Koustuv Saha

Shreya Chowdhary, Anna Kawakami, Mary L. Gray et al. · cmu

Sensing technologies deployed in the workplace can unobtrusively collect detailed data about individual activities and group interactions that are otherwise difficult to capture. A hopeful application of these technologies is that they can help businesses and workers optimize productivity and wellbeing. However, given the workplace's inherent and structural power dynamics, the prevalent approach of accepting tacit compliance to monitor work activities rather than seeking workers' meaningful consent raises privacy and ethical concerns. This paper unpacks the challenges workers face when consenting to workplace wellbeing technologies. Using a hypothetical case to prompt reflection among six multi-stakeholder focus groups involving 15 participants, we explored participants' expectations and capacity to consent to these technologies. We sketched possible interventions that could better support meaningful consent to workplace wellbeing technologies by drawing on critical computing and feminist scholarship -- which reframes consent from a purely individual choice to a structural condition experienced at the individual level that needs to be freely given, reversible, informed, enthusiastic, and specific (FRIES). The focus groups revealed how workers are vulnerable to "meaningless" consent -- as they may be subject to power dynamics that minimize their ability to withhold consent and may thus experience an erosion of autonomy, also undermining the value of data gathered in the name of "wellbeing." To meaningfully consent, participants wanted changes to the technology and to the policies and practices surrounding the technology. Our mapping of what prevents workers from meaningfully consenting to workplace wellbeing technologies (challenges) and what they require to do so (interventions) illustrates how the lack of meaningful consent is a structural problem requiring socio-technical solutions.

Drishti Goel, Agam Goyal, Veda Duddu et al.

Language models are increasingly being deployed for conversational support in informal caregiving contexts, where interactions often extend beyond information-seeking: caregivers seek emotional reassurance, guidance, and help, while navigating uncertain, relationally complex care decisions. Yet most safety evaluations assess model behavior under generic prompts, leaving a critical question unexamined: does a model's safety profile change with its support role? We study this by operationalizing four expert-reviewed support roles grounded in social support theory: Inform, Coach, Relate, and Listen, and comparing them against two baseline controls: a basic prompting condition and a retrieval-augmented generation (RAG) condition. We evaluate across three language models (GPT-4o-mini, Llama-3.1-8B-Instruct, and MedGemma-1.5-4b-it) on 5,000 real-world queries from online Alzheimer's Disease and Related Dementias (ADRD) communities. We find that the LLM's support role systematically shapes both the prevalence and composition of interactional risks. Furthermore, a human evaluation study reveals a perceived quality--safety tension: more directive, information-oriented roles are rated as more helpful and trustworthy despite exhibiting elevated interactional risk profiles. We release ~90,000 support role-conditioned model responses with risk annotations as an ecologically grounded resource for research on safer LLM-mediated conversational support.

Jiwon Kim, Maya Ajit, Sherry Gong et al.

Large language models (LLMs) show promise in generating supportive responses for mental health queries, but improving their usefulness, empathy, and safety often requires substantial compute, expert input, and labeled data. At the same time, deploying proprietary, cloud-based models for mental health-related interactions raises important privacy and data-governance concerns, given the sensitivities. To address this challenge, we introduce LLUMI setup that can be hosted in-house within protected environments. LLUMI consists of two complementary components: a generation model (GM), which drafts supportive responses to mental health queries, and an improvement model (IM), which revises an initial human-crafted response. We leverage feedback signals from Reddit mental health communities, using community endorsement patterns such as upvotes and downvotes to construct chosen-rejected response pairs for Supervised Fine Tuning (SFT) and Direct Preference Optimization (DPO). We further align LLUMI using human evaluation across five dimensions: readability, empathy, connection, actionability, and safety. Our results show that, despite relying on smaller open-source models rather than proprietary cloud-based GPT models, LLUMI achieves comparable performance across linguistic analyses and human evaluations. These findings suggest that open-source models, when trained with community-derived preference signals, can support high-quality mental health support assistance while offering a more privacy-preserving alternative for sensitive support contexts.

Yueshen Li, Hanyi Min, Vedant Das Swain et al.

As large language models (LLMs) increasingly act as collaborative partners, human--AI alignment is often evaluated through explicit task success, accuracy, or reward optimization. Yet many collaborative settings depend on tacit understanding: whether an agent can align with a human's evaluative stance or representational priors without clear objectives, communication, or feedback. To study this capacity, we develop a spectrum-placement task inspired by the social party game Wavelength, in which humans and agents independently place concepts along subjective spectra. We operationalize the Tacit Understanding Index (TUX) as a pairwise measure of similarity between human and agent judgments, and evaluate it with 241 human participants and 200 profile-conditioned LLM agents across four models. We find that nearest human--agent pairs in trait space achieve significantly higher TUX, suggesting that tacit alignment is structured by person-level characteristics rather than random similarity. Regression analyses show that TUX becomes more explainable as predictor sets become richer, with individual traits, decision-making styles, and confidence improving over aggregate trait-distance baselines. These findings suggest that tacit understanding between humans and LLMs is measurable, while revealing the limits of profile-based conditioning for capturing deeper representational alignment.

Upol Ehsan, Koustuv Saha, Munmun De Choudhury et al. · gatech

Explainable AI (XAI) systems are sociotechnical in nature; thus, they are subject to the sociotechnical gap--divide between the technical affordances and the social needs. However, charting this gap is challenging. In the context of XAI, we argue that charting the gap improves our problem understanding, which can reflexively provide actionable insights to improve explainability. Utilizing two case studies in distinct domains, we empirically derive a framework that facilitates systematic charting of the sociotechnical gap by connecting AI guidelines in the context of XAI and elucidating how to use them to address the gap. We apply the framework to a third case in a new domain, showcasing its affordances. Finally, we discuss conceptual implications of the framework, share practical considerations in its operationalization, and offer guidance on transferring it to new contexts. By making conceptual and practical contributions to understanding the sociotechnical gap in XAI, the framework expands the XAI design space.

Yunhao Yuan, Koustuv Saha, Barbara Keller et al.

