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Expert-Level Crisis Detection in Mental Health Conversations

arxiv.org/abs/2606.10380

Updated 51 min ago · first seen 11 Sept 2026

paper_01M294GQ6NGHZMSZSWVCZ0KCXN

Published
11 Sept 2026
T1 · 51 min ago
arXiv
2606.10380
T1 · 51 min ago
Category
cs.CL
T1 · 51 min ago

Abstract

-cross Abstract: Real-world crisis intervention is inherently conversational, yet existing research largely focuses on static texts. When applied to multi-turn dialogues, current models exhibit significant performance degradation, struggling to track risk signals that emerge as context evolves. To address this gap, we introduce CRADLE-Dialogue, a clinician-annotated benchmark for turn-level crisis detection in conversational settings. The dataset features 600 dialogues with multi-label annotations across clinically grounded risks, including suicide ideation, self-harm, and child abuse, distinguishing past from ongoing risk. We further propose an Alert-Confirm evaluation protocol that distinguishes early warning signals (Alert) from turns where a specific crisis becomes explicitly identifiable (Confirm), reflecting the clinical need to intervene before risk becomes explicit. Experiments show that identifying when risk emerges is much harder than recognizing that it exists: models achieve only mid-40% to high-60% Micro F1. Additionally, we release a synthetic training corpus and a 32B-parameter model that substantially outperforms existing open-source models and achieves competitive or superior results against proprietary models across turn-level, dialogue-level, and confirm-only evaluation settings.

Authors 6

Grace Byun, Abigail Lott, Rebecca Lipschutz, Sean T. Minton, Elizabeth A. Stinson, Jinho D. Choi

Specification

Official page

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

Arxiv announce type
replace

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

arXiv id
2606.10380

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

Categories
cs.CL, cs.AI

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

PDF

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

Primary category
cs.CL

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

Published
11 Sept 2026

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

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Provenance

Attributed facts

9

Source tiers

T19

Freshest observation

51 min ago

Conflicts

None