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Koustuv Saha

Publications and source records attributed to Koustuv Saha.

At least 19 recordsLinked to original sources

Prompt PerturbAItions: Mechanisms of LLM Response Inconsistencies

Large language models (LLMs) are increasingly deployed in conversational settings where user phrasing ranges from polite to casual to toxic, yet less is known about whether such lexical variation in otherwise semantically equivalent prompts can degrade factual reliability. We study how lexical and tone-based prompt perturbations affect the factual reliability of LLMs. Using controlled prompt variations spanning polite, random, and increasingly toxic levels, we evaluate seven LLMs on ARC-Easy, GSM8K, and MMLU. We find that lexical perturbations reduce factual accuracy and increase predictive uncertainty in most models. Interestingly, increasing toxicity results in decreasing accuracy. To examine whether these answer inconsistencies correspond to internal changes, we conduct attribution-graph analyses of model activations and influences. We find that perturbations amplify perturbation-sensitive variant nodes relative to core reasoning nodes. We also observed a monotonic trend with increasing toxicity score and increasing activation and influence in Variant nodes. These findings position prompt wording and tone as a critical dimension of LLM reliability and provide behavioral and mechanistic evidence that surface-level lexical variation can alter factual outputs and internal computation.

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PAIR-SAFE: A Paired-Agent Approach for Runtime Auditing and Refining AI-Mediated Mental Health Support

LLMs are increasingly used for mental health support, yet they can produce responses that are overly directive, inconsistent, or clinically misaligned. Most risk mitigation approaches rely on implicit alignment through training or prompting, offering limited runtime accountability. We introduce PAIR-SAFE, a paired-agent framework that integrates a Responder agent with a Judge agent grounded in the clinically validated Motivational Interviewing Treatment Integrity (MITI-4). The Judge audits each response and issues \allow{} or \revise{} decisions to guide real-time refinement. We evaluate interactions using a support-seeker simulator derived from human-annotated data. The Judge-supervised interactions show significant improvements in key MITI dimensions, including Partnership, Seek Collaboration, and overall Relational quality. Our quantitative findings are corroborated by expert evaluation, highlighting nuances of runtime supervision. Our study reveals that paired-agent auditing can provide clinically grounded, transparent oversight for AI-assisted mental health support.

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X-pressing Intimacy: Mental Health Disclosure After Twitter Acquisition

Social media platforms provide spaces for individuals to disclose mental health experiences and seek support, yet how these disclosures evolve during major shifts in platform governance remains unclear. We examine mental health self-disclosure surrounding Elon Musk's October 2022 acquisition of Twitter, analyzing approximately 824K tweets across anxiety, depression, bipolar disorder (BD), borderline personality disorder (BPD), and suicidal ideation (SI) or related experiences, alongside 266K comparison tweets. Using Linguistic Inquiry and Word Count (LIWC) and an LLM-based intimacy classifier, we characterize changes in psycholinguistic expression and disclosure intimacy. Following the acquisition, we observe declines in affective and social language, alongside increases in first-person singular pronouns and future-focused expressions. Intimacy patterns vary by condition: anxiety, depression, and BPD show increases in low-intimacy and decreases in moderate-intimacy disclosures, whereas suicide-related posts show more high-intimacy disclosures. However, compared with broader Twitter discourse, only the relative decline in moderate- versus low-intimacy disclosure for BPD remains statistically significant. Our findings underscore the importance of considering both language and intimacy when studying platform transitions, informing the design of online environments that support sensitive self-disclosure.

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RubRIX: Rubric-Driven Risk Mitigation in Caregiver-AI Interactions

Caregivers seeking AI-mediated support express complex needs---information-seeking, emotional validation, and distress cues---that warrant careful evaluation of response safety and appropriateness. Existing AI evaluation frameworks, primarily focused on general risks (toxicity, hallucinations, policy violations, etc), may not adequately capture the nuanced risks of LLM-responses in caregiving-contexts. We introduce RubRIX (Rubric-based Risk Index), a theory-driven, clinician-validated framework for evaluating risks in LLM caregiving responses. Grounded in the Elements of an Ethic of Care, RubRIX operationalizes five empirically-derived risk dimensions: Inattention, Bias & Stigma, Information Inaccuracy, Uncritical Affirmation, and Epistemic Arrogance. We evaluate six state-of-the-art LLMs on over 20,000 caregiver queries from Reddit and ALZConnected. Rubric-guided refinement consistently reduced risk-components by 45-98% after one iteration across models. This work contributes a methodological approach for developing domain-sensitive, user-centered evaluation frameworks for high-burden contexts. Our findings highlight the importance of domain-sensitive, interactional risk evaluation for the responsible deployment of LLMs in caregiving support contexts. We release benchmark datasets to enable future research on contextual risk evaluation in AI-mediated support.

