EMNLP study: LLM safety interventions drop up to 4.5x when distress is wrapped in delusion

MaartenSap · x · 2026-10-20

An EMNLP 2026 oral study finds LLMs usually correctly recognize user distress when asked directly, but when the same distress is wrapped in delusion, some models stop acting on it — safety interventions drop up to 4.5x. The authors call this a "recognition-intervention gap", exposing a systematic blind spot in mental-health safety scenarios. CW: self-harm/suicide.

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