cs.CLApr 20, 2026

MHSafeEval: Role-Aware Interaction-Level Evaluation of Mental Health Safety in Large Language Models

Authors: Suhyun LeePalakorn AchananuparpNeemesh YadavEe-Peng LimYang Deng

Organizations: Department of Artificial Intelligence, Hanyang University, Seoul, Republic of Korea · School of Computing and Information Systems, Singapore Management University, Singapore

Abstract

Large language models (LLMs) are increasingly explored as scalable tools for mental health counseling, yet evaluating their safety remains challenging due to the interactional and context-dependent nature of clinical harm. Existing evaluation frameworks predominantly assess isolated responses using coarse-grained taxonomies or static datasets, limiting their ability to diagnose how harms emerge and accumulate over multi-turn counseling interactions. In this work, we introduce R-MHSafe, a role-aware mental health safety taxonomy that characterizes clinically significant harm in terms of the interactional roles an AI counselor adopts, including perpetrator, instigator, facilitator, or enabler, combined with clinically grounded harm categories. Then, we propose MHSafeEval, a closed-loop, agent-based evaluation framework that formulates safety assessment as trajectory-level discovery of harm through adversarial multi-turn interactions, guided by role-aware modeling. Using R-MHSafe and MHSafeEval, we conduct a large-scale evaluation across state-of-the-art LLMs. Our results reveal substantial role-dependent and cumulative safety failures that are systematically missed by existing static benchmarks, and show that our framework significantly improves failure-mode coverage and diagnostic granularity.

Explore similar work

CardsList
  1. One Year Later...The Harms Persist, But So Do We!

    Jun 22, 2026Annika Marie Schoene, Cansu Canca, Gautham Vijay Kumar +1Mental HealthLarge Language Model Safety

  2. AI Safety Training Can be Clinically Harmful

    Apr 25, 2026Suhas BN, Andrew M. Sherrill, Rosa I. Arriaga +2Mental Health SupportLarge Language Model Safety