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The Labor of Storytelling: How People with Chronic Illnesses Leverage AI and Communities for Narrative Translation

The distinctiveness of people with chronic illness as storytellers is how they experience their illness. Symptoms, pain, and biological disruptions are eloquent forms of speech of the body that beget social articulation. The stories people tell about illness shape how suffering is legitimized, and acted upon. Large language models have emerged as new mediators within this landscape---a role once predominantly supported by communities. In doing so, these systems participate in what we term narrative translation: transforming lived illness experiences for particular audiences and purposes. Through 21 prototype-driven semi-structured interviews with people with chronic illness, we contribute an empirical account of how participants navigate this mediation alongside existing sources of support. Our findings surface distinct yet complementary roles participants envisioned for AI and their communities, and how trust in AI was shaped by learning model-boundaries and perceiving understanding. We characterize these findings to inform future designs of AI-mediated narrative support.

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Secondhand Stress: How Stressful Disclosures Affect Psychosocial Wellbeing in Online Graduate Admissions Communities

Online communities provide spaces for individuals navigating stressful life transitions to disclose difficulties and seek peer support. Yet encountering others' distress may also have psychosocial implications for community members. Drawing on stress crossover theory, we examine how engagement with peer distress during graduate admissions is associated with subsequent psychosocial expression and participation, and whether similar associations extend through downstream interactions. We analyze 171,981 posts and 1,130,413 comments from two Reddit communities across three admissions cycles, using propensity-score stratification and baseline-adjusted comparisons. Users who engaged with distress disclosures during application preparation subsequently exhibited higher classifier-estimated anxiety, depression, and stress expression, alongside greater commenting activity and lexical redundancy. These associations recurred across admissions cycles, while no significant psychosocial associations were detected among downstream respondents interacting with previously exposed users. Our findings highlight how greater distress-related expression can coexist with continued community participation, while distinguishing direct engagement with distress disclosures from subsequent social contact. We discuss implications for designing online communities that preserve opportunities for self-disclosure and peer support while remaining attentive to the experiences of those encountering distress-related content.

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Risk and Refusal: Mechanisms of LLM Responses to Suicidal Ideation

Refusal is a common safety mechanism in large language models (LLMs), yet in contexts of suicidal ideation (SI), refusing to engage can itself constitute a safety failure. We evaluate how eight instruction-tuned LLMs respond to SI and self-harm disclosures across three datasets, varying whether models are informed that a disclosure expresses SI and whether they receive a clinician-developed response protocol, and complement this with mechanistic analyses in six open-weight models. Our results reveal a nuanced relationship between refusal and response-level risk. At baseline, elevated risk in model responses is driven primarily by inattention to the disclosure, alongside refusal to engage. Mechanistic analyses suggest that models may refuse SI disclosures through the same direction that mediates their refusals of harmful requests. However, informing models of the SI context, or suppressing refusal directly, increases engagement without reliably lowering response risk, and may raise it. In contrast, the clinician-guided protocol consistently reduces response-level risk while also reducing refusal. Together, these analyses and ablations motivate the need for models that refuse only when warranted and engage in interactionally safe ways when users disclose SI.

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Beyond Counting Blessings: Tracing the Evolution of Gratitude Practices and Technology Needs

Gratitude technologies support well-being by prompting reflection on what people appreciate. But gratitude does not serve the same purpose in every circumstance: as life situations change, so does what people seek from it, and whether it feels appropriate at all. To understand how technology can adapt to and support such shifts, we conducted retrospective, artifact-elicitation interviews with 17 adults who had practiced gratitude for one to fifteen years. Participants' appraisals of their situations shaped what they needed, yielding six recurring practice patterns, including a boundary where gratitude felt forced. We contribute the Adaptive Gratitude Practice Model, which explains how appraisals shifted even within the same life situation, how participants adapted activities, modalities, and rhythms, lapsed under competing demands or emotional unreadiness, and resumed when gratitude again felt useful. Additionally, we derive design implications for situated support, self-understanding through past records, and relational care with changing life situations.