The Papageno effect concerns how media can play a positive role in preventing and mitigating suicidal ideation and behaviors. With the increasing ubiquity and widespread use of social media, individuals often express and share lived experiences and struggles with mental health. However, there is a gap in our understanding about the existence and effectiveness of the Papageno effect in social media, which we study in this paper. In particular, we adopt a causal-inference framework to examine the impact of exposure to mental health coping stories on individuals on Twitter. We obtain a Twitter dataset with $\sim$2M posts by $\sim$10K individuals. We consider engaging with coping stories as the Treatment intervention, and adopt a stratified propensity score approach to find matched cohorts of Treatment and Control individuals. We measure the psychosocial shifts in affective, behavioral, and cognitive outcomes in longitudinal Twitter data before and after engaging with the coping stories. Our findings reveal that, engaging with coping stories leads to decreased stress and depression, and improved expressive writing, diversity, and interactivity. Our work discusses the practical and platform design implications in supporting mental wellbeing.

Soorya Ram Shimgekar, Agam Goyal, Amruta Parulekar et al.

Large language models (LLMs) are increasingly deployed in conversational settings where user tone ranges from polite to adversarial or toxic, yet less is known about whether toxic language in otherwise semantically equivalent prompts can degrade factual reliability. We study how lexical and tone-based prompt perturbations affect the factual reliability of LLMs. Using controlled prompt variations across polite, random, and three toxicity levels, we evaluate five LLMs on ARC-Easy, GSM8K, and MMLU. We find that toxic lexical perturbations consistently reduce factual accuracy and increase uncertainty, while polite phrasing yields limited and inconsistent changes. To examine whether these answer inconsistencies correspond to internal changes, we conduct attribution-graph analyses of model activations and influences. We find that increasing toxicity selectively amplifies perturbation-sensitive variant nodes while relatively stable core reasoning nodes remain more invariant. These findings position prompt tone as a critical dimension of LLM reliability and provide behavioral and mechanistic evidence that surface-level lexical variation can alter factual outputs and internal computation.

Adam Valen Levinson, Abhay Goyal, Roger Ho Chun Man et al.

Telehealth is a valuable tool for primary health care (PHC), where depression is a common condition. PHC is the first point of contact for most people with depression, but about 25% of diagnoses made by PHC physicians are inaccurate. Many other barriers also hinder depression detection and treatment in PHC. Artificial intelligence (AI) may help reduce depression misdiagnosis in PHC and improve overall diagnosis and treatment outcomes. Telehealth consultations often have video issues, such as poor connectivity or dropped calls. Audio-only telehealth is often more practical for lower-income patients who may lack stable internet connections. Thus, our study focused on using audio data to predict depression risk. The objectives were to: 1) Collect audio data from 24 people (12 with depression and 12 without mental health or major health condition diagnoses); 2) Build a machine learning model to predict depression risk. TPOT, an autoML tool, was used to select the best machine learning algorithm, which was the K-nearest neighbors classifier. The selected model had high performance in classifying depression risk (Precision: 0.98, Recall: 0.93, F1-Score: 0.96). These findings may lead to a range of tools to help screen for and treat depression. By developing tools to detect depression risk, patients can be routed to AI-driven chatbots for initial screenings. Partnerships with a range of stakeholders are crucial to implementing these solutions. Moreover, ethical considerations, especially around data privacy and potential biases in AI models, need to be at the forefront of any AI-driven intervention in mental health care.

Jiwon Kim, Claire Wang, Taeung Yoon et al.

Large language models (LLMs) are increasingly being used for emotional support. They are also being developed for formal therapy purposes. However, LLMs like ChaptGPT or Llama are often developed with content moderation guardrails that prevent them from discussing sensitive subjects with users for both liability and safety purposes, and this inability to broach these subjects may affect their capacity as therapists. In this study, we perform an algorithm audit on three state-of-the-art moderation systems (OpenAI's moderation endpoint, Meta's Llama Guard, and Google's Shield Gemma) to investigate the extent to which these systems flag the content of real-life therapy sessions as undesirable. Our results raise implications for the limitations that users and organizations may encounter when designing LLMs to play the part of a therapist.

Agam Goyal, Olivia Pal, Hari Sundaram et al.

As autonomous LLM-based agents increasingly populate social platforms, understanding the dynamics of AI-agent communities becomes essential for both communication research and platform governance. We present the first large-scale empirical comparison of AI-agent and human online communities, analyzing 73,899 Moltbook and 189,838 Reddit posts across five matched communities. Structurally, we find that Moltbook exhibits extreme participation inequality (Gini = 0.84 vs. 0.47) and high cross-community author overlap (33.8\% vs. 0.5\%). In terms of linguistic attributes, content generated by AI-agents is emotionally flattened, cognitively shifted toward assertion over exploration, and socially detached. These differences give rise to apparent community-level homogenization, but we show this is primarily a structural artifact of shared authorship. At the author level, individual agents are more identifiable than human users, driven by outlier stylistic profiles amplified by their extreme posting volume. As AI-mediated communication reshapes online discourse, our work offers an empirical foundation for understanding how multi-agent interaction gives rise to collective communication dynamics distinct from those of human communities.

Upol Ehsan, Samir Passi, Koustuv Saha et al.

In the future of work discourse, AI is touted as the ultimate productivity amplifier. Yet, beneath the efficiency gains lie subtle erosions of human expertise and agency. This paper shifts focus from the future of work to the future of workers by navigating the AI-as-Amplifier Paradox: AI's dual role as enhancer and eroder, simultaneously strengthening performance while eroding underlying expertise. We present a year-long study on the longitudinal use of AI in a high-stakes workplace among cancer specialists. Initial operational gains hid ``intuition rust'': the gradual dulling of expert judgment. These asymptomatic effects evolved into chronic harms, such as skill atrophy and identity commoditization. Building on these findings, we offer a framework for dignified Human-AI interaction co-constructed with professional knowledge workers facing AI-induced skill erosion without traditional labor protections. The framework operationalizes sociotechnical immunity through dual-purpose mechanisms that serve institutional quality goals while building worker power to detect, contain, and recover from skill erosion, and preserve human identity. Evaluated across healthcare and software engineering, our work takes a foundational step toward dignified human-AI interaction futures by balancing productivity with the preservation of human expertise.

Veda Duddu, Jash Rajesh Parekh, Andy Mao et al.

