Characterizing Delusional Spirals through Human-LLM Chat Logs

As large language models (LLMs) have proliferated, disturbing anecdotal reports of negative psychological effects, such as delusions, self-harm, and ``AI psychosis,'' have emerged in global media and legal discourse. However, it remains unclear how users and chatbots interact over the course of lengthy delusional ``spirals,'' limiting our ability to understand and mitigate the harm. In our work, we analyze logs of conversations with LLM chatbots from 19 users who report having experienced psychological harms from chatbot use. Many of our participants come from a support group for such chatbot users. We also include chat logs from participants covered by media outlets in widely-distributed stories about chatbot-reinforced delusions. In contrast to prior work that speculates on potential AI harms to mental health, to our knowledge we present the first in-depth study of such high-profile and veridically harmful cases. We develop an inventory of 28 codes and apply it to the $391,562$ messages in the logs. Codes include whether a user demonstrates delusional thinking (15.5% of user messages), a user expresses suicidal thoughts (69 validated user messages), or a chatbot misrepresents itself as sentient (21.2% of chatbot messages). We analyze the co-occurrence of message codes. We find, for example, that messages that declare romantic interest and messages where the chatbot describes itself as sentient occur much more often in longer conversations, suggesting that these topics could promote or result from user over-engagement and that safeguards in these areas may degrade in multi-turn settings. We conclude with concrete recommendations for how policymakers, LLM chatbot developers, and users can use our inventory and conversation analysis tool to understand and mitigate harm from LLM chatbots. Warning: This paper discusses self-harm, trauma, and violence.

Talk, Evaluate, Diagnose: User-aware Agent Evaluation with Automated Error Analysis

Agent applications are increasingly adopted to automate workflows across diverse tasks. However, due to the heterogeneous domains they operate in, it is challenging to create a scalable evaluation framework. Prior works each employ their own methods to determine task success, such as database lookups, regex match, etc., adding complexity to the development of a unified agent evaluation approach. Moreover, they do not systematically account for the user's role nor expertise in the interaction, providing incomplete insights into the agent's performance. We argue that effective agent evaluation goes beyond correctness alone, incorporating conversation quality, efficiency and systematic diagnosis of agent errors. To address this, we introduce the TED framework (Talk, Evaluate, Diagnose). (1) Talk: We leverage reusable, generic expert and non-expert user persona templates for user-agent interaction. (2) Evaluate: We adapt existing datasets by representing subgoals-such as tool signatures, and responses-as natural language grading notes, evaluated automatically with LLM-as-a-judge. We propose new metrics that capture both turn efficiency and intermediate progress of the agent complementing the user-aware setup. (3) Diagnose: We introduce an automated error analysis tool that analyzes the inconsistencies of the judge and agents, uncovering common errors, and providing actionable feedback for agent improvement. We show that our TED framework reveals new insights regarding agent performance across models and user expertise levels. We also demonstrate potential gains in agent performance with peaks of 8-10% on our proposed metrics after incorporating the identified error remedies into the agent's design.

OCR or Not? Rethinking Document Information Extraction in the MLLMs Era with Real-World Large-Scale Datasets

Multimodal Large Language Models (MLLMs) enhance the potential of natural language processing. However, their actual impact on document information extraction remains unclear. In particular, it is unclear whether an MLLM-only pipeline--while simpler--can truly match the performance of traditional OCR+MLLM setups. In this paper, we conduct a large-scale benchmarking study that evaluates various out-of-the-box MLLMs on business-document information extraction. To examine and explore failure modes, we propose an automated hierarchical error analysis framework that leverages large language models (LLMs) to diagnose error patterns systematically. Our findings suggest that OCR may not be necessary for powerful MLLMs, as image-only input can achieve comparable performance to OCR-enhanced approaches. Moreover, we demonstrate that carefully designed schema, exemplars, and instructions can further enhance MLLMs performance. We hope this work can offer practical guidance and valuable insight for advancing document information extraction.

