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Paper · arXiv

Expert-Level Crisis Detection in Mental Health Conversations

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 w...

AuthorsGrace Byun, Abigail Lott, Rebecca Lipschutz et al.
Primary categorycs.CL
Published9 June 2026
Last updated at source11 September 2026
cs.CLcs.AI
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