LLUMI: Improving LLM Writing Assistance for Mental Health Support with Online Community Feedback

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.

Towards Error-Free EHRs: Reasoning-Intensive Consistency Verification Between Clinical Notes and Structured Tables in Electronic Health Records

Data consistency between unstructured clinical notes and structured tables in Electronic Health Records (EHRs) is essential for patient safety and clinical decision-making. However, existing work on note-table consistency verification mainly relies on surface-level matching of numeric values or simple events. Such approaches fail to capture the reasoning underlying real-world EHR documentation, including clinical interpretation, event relations, and temporal changes. To address this gap, we introduce EHR-ReasonCon, a reasoning-intensive benchmark for note-table consistency verification. Built on MIMIC-III with expert-guided annotations, it comprises 8,048 entities derived from clinical notes and provides high-quality ground-truth labels. The annotation protocol is supported by specialized table-exploration tools to ensure systematic evidence retrieval and reliable consistency assessment. We also propose EHR-Inspector, an LLM-based framework that segments notes, extracts anchor entities and temporal references, and uses table-exploration tools to verify consistency against structured tables. Evaluated using expert-validated LLM-as-a-judge metrics under harsh and lenient criteria, EHR-Inspector achieves state-of-the-art performance across multiple model backbones. Analyses further demonstrate the effectiveness of its components and highlight differences from human verification.

AI Content Moderation in Therapy Conversations

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.

MedROI: Codec-Agnostic Region of Interest-Centric Compression for Medical Images

Medical imaging archives are growing rapidly in both size and resolution, making efficient compression increasingly important for storage and data transfer. Most existing codecs compress full images/volumes(including non-diagnostic background) or apply differential ROI coding that still preserves background bits. We propose MedROI, a codec-agnostic, plug-and-play ROI-centric framework that discards background voxels prior to compression. MedROI extracts a tight tissue bounding box via lightweight intensity-based thresholding and stores a fixed 54byte meta data record to enable spatial restoration during decompression. The cropped ROI is then compressed using any existing 2D or 3D codec without architectural modifications or retraining. We evaluate MedROI on 200 T1-weighted brain MRI volumes from ADNI using 6 codec configurations spanning conventional codecs (JPEG2000 2D/3D, HEIF) and neural compressors (LIC_TCM, TCM+AuxT, BCM-Net, SirenMRI). MedROI yields statistically significant improvements in compression ratio and encoding/decoding time for most configurations (two-sided t-test with multiple-comparison correction), while maintaining comparable reconstruction quality when measured within the ROI; HEIF is the primary exception in compression-ratio gains. For example, on JPEG20002D (lv3), MedROI improves CR from 20.35 to 27.37 while reducing average compression time from 1.701s to 1.380s. Code is available at https://github.com/labhai/MedROI.

AI Psychosis: Does Conversational AI Amplify Delusion-Related Language?

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.

PAIR-SAFE: A Paired-Agent Approach for Runtime Auditing and Refining AI-Mediated Mental Health Support

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.

A.X K1 Technical Report

We introduce A.X K1, a 519B-parameter Mixture-of-Experts (MoE) language model trained from scratch. Our design leverages scaling laws to optimize training configurations and vocabulary size under fixed computational budgets. A.X K1 is pre-trained on a corpus of approximately 10T tokens, curated by a multi-stage data processing pipeline. Designed to bridge the gap between reasoning capability and inference efficiency, A.X K1 supports explicitly controllable reasoning to facilitate scalable deployment across diverse real-world scenarios. We propose a simple yet effective Think-Fusion training recipe, enabling user-controlled switching between thinking and non-thinking modes within a single unified model. Extensive evaluations demonstrate that A.X K1 achieves performance competitive with leading open-source models, while establishing a distinctive advantage in Korean-language benchmarks.

From Tokens to Layers: Redefining Stall-Free Scheduling for LLM Serving with Layered Prefill

Large Language Model (LLM) inference in production must meet stringent service-level objectives for both time-to-first-token (TTFT) and time-between-token (TBT) while maximizing throughput under fixed compute, memory, and interconnect budgets. Modern serving systems adopt stall-free scheduling techniques such as chunked prefill, which splits long prompt processing along the token dimension and interleaves prefill with ongoing decode iterations. While effective at stabilizing TBT, chunked prefill incurs substantial overhead in Mixture-of-Experts (MoE) models: redundant expert weight loads increase memory traffic by up to 39% and inflate energy consumption. We propose layered prefill, a new scheduling paradigm that treats transformer layer groups as the primary scheduling unit. By vertically partitioning the model into contiguous layer groups and interleaving prefill and decode across the groups, layered prefill sustains stall-free decoding while eliminating chunk-induced MoE weight reloads. It reduces off-chip bandwidth demand, lowering TTFT by up to 70%, End-to-End latency by 41% and per-token energy by up to 22%. Evaluations show that layered prefill consistently improves the TTFT--TBT Pareto frontier over chunked prefill, reducing expert-load traffic and energy cost while maintaining stall-free decoding. Overall, shifting the scheduling axis from tokens to layers unlocks a new operating regime for high-efficiency, energy-aware LLM serving in co-located environments.

Being Kind Isn't Always Being Safe: Diagnosing Affective Hallucination in LLMs

Large Language Models (LLMs) are increasingly used in emotionally sensitive interactions, where their simulated empathy can create the illusion of genuine relational connection. We define this risk as Affective Hallucination, the production of emotionally immersive responses that foster illusory social presence despite the model's lack of affective capacity. To systematically diagnose and mitigate this risk, we introduce AHaBench, a benchmark of 500 mental health-related prompts with expert-informed reference responses, evaluated along three dimensions: Emotional Enmeshment, Illusion of Presence, and Fostering Overdependence. We further release AHaPairs, a 5K-instance preference dataset enabling Direct Preference Optimization (DPO) for alignment with emotionally responsible behavior. Experiments across multiple model families show that DPO fine-tuning substantially reduces affective hallucination without degrading core reasoning and knowledge performance. Human-model agreement analyses confirm that AHaBench reliably captures affective hallucination, validating it as an effective diagnostic tool. This work establishes affective hallucination as a distinct safety concern and provides practical resources for developing LLMs that are not only factually reliable but also psychologically safe. AHaBench and AHaPairs are accessible via https://huggingface.co/datasets/o0oMiNGo0o/AHaBench, and code for fine-tuning and evaluation are in https://github.com/0oOMiNGOo0/AHaBench. Warning: This paper contains examples of mental health-related language that may be emotionally distressing.

EXAONE Path 2.0: Pathology Foundation Model with End-to-End Supervision

In digital pathology, whole-slide images (WSIs) are often difficult to handle due to their gigapixel scale, so most approaches train patch encoders via self-supervised learning (SSL) and then aggregate the patch-level embeddings via multiple instance learning (MIL) or slide encoders for downstream tasks. However, patch-level SSL may overlook complex domain-specific features that are essential for biomarker prediction, such as mutation status and molecular characteristics, as SSL methods rely only on basic augmentations selected for natural image domains on small patch-level area. Moreover, SSL methods remain less data efficient than fully supervised approaches, requiring extensive computational resources and datasets to achieve competitive performance. To address these limitations, we present EXAONE Path 2.0, a pathology foundation model that learns patch-level representations under direct slide-level supervision. Using only 37k WSIs for training, EXAONE Path 2.0 achieves state-of-the-art average performance across 10 biomarker prediction tasks, demonstrating remarkable data efficiency.