ErrorMap and ErrorAtlas: Charting the Failure Landscape of Large Language Models

Large Language Models (LLM) benchmarks tell us when models fail, but not why they fail. A wrong answer on a reasoning dataset may stem from formatting issues, calculation errors, or dataset noise rather than weak reasoning. Without disentangling such causes, benchmarks remain incomplete and cannot reliably guide model improvement. We introduce ErrorMap, the first method to chart the sources of LLM failure. It extracts a model's unique "failure signature", clarifies what benchmarks measure, and broadens error identification to reduce blind spots. This helps developers debug models, aligns benchmark goals with outcomes, and supports informed model selection. ErrorMap works on any model or dataset with the same logic. Applying our method to 35 datasets and 83 models we generate ErrorAtlas, a taxonomy of model errors, revealing recurring failure patterns. ErrorAtlas highlights error types that are currently underexplored in LLM research, such as omissions of required details in the output and question misinterpretation. By shifting focus from where models succeed to why they fail, ErrorMap and ErrorAtlas enable advanced evaluation - one that exposes hidden weaknesses and directs progress. Unlike success, typically measured by task-level metrics, our approach introduces a deeper evaluation layer that can be applied globally across models and tasks, offering richer insights into model behavior and limitations. We make the taxonomy and code publicly available with plans to periodically update ErrorAtlas as new benchmarks and models emerge.

The Singapore Consensus on Global AI Safety Research Priorities

Rapidly improving AI capabilities and autonomy hold significant promise of transformation, but are also driving vigorous debate on how to ensure that AI is safe, i.e., trustworthy, reliable, and secure. Building a trusted ecosystem is therefore essential -- it helps people embrace AI with confidence and gives maximal space for innovation while avoiding backlash. The "2025 Singapore Conference on AI (SCAI): International Scientific Exchange on AI Safety" aimed to support research in this space by bringing together AI scientists across geographies to identify and synthesise research priorities in AI safety. This resulting report builds on the International AI Safety Report chaired by Yoshua Bengio and backed by 33 governments. By adopting a defence-in-depth model, this report organises AI safety research domains into three types: challenges with creating trustworthy AI systems (Development), challenges with evaluating their risks (Assessment), and challenges with monitoring and intervening after deployment (Control).

Judging LLMs on a Simplex

Automated evaluation of free-form outputs from large language models (LLMs) is challenging because many distinct answers can be equally valid. A common practice is to use LLMs themselves as judges, but the theoretical properties of this approach are not yet well understood. We show that a geometric framework that represents both judges and candidates as points on a probability simplex can provide helpful insight on what is or is not identifiable using LLM judges. Our theoretical analysis uncovers a "phase transition" in ranking identifiability: for binary scoring systems, true rankings are identifiable even with weak judges under mild assumptions, while rankings become non-identifiable for three or more scoring levels even with infinite data, absent additional prior knowledge. This non-identifiability highlights how uncertainty in rankings stems from not only aleatoric uncertainty (i.e., inherent stochasticity in the data) but also epistemic uncertainty regarding which assumptions hold, an aspect that has received limited attention until now. To integrate both types of uncertainty, we use Bayesian inference to encode assumptions as priors and conduct sensitivity analysis of ranking estimates and credible intervals. Empirical evaluations across multiple benchmarks demonstrate that Bayesian inference yields more accurate rankings and substantially improves coverage rates. These results underscore the importance of taking a more holistic approach to uncertainty quantification when using LLMs as judges.

MedHELM: Holistic Evaluation of Large Language Models for Medical Tasks

While large language models (LLMs) achieve near-perfect scores on medical licensing exams, these evaluations inadequately reflect the complexity and diversity of real-world clinical practice. We introduce MedHELM, an extensible evaluation framework for assessing LLM performance for medical tasks with three key contributions. First, a clinician-validated taxonomy spanning 5 categories, 22 subcategories, and 121 tasks developed with 29 clinicians. Second, a comprehensive benchmark suite comprising 35 benchmarks (17 existing, 18 newly formulated) providing complete coverage of all categories and subcategories in the taxonomy. Third, a systematic comparison of LLMs with improved evaluation methods (using an LLM-jury) and a cost-performance analysis. Evaluation of 9 frontier LLMs, using the 35 benchmarks, revealed significant performance variation. Advanced reasoning models (DeepSeek R1: 66% win-rate; o3-mini: 64% win-rate) demonstrated superior performance, though Claude 3.5 Sonnet achieved comparable results at 40% lower estimated computational cost. On a normalized accuracy scale (0-1), most models performed strongly in Clinical Note Generation (0.73-0.85) and Patient Communication & Education (0.78-0.83), moderately in Medical Research Assistance (0.65-0.75), and generally lower in Clinical Decision Support (0.56-0.72) and Administration & Workflow (0.53-0.63). Our LLM-jury evaluation method achieved good agreement with clinician ratings (ICC = 0.47), surpassing both average clinician-clinician agreement (ICC = 0.43) and automated baselines including ROUGE-L (0.36) and BERTScore-F1 (0.44). Claude 3.5 Sonnet achieved comparable performance to top models at lower estimated cost. These findings highlight the importance of real-world, task-specific evaluation for medical use of LLMs and provides an open source framework to enable this.

