用AI模拟患者对话,自动评估心理健康聊天机器人安全风险。
VERA-MH Concept Paper
- 构建双AI代理:用户代理扮演不同风险等级患者,裁判代理按临床标准打分。
- 初步测试显示GPT-5、Claude Opus和Sonnet在自杀风险识别上表现各异。
- 适合研究者与临床专家参与,推动AI心理健康应用的可信评估体系建立。
我们提出VERA-MH(心理健康中伦理与负责任AI的验证),一种针对心理健康场景中AI聊天机器人的自动化安全性评估方法,初期聚焦自杀风险。临床医生与学术专家基于最佳实践制定评估框架。为实现完全自动化,采用两个辅助AI代理:用户代理模拟不同风险水平的患者与待测聊天机器人对话;裁判代理依据框架对对话进行评分。最终通过聚合各对话评分得出对聊天机器人的综合评估。VERA-MH正处于持续开发与临床验证阶段,确保用户代理真实模拟患者行为、裁判代理准确评分。目前使用初始版本的VERA-MH框架对GPT-5、Claude Opus和Claude Sonnet进行了初步评估,并用于指导设计迭代。下一步将推进更严格的临床验证与可操作评分优化。我们正向社区征集关于技术与临床方面的反馈。
原文摘要 · Abstract (English)
We introduce VERA-MH (Validation of Ethical and Responsible AI in Mental Health), an automated evaluation of the safety of AI chatbots used in mental health contexts, with an initial focus on suicide risk. Practicing clinicians and academic experts developed a rubric informed by best practices for suicide risk management for the evaluation. To fully automate the process, we used two ancillary AI agents. A user-agent model simulates users engaging in a mental health-based conversation with the chatbot under evaluation. The user-agent role-plays specific personas with pre-defined risk levels and other features. Simulated conversations are then passed to a judge-agent who scores them based on the rubric. The final evaluation of the chatbot being tested is obtained by aggregating the scoring of each conversation. VERA-MH is actively under development and undergoing rigorous validation by mental health clinicians to ensure user-agents realistically act as patients and that the judge-agent accurately scores the AI chatbot. To date we have conducted preliminary evaluation of GPT-5, Claude Opus and Claude Sonnet using initial versions of the VERA-MH rubric and used the findings for further design development. Next steps will include more robust clinical validation and iteration, as well as refining actionable scoring. We are seeking feedback from the community on both the technical and clinical aspects of our evaluation.
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