{"id":"https://openalex.org/W7171501554","doi":"https://doi.org/10.48550/arxiv.2607.22692","title":"Risk Governance for Generative AI Mental Health Support: A Multi-Turn Safety Architecture","display_name":"Risk Governance for Generative AI Mental Health Support: A Multi-Turn Safety Architecture","publication_year":2026,"publication_date":"2026-07-17","ids":{"openalex":"https://openalex.org/W7171501554","doi":"https://doi.org/10.48550/arxiv.2607.22692"},"language":null,"primary_location":{"id":"doi:10.48550/arxiv.2607.22692","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2607.22692","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":"2331-8422","issn":["2331-8422"],"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"type":"preprint","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.48550/arxiv.2607.22692","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5137546425","display_name":"Anabela C. Areias","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Areias, Anabela C.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5143835031","display_name":"Catarina Botelho","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Botelho, Catarina","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124909655","display_name":"Ant\u00f3nio Farinhas","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Farinhas, Ant\u00f3nio","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027357018","display_name":"Areti Vassilopoulos","orcid":"https://orcid.org/0000-0003-4051-4260"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vassilopoulos, Areti","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035378587","display_name":"Dora Janela","orcid":"https://orcid.org/0000-0002-8440-2044"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Janela, Dora","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5143797483","display_name":"Xin Tong","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tong, Xin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124882696","display_name":"Nuno M. Guerreiro","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Guerreiro, Nuno M.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124962473","display_name":"Maya D'Eon","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"D'Eon, Maya","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5143754774","display_name":"Fab\u00edola Costa","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Costa, Fab\u00edola","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5039347839","display_name":"Ricardo Rei","orcid":"https://orcid.org/0000-0001-8265-1939"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rei, Ricardo","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12488","display_name":"Mental Health via Writing","score":0.39010000228881836,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12488","display_name":"Mental Health via Writing","score":0.39010000228881836,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.17409999668598175,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.11550000309944153,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mental-health","display_name":"Mental health","score":0.6661999821662903},{"id":"https://openalex.org/keywords/risk-governance","display_name":"Risk governance","score":0.6484000086784363},{"id":"https://openalex.org/keywords/corporate-governance","display_name":"Corporate governance","score":0.5788999795913696},{"id":"https://openalex.org/keywords/conversation","display_name":"Conversation","score":0.5583000183105469},{"id":"https://openalex.org/keywords/safer","display_name":"SAFER","score":0.4968000054359436},{"id":"https://openalex.org/keywords/software-deployment","display_name":"Software deployment","score":0.4440000057220459},{"id":"https://openalex.org/keywords/risk-management","display_name":"Risk management","score":0.42149999737739563},{"id":"https://openalex.org/keywords/risk-assessment","display_name":"Risk assessment","score":0.40459999442100525},{"id":"https://openalex.org/keywords/occupational-safety-and-health","display_name":"Occupational safety and health","score":0.392300009727478}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6661999821662903},{"id":"https://openalex.org/C2778221768","wikidata":"https://www.wikidata.org/wiki/Q8964474","display_name":"Risk governance","level":3,"score":0.6484000086784363},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.5788999795913696},{"id":"https://openalex.org/C2777200299","wikidata":"https://www.wikidata.org/wiki/Q52943","display_name":"Conversation","level":2,"score":0.5583000183105469},{"id":"https://openalex.org/C2776654903","wikidata":"https://www.wikidata.org/wiki/Q2601463","display_name":"SAFER","level":2,"score":0.4968000054359436},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.4593000113964081},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.45879998803138733},{"id":"https://openalex.org/C105339364","wikidata":"https://www.wikidata.org/wiki/Q2297740","display_name":"Software deployment","level":2,"score":0.4440000057220459},{"id":"https://openalex.org/C32896092","wikidata":"https://www.wikidata.org/wiki/Q189447","display_name":"Risk