AI-driven conversational coaching is increasingly used to support workplace negotiation, yet prior work assumes uniform effectiveness across users. We challenge this assumption by examining how individual differences, particularly personality traits, moderate coaching outcomes. We conducted a between-subjects experiment (N=267) comparing theory-driven AI (Trucey), general-purpose AI (Control-AI), and a traditional negotiation handbook (Control-NoAI). Participants were clustered into three profiles -- resilient, overcontrolled, and undercontrolled -- based on the Big-Five personality traits and ARC typology. Resilient workers achieved broad psychological gains primarily from the handbook, overcontrolled workers showed outcome-specific improvements with theory-driven AI, and undercontrolled workers exhibited minimal effects despite engaging with the frameworks. These patterns suggest personality as a predictor of readiness beyond stage-based tailoring: vulnerable users benefit from targeted rather than comprehensive interventions. The study advances understanding of personality-determined intervention prerequisites and highlights design implications for adaptive AI coaching systems that align support intensity with individual readiness, rather than assuming universal effectiveness.

Soonho Kwon, Dong Whi Yoo, Koustuv Saha et al.

This study examines how parents of LGBTQ+ individuals in South Korea navigate the emotional rupture fueled by fear, isolation, and disorientation after learning their children's queer identity, encounter queer-related (mis)information as a way of coping with this emotional toll, and come to listen to queer realities relationally. Through this process, we highlight how parents reconstruct their identities as supportive parents, which reshapes their informating practices, making them more critical in assessing queer-related (mis)information, developing strategies to protect themselves from harmful narratives, and actively challenging misinformation to support others navigating similar experiences. This work contributes to CSCW by (1) foregrounding parents of LGBTQ+ individuals, an underrepresented yet critical stakeholder group in Queer HCI; (2) demonstrating how identity reconfiguration following a trauma-healing process could transform information practices; and (3) arguing that addressing misinformation requires attention beyond individual fact-based discerning to account for its relational, cultural, and emotional dimensions. Further, we invite CSCW scholars to reconsider the balance between abstracting and humanizing information, explore future design possibilities for parents of LGBTQ+ children, and reflect on the role of researchers as participants in collective research communities fueled by care.

Xianyang Zhan, Agam Goyal, Yilun Chen et al.

Large language models (LLMs) have shown promise in many natural language understanding tasks, including content moderation. However, these models can be expensive to query in real-time and do not allow for a community-specific approach to content moderation. To address these challenges, we explore the use of open-source small language models (SLMs) for community-specific content moderation tasks. We fine-tune and evaluate SLMs (less than 15B parameters) by comparing their performance against much larger open- and closed-sourced models in both a zero-shot and few-shot setting. Using 150K comments from 15 popular Reddit communities, we find that SLMs outperform zero-shot LLMs at content moderation -- 11.5% higher accuracy and 25.7% higher recall on average across all communities. Moreover, few-shot in-context learning leads to only a marginal increase in the performance of LLMs, still lacking compared to SLMs. We further show the promise of cross-community content moderation, which has implications for new communities and the development of cross-platform moderation techniques. Finally, we outline directions for future work on language model based content moderation. Code and models can be found at https://github.com/AGoyal0512/SLM-Mod.

Michelle Huang, Violeta J. Rodriguez, Koustuv Saha et al.

Limited English proficiency (LEP) patients in the U.S. face systemic barriers to healthcare beyond language and interpreter access, encompassing procedural and institutional constraints. AI advances may support communication and care through on-demand translation and visit preparation, but also risk exacerbating existing inequalities. We conducted storyboard-driven interviews with 14 patient navigators to explore how AI could shape care experiences for Spanish-speaking LEP individuals. We identified tensions around linguistic and cultural misunderstandings, privacy concerns, and opportunities and risks for AI to augment care workflows. Participants highlighted structural factors that can undermine trust in AI systems, including sensitive information disclosure, unstable technology access, and low digital literacy. While AI tools can potentially alleviate social barriers and institutional constraints, there are risks of misinformation and uprooting human camaraderie. Our findings contribute design considerations for AI that support LEP patients and care teams via rapport-building, education, and language support, and minimizing disruptions to existing practices.

Michelle Huang, Agam Goyal, Koustuv Saha et al.

Generative search systems are increasingly replacing link-based retrieval with AI-generated summaries, yet little is known about how these systems differ in sources, language, and fidelity to cited material. We examine responses to 11,000 real search queries across four systems -- vanilla GPT, Search GPT, Google AI Overviews, and traditional Google Search -- at three levels: source diversity, linguistic characterization of the generated summary, and source-summary fidelity. We find that generative search systems exhibit significant \textit{source-selection} biases in their citations, favoring certain sources over others. Incorporating search also selectively attenuates epistemic markers, reducing hedging by up to 60\% while preserving confidence language in the AI-generated summaries. At the same time, AI summaries further compound the citation biases: Wikipedia and longer sources are disproportionately overrepresented, whereas cited social media content and negatively framed sources are substantially underrepresented. Our findings highlight the potential for \textit{answer bubbles}, in which identical queries yield structurally different information realities across systems, with implications for user trust, source visibility, and the transparency of AI-mediated information access.

Olivia Pal, Agam Goyal, Eshwar Chandrasekharan et al.

News consumption on social media has become ubiquitous, yet how different forms of engagement shape psychosocial outcomes remains unclear. To address this gap, we leveraged a large-scale dataset of ~26M posts and ~45M comments on the BlueSky platform, and conducted a quasi-experimental study, matching 81,345 Treated users exposed to News feeds with 83,711 Control users using stratified propensity score analysis. We examined psychosocial wellbeing, in terms of affective, behavioral, and cognitive outcomes. Our findings reveal that news engagement produces systematic trade-offs: increased depression, stress, and anxiety, yet decreased loneliness and increased social interaction on the platform. Regression models reveal that News feed bookmarking is associated with greater psychosocial deterioration compared to commenting or quoting, with magnitude differences exceeding tenfold. These per-engagement effects accumulate with repeated exposure, showing significant psychosocial impacts. Our work extends theories of news effects beyond crisis-centric frameworks by demonstrating that routine consumption creates distinct psychological dynamics depending on engagement type, and bears implications for tools and interventions for mitigating the psychosocial costs of news consumption on social media.

Divyanshu Kumar Singh, Dipto Das, Deepika Rama Subramanian et al.

