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Reliability Auditing for Downstream LLM tasks in Psychiatry: LLM-Generated Hospitalization Risk Scores

Large language models (LLMs) are increasingly utilized in clinical reasoning and risk assessment. However, their interpretive reliability in critical and indeterminate domains such as psychiatry remains unclear. Prior work has identified algorithmic biases and prompt sensitivity in these systems, raising concerns about how contextual information may influence model outputs, but there remains no systematic way to assess these, especially in the psychiatric domain. We propose an approach for reliability auditing downstream LLM tasks by structuring evaluation around the impact of prompt design and the inclusion of medically insignificant inputs on predicted hospitalization risk scores, which...

AuthorsShevya Panda, Shinjini Bose, Ananya Joshi
Primary categorycs.LG
Published23 April 2026
Last updated at source29 April 2026
cs.LGcs.AI
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