Soorya Ram Shimgekar

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.

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.

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.

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.

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.

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.

Abhay Goyal, Navin Kumar, Kimberly DiMeola et al.

Chronic pain (CP) and opioid use disorder (OUD) are common and interrelated chronic medical conditions. Currently, there is a paucity of evidence-based integrated treatments for CP and OUD among individuals receiving medication for opioid use disorder (MOUD). Wearable devices have the potential to monitor complex patient information and inform treatment development for persons with OUD and CP, including pain variability (e.g., exacerbations of pain or pain spikes) and clinical correlates (e.g., perceived stress). However, the application of large language models (LLMs) with wearable data for understanding pain spikes, remains unexplored. Consequently, the aim of this pilot study was to examine the clinical correlates of pain spikes using a range of AI approaches. We found that machine learning models achieved relatively high accuracy (>0.7) in predicting pain spikes, while LLMs were limited in providing insights on pain spikes. Real-time monitoring through wearable devices, combined with advanced AI models, could facilitate early detection of pain spikes and support personalized interventions that may help mitigate the risk of opioid relapse, improve adherence to MOUD, and enhance the integration of CP and OUD care. Given overall limited LLM performance, these findings highlight the need to develop LLMs which can provide actionable insights in the OUD/CP context.

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.