New AI-Driven Tools for Enhancing Campus Well-being: A Prevention and Intervention Approach

Campus well-being underpins academic success, yet many universities lack effective methods for monitoring satisfaction and detecting mental health risks. This dissertation addresses these gaps through prevention (improving feedback collection) and intervention (advancing mental health detection), unified under an integrated framework. For prevention, we developed TigerGPT, a personalized survey chatbot leveraging LLMs to engage users in context-aware conversations grounded in conversational design and engagement theory, achieving 75% usability and 81% satisfaction. To address its limitations in repetitiveness and response depth, we introduced AURA, a reinforcement-learning framework that adapts follow-up question types (validate, specify, reflect, probe) within a session using an LSDE quality signal (Length, Self-disclosure, Emotion, Specificity), initialized from 96 prior conversations. AURA achieved +0.12 mean quality gain (p=0.044, d=0.66), with 63% fewer specification prompts and 10x more validation behavior. For intervention, we examine Expressive Narrative Stories (ENS) for mental health screening, showing BERT(128) captures nuanced linguistic features without keyword cues, while conventional classifiers depend heavily on explicit mental health terms. We then developed PsychoGPT, an LLM built on DSM-5 and PHQ-8 guidelines that performs initial distress classification, symptom-level scoring, and reconciliation with external ratings for explainable assessment. To reduce hallucinations, we proposed Stacked Multi-Model Reasoning (SMMR), layering expert models where early layers handle localized subtasks and later layers reconcile findings, outperforming single-model solutions on DAIC-WOZ in accuracy, F1, and PHQ-8 scoring. Finally, a cohesive framework unifies these tools, enabling adaptive survey insights to flow directly into specialized mental health detection models.

A Case-Driven Multi-Agent Framework for E-Commerce Search Relevance

Relevance is a foundation of user experience in e-commerce search. We view relevance optimization as a closed-loop ecosystem involving multiple human roles: users who provide feedback, product managers who define standards, annotators who label data, algorithm engineers who optimize models, and evaluators who assess performance. Because improving relevance in practice means systematically resolving user-perceived bad cases, we ask a system-level question: can this ecosystem be reimagined by replacing its human roles with autonomous agents? To answer this question, we propose a case-driven multi-agent framework that automates the pipeline from bad-case identification to resolution. The framework instantiates an Annotator Agent for multi-turn annotation, an Optimizer Agent for autonomous bad-case analysis and resolution, and a User Agent that identifies bad cases through conversational interaction, together forming an autonomous and continually evolving system. To make the framework practical in production, we further adopt a harness-engineering paradigm and build a unified retrieval-and-ranking relevance model for efficient training, an instruction-following relevance model for real-time case resolution, Global Memory to reduce information asymmetry across agents, a Deep Search Agent to target underestimation failures, and an agent-based chatbot for human--agent collaboration. Extensive human evaluation shows that the framework performs relevance-related tasks effectively, improves annotation accuracy, and enables more timely and generalizable bad-case resolution, indicating a practical paradigm for industrial search relevance optimization.

Priming, Path-dependence, and Plasticity: Understanding the molding of user-LLM interaction and its implications from (many) chat logs in the wild

User interactions with LLMs are shaped by prior experiences and individual exploration, but in-lab studies do not provide system designers with visibility into these in-the-wild factors. This work explores a new approach to studying real-world user-LLM interactions through large-scale chat logs from the wild. Through analysis of 140K chatbot sessions from 7,955 anonymized global users over time, we demonstrate key patterns in user expressions despite varied tasks: (1) LLM users are not tabula rasa, nor are they constantly adapting; rather, interaction patterns form and stabilize rapidly through individual early trajectories; (2) Longitudinal outcomes, such as recurring text patterns and retention rates, are strongly correlated with early exploration; (3) Parallel dynamics are present, including organizing expressions by task types such as emotional support, or in response to model-version updates. These results present an ``agency paradox'': despite LLM input spaces being unconstrained and user-driven, we in fact see less user exploration. We call for design consideration surrounding the molding procedure and its incorporation in future research.