Text-to-Image (T2I) models have shown promising utility across various domains. However, such models are also amplifying harmful societal biases in their outputs. In the context of South Asia, recent work has shown caste biases and stereotypes are being perpetuated through Generative AI (GenAI) systems. While this research offers extremely relevant insight into invisibilized narratives of caste discrimination through the GenAI system, they often treat caste as an identity category. Therefore, in this work we shift our ontology to focus on the relational aspect of caste. This enables us to develop a more nuanced understanding of the mechanics of caste discrimination by and through T2I models. Combining an algorithmic audit with critical discourse analysis, we draw on a conceptual frame challenging Brahminical Normativity to show how caste biases are perpetuated beyond the simple binaries of upper vs lower-caste categories. Our contributions are two-fold. Beyond challenging the categorical understanding of caste as a category, we propose an anti-caste approach to tackle the issue of caste bias and fairness in AI systems.

Olivia Pal, Agam Goyal, Eshwar Chandrasekharan et al.

Algorithmic feeds have become primary environments for encountering information online, yet while they shape what people see, less is known about how sustained feed exposure shapes how people write. Drawing on Cultivation Theory, we examine whether algorithmic feeds function as online environments that leave measurable traces in users' language. We leverage a large-scale longitudinal dataset of 235M posts by 4M users on Bluesky, and conduct a quasi-experimental study matching an initial pool of 368,513 users exposed to one of three feeds -- News, Science, and Blacksky -- with a pool of 2,001,915 active control users who did not engage with any of these feeds. We examine linguistic evolution across three dimensions: lexico-semantics, psycholinguistics, and topics. We find that users exposed to these feeds show significantly greater stylistic accommodation, semantic alignment, and register formalization than matched controls. These effects vary markedly by feed identity -- Blacksky produces the deepest psycholinguistic restructuring, with significant shifts in cognitive processing, affective expression, and pronoun use, while News and Science effects are largely confined to register and topical focus. Regression models reveal that reposting is the most consistent predictor of linguistic convergence across all feeds, whereas posting and bookmarking show feed-dependent effects, with effects differing more than fourfold across feeds. Our work extends Cultivation Theory beyond belief formation to linguistic behavior, demonstrating that feeds function as persistent linguistic environments that gradually shape what and how users write online. Our work has implications for studying algorithmic influence, online identity formation, and the design and governance of feed-based platforms that mediate online interactions.

Atharva Naik, Shounok Kar, Varnika Sharma et al.

Social and personal decisions in relational domains such as matchmaking are deeply entwined with cultural norms and historical hierarchies, and can potentially be shaped by algorithmic and AI-mediated assessments of compatibility, acceptance, and stability. In South Asian contexts, caste remains a central aspect of marital decision-making, yet little is known about how contemporary large language models (LLMs) reproduce or disrupt caste-based stratification in such settings. In this work, we conduct a controlled audit of caste bias in LLM-mediated matchmaking evaluations using real-world matrimonial profiles. We vary caste identity across Brahmin, Kshatriya, Vaishya, Shudra, and Dalit, and income across five buckets, and evaluate five LLM families (GPT, Gemini, Llama, Qwen, and BharatGPT). Models are prompted to assess profiles along dimensions of social acceptance, marital stability, and cultural compatibility. Our analysis reveals consistent hierarchical patterns across models: same-caste matches are rated most favorably, with average ratings up to 25% higher (on a 10-point scale) than inter-caste matches, which are further ordered according to traditional caste hierarchy. These findings highlight how existing caste hierarchies are reproduced in LLM decision-making and underscore the need for culturally grounded evaluation and intervention strategies in AI systems deployed in socially sensitive domains, where such systems risk reinforcing historical forms of exclusion.

Soorya Ram Shimgekar, Vipin Gunda, Jiwon Kim et al.

Conversational AI systems are increasingly used for personal reflection and emotional disclosure, raising concerns about their effects on vulnerable users. Recent anecdotal reports suggest that prolonged interactions with AI may reinforce delusional thinking -- a phenomenon sometimes described as AI Psychosis. However, empirical evidence on this phenomenon remains limited. In this work, we examine how delusion-related language evolves during multi-turn interactions with conversational AI. We construct simulated users (SimUsers) from Reddit users' longitudinal posting histories and generate extended conversations with three model families (GPT, LLaMA, and Qwen). We develop DelusionScore, a linguistic measure that quantifies the intensity of delusion-related language across conversational turns. We find that SimUsers derived from users with prior delusion-related discourse (Treatment) exhibit progressively increasing DelusionScore trajectories, whereas those derived from users without such discourse (Control) remain stable or decline. We further find that this amplification varies across themes, with reality skepticism and compulsive reasoning showing the strongest increases. Finally, conditioning AI responses on current DelusionScore substantially reduces these trajectories. These findings provide empirical evidence that conversational AI interactions can amplify delusion-related language over extended use and highlight the importance of state-aware safety mechanisms for mitigating such risks.

Aryan Ramchandra Kapadia, Niharika Bhattacharjee, Mung Yao Jia et al.

Financial events negatively affect emotional well-being, but large-scale studies examining their impact on online emotional expression using real-time social media data remain limited. To address this gap, we propose analyzing Reddit communities (financial and non-financial) across two case studies: a financial crash and a boom. We investigate how emotional and psycholinguistic responses differ between financial and non-financial communities, and the extent to which the type of financial event affects user behavior during the two case study periods. To examine the effect of these events on expressed language, we analyze daily sentiment, emotion, and LIWC counts using quasi-experimental methods: Difference-in-Differences (DiD) and Causal Impact analyses during a financial boom and a financial crash. Overall, we find coherent, negative shifts in emotional responses during financial crashes, but weaker, mixed responses during booms. By exploring emotional and psycholinguistic expressions during financial events, we identify future implications for understanding online users' mental health and building connected, healthy communities.

Soorya Ram Shimgekar, Abhay Goyal, Lam Yin Cheung et al.

Conspiratorial discourse is increasingly embedded within digital communication ecosystems, yet its structure and spread remain difficult to study. This work analyzes conspiratorial narratives in Singapore-based Telegram groups, showing that such content is woven into everyday discussions rather than confined to isolated echo chambers. We propose a two-stage computational framework. First, we fine-tune RoBERTa-large to classify messages as conspiratorial or not, achieving an F1-score of 0.866 on 2,000 expert-labeled messages. Second, we build a signed belief graph in which nodes represent messages and edge signs reflect alignment in belief labels, weighted by textual similarity. We introduce a Signed Belief Graph Neural Network (SiBeGNN) that uses a Sign Disentanglement Loss to learn embeddings that separate ideological alignment from stylistic features. Using hierarchical clustering on these embeddings, we identify seven narrative archetypes across 553,648 messages: legal topics, medical concerns, media discussions, finance, contradictions in authority, group moderation, and general chat. SiBeGNN yields stronger clustering quality (cDBI = 8.38) than baseline methods (13.60 to 67.27), supported by 88 percent inter-rater agreement in expert evaluations. Our analysis shows that conspiratorial messages appear not only in clusters focused on skepticism or distrust, but also within routine discussions of finance, law, and everyday matters. These findings challenge common assumptions about online radicalization by demonstrating that conspiratorial discourse operates within ordinary social interaction. The proposed framework advances computational methods for belief-driven discourse analysis and offers applications for stance detection, political communication studies, and content moderation policy.

