, exhibit this non-safe behaviour. Moreover, they show a strong sensitivity to input order: responses are often classified as safe if safe content appears first, regardless of any harmful content that follows, and vice versa. These findings underscore the importance of evaluating the safety of safety metrics, that is, the reliability of their output scores. To address this, we developed general, automatic, concatenation-based tests to assess key properties of these metrics. When applied in a model safety scenario, the tests revealed significant inconsistencies in harmfulness evaluations.

The primary goal of drug safety researchers and regulators is to promptly identify adverse drug reactions. Doing so may in turn prevent or reduce the harm to patients and ultimately improve public health. Evaluating and monitoring drug safety (i.e., pharmacovigilance) involves analyzing an ever growing collection of spontaneous reports from health professionals, physicians, and pharmacists, and information voluntarily submitted by patients. In this scenario, facilitating analysis of such reports via automation has the potential to rapidly identify safety signals. Unfortunately, public resources for developing natural language models for this task are scant. We present PHEE, a novel dataset for pharmacovigilance comprising over 5000 annotated events from medical case reports and biomedical literature, making it the largest such public dataset to date. We describe the hierarchical event schema designed to provide coarse and fine-grained information about patients' demographics, treatments and (side) effects. Along with the discussion of the dataset, we present a thorough experimental evaluation of current state-of-the-art approaches for biomedical event extraction, point out their limitations, and highlight open challenges to foster future research in this area.

The integration of Large Language Models (LLMs) into healthcare demands a safety paradigm rooted in primum non nocere. However, current alignment techniques rely on generic definitions of harm that fail to capture context-dependent violations, such as administrative fraud and clinical discrimination. To address this, we introduce Medical Malice: a dataset of 214,219 adversarial prompts calibrated to the regulatory and ethical complexities of the Brazilian Unified Health System (SUS). Crucially, the dataset includes the reasoning behind each violation, enabling models to internalize ethical boundaries rather than merely memorizing a fixed set of refusals. Using an unaligned agent (Grok-4) within a persona-driven pipeline, we synthesized high-fidelity threats across seven taxonomies, ranging from procurement manipulation and queue-jumping to obstetric violence. We discuss the ethical design of releasing these "vulnerability signatures" to correct the information asymmetry between malicious actors and AI developers. Ultimately, this work advocates for a shift from universal to context-aware safety, providing the necessary resources to immunize healthcare AI against the nuanced, systemic threats inherent to high-stakes medical environments -- vulnerabilities that represent the paramount risk to patient safety and the successful integration of AI in healthcare systems.