management","level":2,"score":0.42149999737739563},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.40459999442100525},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.392300009727478},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.38690000772476196},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.38580000400543213},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.3847000002861023},{"id":"https://openalex.org/C123657996","wikidata":"https://www.wikidata.org/wiki/Q12271","display_name":"Architecture","level":2,"score":0.36390000581741333},{"id":"https://openalex.org/C199033989","wikidata":"https://www.wikidata.org/wiki/Q1318295","display_name":"Narrative","level":2,"score":0.3555000126361847},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.3465000092983246},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.33869999647140503},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.33009999990463257},{"id":"https://openalex.org/C90734943","wikidata":"https://www.wikidata.org/wiki/Q17008777","display_name":"Conceptualization","level":2,"score":0.32409998774528503},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.31450000405311584},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.31290000677108765},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.31029999256134033},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3073999881744385},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.299699991941452},{"id":"https://openalex.org/C48044578","wikidata":"https://www.wikidata.org/wiki/Q727490","display_name":"Scalability","level":2,"score":0.2897000014781952},{"id":"https://openalex.org/C163355716","wikidata":"https://www.wikidata.org/wiki/Q2154783","display_name":"Risk perception","level":3,"score":0.28040000796318054},{"id":"https://openalex.org/C2777896688","wikidata":"https://www.wikidata.org/wiki/Q3773715","display_name":"Clinical governance","level":3,"score":0.2800999879837036},{"id":"https://openalex.org/C39890363","wikidata":"https://www.wikidata.org/wiki/Q36108","display_name":"Generative grammar","level":2,"score":0.27469998598098755},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.27090001106262207},{"id":"https://openalex.org/C14331377","wikidata":"https://www.wikidata.org/wiki/Q2340208","display_name":"Contingency plan","level":2,"score":0.26840001344680786},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.26600000262260437},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.25839999318122864},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.257999986410141},{"id":"https://openalex.org/C2779585090","wikidata":"https://www.wikidata.org/wiki/Q3457762","display_name":"Resilience (materials science)","level":2,"score":0.2578999996185303},{"id":"https://openalex.org/C2779508988","wikidata":"https://www.wikidata.org/wiki/Q24037396","display_name":"Suicide Risk","level":4,"score":0.251800000667572}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.48550/arxiv.2607.22692","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2607.22692","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":"2331-8422","issn":["2331-8422"],"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"Preprint"}],"best_oa_location":{"id":"doi:10.48550/arxiv.2607.22692","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2607.22692","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":"2331-8422","issn":["2331-8422"],"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Large":[0],"language":[1],"models":[2,30],"(LLMs)":[3],"are":[4],"increasingly":[5],"used":[6,68],"for":[7,54,143],"emotional":[8],"support":[9],"despite":[10],"lacking":[11],"mechanisms":[12],"to":[13,69,130],"safely":[14],"govern":[15],"evolving":[16,135],"mental":[17,56,64,136],"health":[18,57,65,137],"risk.":[19],"Existing":[20],"safety":[21,40,123],"approaches":[22],"primarily":[23],"detect":[24],"risk":[25,34,46,81,128],"but":[26],"rarely":[27],"shape":[28],"how":[29,132],"respond":[31],"as":[32],"conversational":[33],"unfolds.":[35],"We":[36],"developed":[37],"a":[38,140],"model-agnostic":[39],"governance":[41,124],"architecture":[42],"that":[43,121],"combines":[44],"contextual":[45],"detection,":[47],"reasoning-based":[48],"verification,":[49],"and":[50,77,92,102,110,115],"protocol-guided":[51],"response":[52],"generation":[53],"multi-turn":[55],"interactions.":[58],"Synthetic":[59],"conversations":[60],"grounded":[61],"in":[62],"real-world":[63],"narratives":[66],"were":[67],"evaluate":[70],"the":[71],"architecture's":[72],"performance,":[73],"tested":[74],"with":[75],"GPT-5-chat":[76],"Qwen3.5-27B,":[78],"achieving":[79],"high":[80],"detection":[82,129],"performance":[83],"(specificity:":[84],"0.85":[85],"(95\\%CI:":[86,90],"0.78;0.91),":[87],"sensitivity:":[88],"0.92":[89],"0.88;0.95))":[91],"increasing":[93],"clinician-preferred":[94],"escalation":[95],"responses":[96],"by":[97],"25.6--59.2pp":[98],"while":[99],"preserving":[100],"rapport":[101],"connection.":[103],"Performance":[104],"remained":[105],"stable":[106],"across":[107,112,146],"conversation":[108],"length":[109],"generalized":[111],"both":[113],"proprietary":[114],"open-source":[116],"models.":[117,147],"These":[118],"findings":[119],"demonstrate":[120],"clinically-grounded":[122],"can":[125],"extend":[126],"beyond":[127],"improve":[131],"LLMs":[133],"manage":[134],"risk,":[138],"providing":[139],"scalable":[141],"framework":[142],"safer":[144],"deployment":[145]},"counts_by_year":[],"updated_date":"2026-07-29T09:40:50.615796","created_date":"2026-07-29T00:00:00"}
