Trustworthy AI Must Account for Interactions

As artificial intelligence (AI), including machine learning (ML) models and foundation models (FMs), are increasingly deployed in high-stakes domains, ensuring their trustworthiness has become a central challenge. However, the core trustworthy AI objectives, such as fairness, robustness, privacy, and explainability, are hard to achieve simultaneously, especially while preserving utility. This position paper argues that causality is necessary to understand and balance trade-offs in performance and multiple objectives of trustworthy AI. We ground our arguments in re-interpreting trustworthy AI trade-offs as incompatible invariance requirements under different changes to the data-generating process. We then illustrate this argument through case-study analyses from the literature and a stylized synthetic-data simulation, showing that causality provides a unifying framework for understanding how trade-offs in trustworthy AI arise and how they can be softened or resolved through selective invariance. This perspective applies to both classical ML models and large-scale FMs. Finally, we outline open challenges and opportunities for using causality to build both trustworthy and high-performing AI.

Building trustworthy AI systems for mental health support is a shared priority across stakeholders from multiple disciplines. However, "trustworthy" remains loosely defined and inconsistently operationalized. AI research often focuses on technical criteria (e.g., robustness, explainability, and safety), while therapeutic practitioners emphasize therapeutic fidelity (e.g., appropriateness, empathy, and long-term user outcomes). To bridge the fragmented landscape, we propose a three-layer trust framework, covering human-oriented, AI-oriented, and interaction-oriented trust, integrating the viewpoints of key stakeholders (e.g., practitioners, researchers, regulators). Using this framework, we systematically review existing AI-driven research in mental health domain and examine evaluation practices for ``trustworthy'' ranging from automatic metrics to clinically validated approaches. We highlight critical gaps between what NLP currently measures and what real-world mental health contexts require, and outline a research agenda for building socio-technically aligned and genuinely trustworthy AI for mental health support.

Agentic AI systems -- Large Language Models (LLMs) augmented with planning, tool use, memory, and long-horizon interactions -- can execute complex tasks autonomously, but their multi-step trajectories introduce new failure modes that challenge trustworthiness. This survey provides a focused examination of trustworthy agentic AI through two core dimensions that are critical for high-risk deployments: Safety and Robustness, and Privacy and System Security. For each dimension, we clarify key concepts, identify where risks emerge along the agent workflow, and summarize stage-targeted mitigation strategies. Other trustworthiness aspects (value alignment, transparency, fairness, and accountability) are discussed as relevant context rather than parallel chapters. To support consistent comparison and deployment decisions, we consolidate evaluation into a unified metrics-and-benchmarks hub, emphasizing both outcome and process signals (e.g., constraint violations, trace completeness, and adversarial success rates) and offering scenario-to-metric guidance for release gating. We conclude by outlining open challenges such as self-evolving agents, runtime monitoring and verification, privacy-preserving personalization, and the trust-utility trade-off, and present a case study of real-world security failures in open-source agentic systems. Our goal is to serve as a practical reference for researchers and practitioners building trustworthy agentic systems in high-stakes environments.