Shanshan Zhu, Han Zhang, J. Doris Chi et al.

LLMs are increasingly used to explain personal sensing data, translating traces of activity and mood into natural-language accounts of why an anomalous day may have occurred. However, such explanations can sound coherent and personally meaningful even when the underlying evidence is sparse or missing. We introduce epistemic overreach (EO) as a measure for cases where a generated explanation implies more than the available sensing evidence can justify. To audit how often and in what forms EO occurs, we obtained anomalous-day scenarios from three longitudinal sensing datasets of college students: StudentLife, GLOBEM, and CollegeExperience. Across activity, sleep, and affect anomalies, we generated 14,922 explanations using three LLM families -- Llama, Qwen, and GPT -- under two prompting conditions: one minimally constrained prompt and another prompt explicitly instructing models to bound claims to the data. For each scenario, we varied the amount of behavioral evidence available to the model to examine whether more evidence reduces EO. We evaluated each explanation using a structured rubric, decomposing EO into the dimensions of unsupported causal attribution, unacknowledged data gaps, overconfident language, temporal inconsistency, and diagnostic inference. We find that LLMs routinely attribute anomalous days to causes without sufficient support from the data, and that this pattern replicates across datasets, anomaly types, and model families. Further, providing richer context does not reliably reduce EO; bounded prompting helps but does not eliminate it. These findings suggest that evidential grounding should be a first-order evaluation criterion for LLM-generated personal sensing explanations, alongside fluency and plausibility. We argue that personal sensing explanations require evidential discipline: systems must distinguish what is observed, what is inferred, and what remains unknown.

Shanshan Zhu, Wenxuan Song, Jiayue Melissa Shi et al.

Most personal wellbeing apps present summative dashboards of health and physical activity metrics, yet many users struggle to translate this information into meaningful understanding. These apps commonly support engagement through goals, reminders, and structured targets, which can reinforce comparison, judgment, and performance anxiety. To explore a complementary approach that prioritizes self-reflection, we design KRIYA, an AI wellbeing companion that supports co-interpretive engagement with personal wellbeing data. KRIYA aims to collaborate with users to explore questions, explanations, and future scenarios through features such as Comfort Zone, Detective Mode, and What-If Planning. We conducted semi-structured interviews with 18 college students interacting with a KRIYA prototype using hypothetical data. Our findings show that through KRIYA interaction, users framed engaging with wellbeing data as interpretation rather than performance, experienced reflection as supportive or pressuring depending on emotional framing, and developed trust through transparency. We discuss design implications for AI companions that support curiosity, self-compassion, and reflective sensemaking of personal health data.

Dong Whi Yoo, Jiayue Melissa Shi, Violeta J. Rodriguez et al.

Recent advancements in LLMs enable chatbots to interact with individuals on a range of queries, including sensitive mental health contexts. Despite uncertainties about their effectiveness and reliability, the development of LLMs in these areas is growing, potentially leading to harms. To better identify and mitigate these harms, it is critical to understand how the values of people with lived experiences relate to the harms. In this study, we developed a technology probe, a GPT-4o based chatbot called Zenny, enabling participants to engage with depression self-management scenarios informed by previous research. We used Zenny to interview 17 individuals with lived experiences of depression. Our thematic analysis revealed key values: informational support, emotional support, personalization, privacy, and crisis management. This work explores the relationship between lived experience values, potential harms, and design recommendations for mental health AI chatbots, aiming to enhance self-management support while minimizing risks.

Vedant Das Swain, Qiuyue "Joy" Zhong, Jash Rajesh Parekh et al.

Client-Service Representatives (CSRs) are vital to organizations. Frequent interactions with disgruntled clients, however, disrupt their mental well-being. To help CSRs regulate their emotions while interacting with uncivil clients, we designed Care-Pilot, an LLM-powered assistant, and evaluated its efficacy, perception, and use. Our comparative analyses between 665 human and Care-Pilot-generated support messages highlight Care-Pilot's ability to adapt to and demonstrate empathy in various incivility incidents. Additionally, 143 CSRs assessed Care-Pilot's empathy as more sincere and actionable than human messages. Finally, we interviewed 20 CSRs who interacted with Care-Pilot in a simulation exercise. They reported that Care-Pilot helped them avoid negative thinking, recenter thoughts, and humanize clients; showing potential for bridging gaps in coworker support. Yet, they also noted deployment challenges and emphasized the indispensability of shared experiences. We discuss future designs and societal implications of AI-mediated emotional labor, underscoring empathy as a critical function for AI assistants for worker mental health.

Soorya Ram Shimgekar, Shayan Vassef, Abhay Goyal et al.

Building and deploying machine learning solutions in healthcare remains expensive and labor-intensive due to fragmented preprocessing workflows, model compatibility issues, and stringent data privacy constraints. In this work, we introduce an Agentic AI framework that automates the entire clinical data pipeline, from ingestion to inference, through a system of modular, task-specific agents. These agents handle both structured and unstructured data, enabling automatic feature selection, model selection, and preprocessing recommendation without manual intervention. We evaluate the system on publicly available datasets from geriatrics, palliative care, and colonoscopy imaging. For example, in the case of structured data (anxiety data) and unstructured data (colonoscopy polyps data), the pipeline begins with file-type detection by the Ingestion Identifier Agent, followed by the Data Anonymizer Agent ensuring privacy compliance, where we first identify the data type and then anonymize it. The Feature Extraction Agent identifies features using an embedding-based approach for tabular data, extracting all column names, and a multi-stage MedGemma-based approach for image data, which infers modality and disease name. These features guide the Model-Data Feature Matcher Agent in selecting the best-fit model from a curated repository. The Preprocessing Recommender Agent and Preprocessing Implementor Agent then apply tailored preprocessing based on data type and model requirements. Finally, the ``Model Inference Agent" runs the selected model on the uploaded data and generates interpretable outputs using tools like SHAP, LIME, and DETR attention maps. By automating these high-friction stages of the ML lifecycle, the proposed framework reduces the need for repeated expert intervention, offering a scalable, cost-efficient pathway for operationalizing AI in clinical environments.