Can AI Help You Get Over Your Breakup? One Session with a Belief-Reframing Chatbot Shows Sustained Distress Reduction

Romantic breakups are among the most common and intense sources of psychological distress. We evaluated *overit*, a single-session AI chatbot that uses cognitive reappraisal to address breakup distress, informed by memory reconsolidation theory. In a pre-registered randomized controlled trial, 254 adults in the United States and United Kingdom who had experienced a romantic breakup were assigned to either an initial survey assessment followed by an AI chat session or to a survey-only control. Breakup distress was measured at baseline, 7 days, and again at an exploratory 1-month follow-up using the Breakup Distress Scale. Participants assigned to *overit* showed a significantly greater reduction in breakup distress than controls at 7 days (time-by-condition interaction B = -5.36, SE = 1.19, p < .001; completer-based d = -0.70). A smaller but still significant treatment advantage remained detectable at the exploratory 1-month follow-up among post-session completers (B = -2.92, SE = 1.22, p = .017). Exploratory post hoc moderation suggested a larger effect among male participants (B = 7.78, p = .003). These results suggest that a brief AI chatbot conversation can meaningfully reduce breakup distress, with exploratory evidence that a smaller advantage persists over the following month. Future work should test the intervention against active controls, evaluate repeated-session use, and recruit more diverse samples.

Synthetic Users, Real Differences: an Evaluation Framework for User Simulation in Multi-Turn Conversations

There is growing interest in exploring user simulation as an alternative to gathering and scoring real user-chatbot interactions for AI chatbot evaluation. For this purpose, it is important to ensure the realism of the simulation, i.e., the extent to which simulated dialogues reflect real dialogues users have with chatbots. Most existing methods evaluating simulation realism produce coarse quality signal and remain solely at the level of individual dialogues. To support more rigorous evaluation in this area, we propose realsim, an evaluation framework that enables practitioners to take a distributional view of real vs. simulated dialogues along 8 dimensions, covering attributes related to the communicative functions of the interaction, user states, and the surface form of user messages. We then instantiate the framework with a curated dataset of 1K multi-turn task-focused real user-chatbot dialogues that cover 16 domains of chatbot applications. Overall, we find that simulated users tend to struggle at capturing communication frictions that real users introduce to interactions, which could make evaluations based on such simulations overly optimistic. We also observe variability in performance across different domains, which may indicate a need for domain-specific user simulators.

The Dynamics of Delusion: Modeling Bidirectional False Belief Amplification in Human-Chatbot Dialogue

There is growing concern that AI chatbots might fuel delusional beliefs in users. Some have suggested that humans and chatbots mutually reinforce false beliefs over time, but quantitative evidence is lacking. Using a unique dataset of chat logs from individuals who exhibited delusional thinking, we developed a latent state model that captures accumulating and decaying influences between humans and chatbots. We find that a bidirectional influence model substantially outperforms a unidirectional alternative where humans are the primary driver of delusion. We find that humans exert strong but short-lived influence on chatbots, whereas chatbots exert longer-lasting influence on humans. Moreover, chatbots exert strong, stable self-influence over their own future outputs that tends to perpetuate delusions over long stretches of conversation. In fact, this chatbot self-influence constituted the dominant pathway when considering accumulated influence over time. Overall, these results indicate that humans tend to drive sharp, immediate increases in delusion, whereas chatbots sustain and propagate these effects over longer timescales. Together, these findings provide the first quantitative evidence that human-chatbot interactions can form feedback loops of delusion, decomposable into distinct pathways with dissociable temporal dynamics. By doing so, they can inform the development of safer AI systems.