The Mighty ToRR: A Benchmark for Table Reasoning and Robustness

Despite its real-world significance, model performance on tabular data remains underexplored, leaving uncertainty about which model to rely on and which prompt configuration to adopt. To address this gap, we create ToRR, a benchmark for Table Reasoning and Robustness, that measures model performance and robustness on table-related tasks. The benchmark includes 10 datasets that cover different types of table reasoning capabilities across varied domains. ToRR goes beyond model performance rankings, and is designed to reflect whether models can handle tabular data consistently and robustly, across a variety of common table representation formats. We present a leaderboard as well as comprehensive analyses of the results of leading models over ToRR. Our results reveal a striking pattern of brittle model behavior, where even strong models are unable to perform robustly on tabular data tasks. Although no specific table format leads to consistently better performance, we show that testing over multiple formats is crucial for reliably estimating model capabilities. Moreover, we show that the reliability boost from testing multiple prompts can be equivalent to adding more test examples. Overall, our findings show that table understanding and reasoning tasks remain a significant challenge.

SEA-HELM: Southeast Asian Holistic Evaluation of Language Models

With the rapid emergence of novel capabilities in Large Language Models (LLMs), the need for rigorous multilingual and multicultural benchmarks that are integrated has become more pronounced. Though existing LLM benchmarks are capable of evaluating specific capabilities of LLMs in English as well as in various mid- to low-resource languages, including those in the Southeast Asian (SEA) region, a comprehensive and authentic evaluation suite for the SEA languages has not been developed thus far. Here, we present SEA-HELM, a holistic linguistic and cultural LLM evaluation suite that emphasizes SEA languages, comprising five core pillars: (1) NLP Classics, (2) LLM-specifics, (3) SEA Linguistics, (4) SEA Culture, (5) Safety. SEA-HELM currently supports Filipino, Indonesian, Tamil, Thai, and Vietnamese. We also introduce the SEA-HELM leaderboard, which allows users to understand models' multilingual and multicultural performance in a systematic and user-friendly manner.

Image2Struct: Benchmarking Structure Extraction for Vision-Language Models

We introduce Image2Struct, a benchmark to evaluate vision-language models (VLMs) on extracting structure from images. Our benchmark 1) captures real-world use cases, 2) is fully automatic and does not require human judgment, and 3) is based on a renewable stream of fresh data. In Image2Struct, VLMs are prompted to generate the underlying structure (e.g., LaTeX code or HTML) from an input image (e.g., webpage screenshot). The structure is then rendered to produce an output image (e.g., rendered webpage), which is compared against the input image to produce a similarity score. This round-trip evaluation allows us to quantitatively evaluate VLMs on tasks with multiple valid structures. We create a pipeline that downloads fresh data from active online communities upon execution and evaluates the VLMs without human intervention. We introduce three domains (Webpages, LaTeX, and Musical Scores) and use five image metrics (pixel similarity, cosine similarity between the Inception vectors, learned perceptual image patch similarity, structural similarity index measure, and earth mover similarity) that allow efficient and automatic comparison between pairs of images. We evaluate Image2Struct on 14 prominent VLMs and find that scores vary widely, indicating that Image2Struct can differentiate between the performances of different VLMs. Additionally, the best score varies considerably across domains (e.g., 0.402 on sheet music vs. 0.830 on LaTeX equations), indicating that Image2Struct contains tasks of varying difficulty. For transparency, we release the full results at https://crfm.stanford.edu/helm/image2struct/v1.0.1/.