Agam Goyal, Xianyang Zhan, Yilun Chen et al.

Large language models (LLMs) have shown great potential in flagging harmful content in online communities. Yet, existing approaches for moderation require a separate model for every community and are opaque in their decision-making, limiting real-world adoption. We introduce Mixture of Moderation Experts (MoMoE), a modular, cross-community framework that adds post-hoc explanations to scalable content moderation. MoMoE orchestrates four operators -- Allocate, Predict, Aggregate, Explain -- and is instantiated as seven community-specialized experts (MoMoE-Community) and five norm-violation experts (MoMoE-NormVio). On 30 unseen subreddits, the best variants obtain Micro-F1 scores of 0.72 and 0.67, respectively, matching or surpassing strong fine-tuned baselines while consistently producing concise and reliable explanations. Although community-specialized experts deliver the highest peak accuracy, norm-violation experts provide steadier performance across domains. These findings show that MoMoE yields scalable, transparent moderation without needing per-community fine-tuning. More broadly, they suggest that lightweight, explainable expert ensembles can guide future NLP and HCI research on trustworthy human-AI governance of online communities.

Jiayue Melissa Shi, Dong Whi Yoo, Keran Wang et al.

Family caregivers of individuals with Alzheimer's Disease and Related Dementia (AD/ADRD) face significant emotional and logistical challenges that place them at heightened risk for stress, anxiety, and depression. Although recent advances in generative AI -- particularly large language models (LLMs) -- offer new opportunities to support mental health, little is known about how caregivers perceive and engage with such technologies. To address this gap, we developed Carey, a GPT-4o-based chatbot designed to provide informational and emotional support to AD/ADRD caregivers. Using Carey as a technology probe, we conducted semi-structured interviews with 16 family caregivers following scenario-driven interactions grounded in common caregiving stressors. Through inductive coding and reflexive thematic analysis, we surface a systemic understanding of caregiver needs and expectations across six themes -- on-demand information access, emotional support, safe space for disclosure, crisis management, personalization, and data privacy. For each of these themes, we also identified the nuanced tensions in the caregivers' desires and concerns. We present a mapping of caregiver needs, AI chatbot's strengths, gaps, and design recommendations. Our findings offer theoretical and practical insights to inform the design of proactive, trustworthy, and caregiver-centered AI systems that better support the evolving mental health needs of AD/ADRD caregivers.

Soorya Ram Shimgekar, Violeta J. Rodriguez, Paul A. Bloom et al.

Suicide is a critical global public health issue, with millions experiencing suicidal ideation (SI) each year. Online spaces enable individuals to express SI and seek peer support. While prior research has revealed the potential of detecting SI using machine learning and natural language analysis, a key limitation is the lack of a theoretical framework to understand the underlying factors affecting high-risk suicidal intent. To bridge this gap, we adopted the Interpersonal Theory of Suicide (IPTS) as an analytic lens to analyze 59,607 posts from Reddit's r/SuicideWatch, categorizing them into SI dimensions (Loneliness, Lack of Reciprocal Love, Self Hate, and Liability) and risk factors (Thwarted Belongingness, Perceived Burdensomeness, and Acquired Capability of Suicide). We found that high-risk SI posts express planning and attempts, methods and tools, and weaknesses and pain. In addition, we also examined the language of supportive responses through psycholinguistic and content analyses to find that individuals respond differently to different stages of Suicidal Ideation (SI) posts. Finally, we explored the role of AI chatbots in providing effective supportive responses to suicidal ideation posts. We found that although AI improved structural coherence, expert evaluations highlight persistent shortcomings in providing dynamic, personalized, and deeply empathetic support. These findings underscore the need for careful reflection and deeper understanding in both the development and consideration of AI-driven interventions for effective mental health support.

Drishti Goel, Jeongah Lee, Qiuyue Joy Zhong et al.

Caregivers seeking AI-mediated support express complex needs -- information-seeking, emotional validation, and distress cues -- that warrant careful evaluation of response safety and appropriateness. Existing AI evaluation frameworks, primarily focused on general risks (toxicity, hallucinations, policy violations, etc), may not adequately capture the nuanced risks of LLM-responses in caregiving-contexts. We introduce RubRIX (Rubric-based Risk Index), a theory-driven, clinician-validated framework for evaluating risks in LLM caregiving responses. Grounded in the Elements of an Ethic of Care, RubRIX operationalizes five empirically-derived risk dimensions: Inattention, Bias & Stigma, Information Inaccuracy, Uncritical Affirmation, and Epistemic Arrogance. We evaluate six state-of-the-art LLMs on over 20,000 caregiver queries from Reddit and ALZConnected. Rubric-guided refinement consistently reduced risk-components by 45-98% after one iteration across models. This work contributes a methodological approach for developing domain-sensitive, user-centered evaluation frameworks for high-burden contexts. Our findings highlight the importance of domain-sensitive, interactional risk evaluation for the responsible deployment of LLMs in caregiving support contexts. We release benchmark datasets to enable future research on contextual risk evaluation in AI-mediated support.

Jiwon Kim, Violeta J. Rodriguez, Dong Whi Yoo et al.

Large language models (LLMs) are increasingly used for mental health support, yet they can produce responses that are overly directive, inconsistent, or clinically misaligned, particularly in sensitive or high-risk contexts. Existing approaches to mitigating these risks largely rely on implicit alignment through training or prompting, offering limited transparency and runtime accountability. We introduce PAIR-SAFE, a paired-agent framework for auditing and refining AI-generated mental health support that integrates a Responder agent with a supervisory Judge agent grounded in the clinically validated Motivational Interviewing Treatment Integrity (MITI-4) framework. The Judgeaudits each response and provides structuredALLOW or REVISE decisions that guide runtime response refinement. We simulate counseling interactions using a support-seeker simulator derived from human-annotated motivational interviewing data. We find that Judge-supervised interactions show significant improvements in key MITI dimensions, including Partnership, Seek Collaboration, and overall Relational quality. Our quantitative findings are supported by qualitative expert evaluation, which further highlights the nuances of runtime supervision. Together, our results reveal that such pairedagent approach can provide clinically grounded auditing and refinement for AI-assisted conversational mental health support.