One-shot emergency psychiatric triage across 15 frontier AI chatbots

AI chatbots are increasingly used for health advice, but their performance in psychiatric triage remains undercharacterized. Psychiatric triage is particularly challenging because urgency must often be inferred from thoughts, behavior, and context rather than from objective findings. We evaluated the performance of 15 frontier AI chatbots on psychiatric triage from realistic single-message disclosures using 112 clinical vignettes, each paired with 1 of 4 original benchmark triage labels: A, routine; B, assessment within 1 week; C, assessment within 24 to 48 hours; and D, emergency care now. Vignettes covered 9 psychiatric presentation clusters and 9 focal risk dimensions, organized into 28 presentation-by-risk groups. Each group contributed 4 distinct vignettes, with 1 vignette at each triage level. Each vignette was rendered as a realistic human-authored conversational query, and the AI chatbots were tasked with assigning a triage label from that disclosure. Emergency under-triage occurred in 23 of 410 level D trials (5.6%), and all under-triaged emergencies were reassigned to level C urgency. Across target models, average accuracy ranged from 42.0% to 71.8%. Accuracy was highest for level D vignettes (94.3%) and lowest for level B vignettes (19.7%). Mean signed ordinal error was positive (+0.47 triage levels), indicating net over-triage. Dispersion was highest around the middle triage levels. All results were confirmed relative to clinician consensus labels from 50 medical doctors. When presented with user messages containing sufficient clinical information, frontier AI chatbots thus recognized psychiatric emergencies as requiring urgent medical assessment with near-zero error rates, yet showed marked over-triage for low and intermediate risk presentations.

From Chatbots to Confidants: A Cross-Cultural Study of LLM Adoption for Emotional Support

Large Language Models (LLMs) are increasingly used not only for instrumental tasks, but as always-available and non-judgmental confidants for emotional support. Yet what drives adoption and how users perceive emotional support interactions across countries remains unknown. To address this gap, we present the first large-scale cross-cultural study of LLM use for emotional support, surveying 4,641 participants across seven countries (USA, UK, Germany, France, Spain, Italy, and The Netherlands). Our results show that adoption rates vary dramatically across countries (from 20% to 59%). Using mixed models that separate cultural effects from demographic composition, we find that: Being aged 25-44, religious, married, and of higher socioeconomic status are predictors of positive perceptions (trust, usage, perceived benefits), with socioeconomic status being the strongest. English-speaking countries consistently show more positive perceptions than Continental European countries. We further collect a corpus of 731 real multilingual prompts from user interactions, showing that users mainly seek help for loneliness, stress, relationship conflicts, and mental health struggles. Our findings reveal that LLM emotional support use is shaped by a complex sociotechnical landscape and call for a broader research agenda examining how these systems can be developed, deployed, and governed to ensure safe and informed access.

DiscreteRTC: Discrete Diffusion Policies are Natural Asynchronous Executors

Unlike chatbots, physical AI must act while the world keeps evolving. Therefore, the inter-chunk pause of synchronous executors are fatal for dynamic tasks regardless of how fast the inference is. Asynchronous execution -- thinking while acting -- is therefore a structural requirement, and real-time chunking (RTC) makes it viable by recasting chunk transitions as inpainting: freezing committed actions and consistently generating the remainder. However, RTC with flow-matching policy is structurally suboptimal: its inpainting comes from inference-time corrections rather than the base policy, yielding little pre-training benefit, specific fine-tuning, heuristic guidance, and extra computation that inflates the latency. In this work, we observe that discrete diffusion policies, which generate actions by iteratively unmasking, are natural asynchronous executors that resolve all limitations at once: they are fine-tuning free since inpainting is their native operation, while early stopping further provides adaptive guidance and reduces inference cost. We propose DiscreteRTC, which replaces external corrections with native unmasking, and show on dynamic simulated benchmarks and real-world dynamic manipulation tasks that it achieves higher success rates than continuous RTC and other baselines. In summary, DiscreteRTC is simpler to implement with 0 lines of code for async inpainting, faster at inference with only 0.7x computation compared with generating actions from scratch, and better at execution with 50% higher success rate in real-world dynamic pick task compared with flow-matching-based RTC. More visualizations are on https://outsider86.github.io/DiscreteRTCSite/.

The Limits of Artificial Companionship

This Article argues that conversations with companion chatbot should be subject to a clear structural distinction between commercial and non-commercial contexts. The insertion of undisclosed promotional content into affective or relational exchanges should be prohibited, as it collapses the boundary between market transaction and communicative intimacy in ways that erode user autonomy and conversational context. The Article begins by theorizing digital companionship as a sociotechnical form that reconfigures intimacy, dependence and relational vulnerability. It then introduces the potential economic harms derived from conversational advertising. The Article ultimately argues for a firm legal and social distinction between commercial and non-commercial conversational contexts as a precondition for the responsible stabilization of these technologies within social life.