Jiayue Melissa Shi, Keran Wang, Dong Whi Yoo et al.

Alzheimer's Disease and Related Dementias (AD/ADRD) are progressive neurodegenerative conditions that impair memory, thought processes, and functioning. Family caregivers of individuals with AD/ADRD face significant mental health challenges due to long-term caregiving responsibilities. Yet, current support systems often overlook the evolving nature of their mental wellbeing needs. Our study examines caregivers' mental wellbeing concerns, focusing on the practices they adopt to manage the burden of caregiving and the technologies they use for support. Through semi-structured interviews with 25 family caregivers of individuals with AD/ADRD, we identified the key causes and effects of mental health challenges, and developed a temporal mapping of how caregivers' mental wellbeing evolves across three distinct stages of the caregiving journey. Additionally, our participants shared insights into improvements for existing mental health technologies, emphasizing the need for accessible, scalable, and personalized solutions that adapt to caregivers' changing needs over time. These findings offer a foundation for designing dynamic, stage-sensitive interventions that holistically support caregivers' mental wellbeing, benefiting both caregivers and care recipients.

Koustuv Saha, Yoshee Jain, Munmun De Choudhury

The ubiquity and widespread use of digital and online technologies have transformed mental health support, with online mental health communities (OMHCs) providing safe spaces for peer support. More recently, generative AI and large language models (LLMs) have introduced new possibilities for scalable, around-the-clock mental health assistance that could potentially augment and supplement the capabilities of OMHCs. Although genAI shows promise in delivering immediate and personalized responses, their effectiveness in replicating the nuanced, experience-based support of human peers remains an open question. In this study, we harnessed 24,114 posts and 138,758 online community (OC) responses from 55 OMHCs on Reddit. We prompted several state-of-the-art LLMs (GPT-4-Turbo, Llama-3, and Mistral-7B) with these posts, and compared their (AI) responses to human-written (OC) responses based on a variety of linguistic measures across psycholinguistics and lexico-semantics. Our findings revealed that AI responses are more verbose, readable, and analytically structured, but lack linguistic diversity and personal narratives inherent in human-human interactions. Through a qualitative examination, we found validation as well as complementary insights into the nature of AI responses, such as its neutrality of stance and the absence of seeking back-and-forth clarifications. We discuss the ethical and practical implications of integrating generative AI into OMHCs, advocating for frameworks that balance AI's scalability and timeliness with the irreplaceable authenticity, social interactiveness, and expertise of human connections that form the ethos of online support communities.

Shreya Haran, Samiha Thatikonda, Dong Whi Yoo et al.

Mental health concerns are rising globally, prompting increased reliance on technology to address the demand-supply gap in mental health services. In particular, mental health chatbots are emerging as a promising solution, but these remain largely untested, raising concerns about safety and potential harms. In this paper, we dive into the literature to identify critical gaps in the design and implementation of mental health chatbots. We contribute an operational checklist to help guide the development and design of more trustworthy, safe, and user-friendly chatbots. The checklist serves as both a developmental framework and an auditing tool to ensure ethical and effective chatbot design. We discuss how this checklist is a step towards supporting more responsible design practices and supporting new standards for sociotechnically sound digital mental health tools.

Soorya Ram Shimgekar, Ruining Zhao, Agam Goyal et al.

On social media, many individuals experiencing suicidal ideation (SI) do not disclose their distress explicitly. Instead, signs may surface indirectly through everyday posts or peer interactions. Detecting such implicit signals early is critical but remains challenging. We frame early and implicit SI as a forward-looking prediction task and develop a computational framework that models a user's information environment, consisting of both their longitudinal posting histories as well as the discourse of their socially proximal peers. We adopted a composite network centrality measure to identify top neighbors of a user, and temporally aligned the user's and neighbors' interactions -- integrating the multi-layered signals in a fine-tuned DeBERTa-v3 model. In a Reddit study of 1,000 (500 Case and 500 Control) users, our approach improves early and implicit SI detection by 15% over individual-only baselines. These findings highlight that peer interactions offer valuable predictive signals and carry broader implications for designing early detection systems that capture indirect as well as masked expressions of risk in online environments.

Yunhao Yuan, Jiaxun Zhang, Talayeh Aledavood et al.

AI-powered companion chatbots (AICCs) such as Replika are increasingly popular, offering empathetic interactions, yet their psychosocial impacts remain unclear. We examined how engaging with AICCs shaped wellbeing and how users perceived these experiences. First, we conducted a large-scale quasi-experimental study of longitudinal Reddit data, applying stratified propensity score matching and Difference-in-Differences regression. Findings revealed mixed effects -- greater affective and grief expression, readability, and interpersonal focus, alongside increases in language about loneliness and suicidal ideation. Second, we complemented these results with 15 semi-structured interviews, which we thematically analyzed and contextualized using Knapp's relationship development model. We identified trajectories of initiation, escalation, and bonding, wherein AICCs provided emotional validation and social rehearsal but also carried risks of over-reliance and withdrawal. Triangulating across methods, we offer design implications for AI companions that scaffold healthy boundaries, support mindful engagement, support disclosure without dependency, and surface relationship stages -- maximizing psychosocial benefits while mitigating risks.

Veda Duddu, Jash Rajesh Parekh, Andy Mao et al.

Workplace negotiations are undermined by psychological barriers, which can even derail well-prepared tactics. AI offers personalized and always -- available negotiation coaching, yet its effectiveness for negotiation preparedness remains unclear. We built Trucey, a prototype AI coach grounded in Brett's negotiation model. We conducted a between-subjects experiment (N=267), comparing Trucey, ChatGPT, and a traditional negotiation Handbook, followed by in-depth interviews (N=15). While Trucey showed the strongest reductions in fear relative to both comparison conditions, the Handbook outperformed both AIs in usability and psychological empowerment. Interviews revealed that the Handbook's comprehensive, reviewable content was crucial for participants' confidence and preparedness. In contrast, although participants valued AI's rehearsal capability, its guidance often felt verbose and fragmented -- delivered in bits and pieces that required additional effort -- leaving them uncertain or overwhelmed. These findings challenge assumptions of AI superiority and motivate hybrid designs that integrate structured, theory-driven content with targeted rehearsal, clear boundaries, and adaptive scaffolds to address psychological barriers and support negotiation preparedness.

Shayan Vassef, Soorya Ram Shimegekar, Abhay Goyal et al.

Clinical ML workflows are often fragmented and inefficient: triage, task selection, and model deployment are handled by a patchwork of task-specific networks. These pipelines are rarely aligned with data-science practice, reducing efficiency and increasing operational cost. They also lack data-driven model identification (from imaging/tabular inputs) and standardized delivery of model outputs. We present a framework that employs a single vision-language model (VLM) in two complementary, modular roles. First (Solution 1): the VLM acts as an aware model-card matcher that routes an incoming image to the appropriate specialist model via a three-stage workflow (modality -> primary abnormality -> model-card ID). Reliability is improved by (i) stage-wise prompts enabling early termination via "None"/"Other" and (ii) a calibrated top-2 answer selector with a stage-wise cutoff. This raises routing accuracy by +9 and +11 percentage points on the training and held-out splits, respectively, compared with a baseline router, and improves held-out calibration (lower Expected Calibration Error, ECE). Second (Solution 2): we fine-tune the same VLM on specialty-specific datasets so that one model per specialty covers multiple downstream tasks, simplifying deployment while maintaining performance. Across gastroenterology, hematology, ophthalmology, pathology, and radiology, this single-model deployment matches or approaches specialized baselines. Together, these solutions reduce data-science effort through more accurate selection, simplify monitoring and maintenance by consolidating task-specific models, and increase transparency via per-stage justifications and calibrated thresholds. Each solution stands alone, and in combination they offer a practical, modular path from triage to deployment.

Saharsh Barve, Andy Mao, Jiayue Melissa Shi et al.

Recent advances in generative AI have enabled visual content creation through text-to-image (T2I) generation. However, despite their creative potential, T2I models often replicate and amplify societal stereotypes -- particularly those related to gender, race, and culture -- raising important ethical concerns. This paper proposes a theory-driven bias detection rubric and a Social Stereotype Index (SSI) to systematically evaluate social biases in T2I outputs. We audited three major T2I model outputs -- DALL-E-3, Midjourney-6.1, and Stability AI Core -- using 100 queries across three categories -- geocultural, occupational, and adjectival. Our analysis reveals that initial outputs are prone to include stereotypical visual cues, including gendered professions, cultural markers, and western beauty norms. To address this, we adopted our rubric to conduct targeted prompt refinement using LLMs, which significantly reduced bias -- SSI dropped by 61% for geocultural, 69% for occupational, and 51% for adjectival queries. We complemented our quantitative analysis through a user study examining perceptions, awareness, and preferences around AI-generated biased imagery. Our findings reveal a key tension -- although prompt refinement can mitigate stereotypes, it can limit contextual alignment. Interestingly, users often perceived stereotypical images to be more aligned with their expectations. We discuss the need to balance ethical debiasing with contextual relevance and call for T2I systems that support global diversity and inclusivity while not compromising the reflection of real-world social complexity.

Jiawei Zhou, Kritika Venkatachalam, Minje Choi et al.

With the wide adoption of large language models (LLMs) in information assistance, it is essential to examine their alignment with human communication styles and values. We situate this study within the context of fact-checking health information, given the critical challenge of rectifying conceptions and building trust. Recent studies have explored the potential of LLM for health communication, but style differences between LLMs and human experts and associated reader perceptions remain under-explored. In this light, our study evaluates the communication styles of LLMs, focusing on how their explanations differ from those of humans in three core components of health communication: information, sender, and receiver. We compiled a dataset of 1498 health misinformation explanations from authoritative fact-checking organizations and generated LLM responses to inaccurate health information. Drawing from health communication theory, we evaluate communication styles across three key dimensions of information linguistic features, sender persuasive strategies, and receiver value alignments. We further assessed human perceptions through a blinded evaluation with 99 participants. Our findings reveal that LLM-generated articles showed significantly lower scores in persuasive strategies, certainty expressions, and alignment with social values and moral foundations. However, human evaluation demonstrated a strong preference for LLM content, with over 60% responses favoring LLM articles for clarity, completeness, and persuasiveness. Our results suggest that LLMs' structured approach to presenting information may be more effective at engaging readers despite scoring lower on traditional measures of quality in fact-checking and health communication.

Subigya K. Nepal, Gonzalo J. Martinez, Arvind Pillai et al.

The modern workplace is undergoing a radical transformation, driven by technological advances that blur the boundaries between human capability and digital augmentation. At the forefront of this evolution is passive sensing technology - a suite of tools that quietly monitor and interpret human behavior without active user engagement. This paper examines how these technologies are reshaping our understanding of workplace dynamics, with a particular focus on employee wellbeing and productivity. Through a comprehensive review of recent research, we explore both the transformative potential and inherent challenges of passive sensing in professional environments. Our analysis reveals emerging patterns in how these technologies can support worker health and performance, while also highlighting critical gaps in current research and opportunities for future innovation. We conclude by outlining a roadmap for integrating passive sensing into future workplaces in ways that enhance human potential while preserving dignity and autonomy.

Pablo Robles-Granda, Suwen Lin, Xian Wu et al.

Assessment of job performance, personalized health and psychometric measures are domains where data-driven and ubiquitous computing exhibits the potential of a profound impact in the future. Existing techniques use data extracted from questionnaires, sensors (wearable, computer, etc.), or other traits, to assess well-being and cognitive attributes of individuals. However, these techniques can neither predict individual's well-being and psychological traits in a global manner nor consider the challenges associated to processing the data available, that is incomplete and noisy. In this paper, we create a benchmark for predictive analysis of individuals from a perspective that integrates: physical and physiological behavior, psychological states and traits, and job performance. We design data mining techniques as benchmark and uses real noisy and incomplete data derived from wearable sensors to predict 19 constructs based on 12 standardized well-validated tests. The study included 757 participants who were knowledge workers in organizations across the USA with varied work roles. We developed a data mining framework to extract the meaningful predictors for each of the 19 variables under consideration. Our model is the first benchmark that combines these various instrument-derived variables in a single framework to understand people's behavior by leveraging real uncurated data from wearable, mobile, and social media sources. We verify our approach experimentally using the data obtained from our longitudinal study. The results show that our framework is consistently reliable and capable of predicting the variables under study better than the baselines when prediction is restricted to the noisy, incomplete data.