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Trustworthy FinAInce: Unpacking How AI-Mediated Financial Advice is Judged

As generative AI is increasingly used as a source of personal financial guidance, understanding how people appraise such advice is important for supporting appropriate reliance. We conducted a randomized vignette experiment with 285 U.S. adults across eight financial decisions, independently varying three advice styles---AI, expert, and online community---and displayed source labels while holding the underlying recommendation consistent. Advice style most strongly shaped message and safety appraisals, Expert labels selectively increased perceived source knowledge, and decision context primarily shaped risk and safety appraisals. These appraisals were associated with downstream judgments, with models explaining 69.2% of overall quality, 75.9% of trust, and 82.9% of intended reliance. Expert-style advice also remained most preferred when shown without source labels. Our findings have implications for understanding financial advice evaluation, distinguishing the roles of advice style and source labels, and designing financial AI that supports grounded evaluation rather than simply maximizing trust.

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Can LLMs identify and repair ruptures? Comparison between clinician practices and LLM behaviors

Ruptures represent common albeit critical moments in interaction where relational alignment breaks down, making them essential for evaluating AI where trust and engagement matter most. In a scenario-driven empirical study, we examined the performance of three LLMs at identifying and resolving ruptures across 21 mental health conversations and 22 experts' evaluation of the strategies. For identification, LLMs relied on explicit linguistic cues within single turns whereas experts integrated implicit, relational, and contextual information across the conversation. For resolution, LLMs tended to produce more directive and scripted responses whereas experts adopted process-oriented strategies such as validation, open-ended exploration, and psychoeducation. Overall, LLMs showed higher agreement with predefined labels in identification, but not in resolution where experts rated their responses only moderately effective, with consistent limitations in timing, depth, and contextual sensitivity. We discuss implications for the design of mental health conversational agents emphasizing relational awareness, pacing, and human-in-the-loop support.

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From Web(logs) to Web(AI): Questions, Platforms, and Methods across Twenty Editions of ICWSM

Over twenty editions, the ICWSM community has examined social life online as platforms, interactions, and research methods have changed. What can this body of research tell us at this critical juncture, as AI increasingly reshapes how people communicate online? We analyzed 2,139 indexed contributions from 2007 to 2026, distinguishing topics identified through nonnegative matrix factorization from problem framings captured through explicit textual cues. We find that platform mentions shift from blogs toward Twitter and, more recently, Reddit. Online community research maintains a similar topic share (10.5% to 10.0%), but governance cues within it increase from 4.0% to 34.3%. Harm-related cues also increase after restricting abstracts to a fixed length. Our review also traces advances in sampling, measurement, and causal and experimental methods. We discuss how AI-mediated interactions complicate these questions and provide a reporting checklist to support research across changing platforms.

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Cyber Exodus: Burnout Symptoms, Exit Intention, and Peer Response in Online Cybersecurity Communities

Security practitioners burn out at high rates, and the resulting attrition is itself a security problem. This workforce is hard to study: security operations centers are closed to outside researchers, studies that reach practitioners recruit through employers, and those who have disengaged most may have the least reason to answer an employer's survey. The same practitioners discuss their working conditions openly in online communities. We adapt the Burnout Assessment Tool, a validated clinical instrument, into a text annotation scheme and apply it to 354,861 posts and 296,442 replies from five online communities of cybersecurity practitioners. Checked against two trained coders on 100 posts, the annotation reaches a macro F1 of 0.75 across the four symptoms and 0.98 for detecting any burnout signal. We find that the four symptoms point to different problems at work, not to the same problem at different levels of severity. Exhaustion appears in almost any complaint about staffing or workload. Mental distance, a loss of belief that the work is worthwhile, is the only symptom unrelated to operational problems, and among posts with a single symptom it is accompanied by a stated intention to leave roughly twice as often as any other. Peer responses show the opposite pattern. When a poster says they are considering leaving, the mix of replies shifts toward career advice, but this shift is smallest for mental distance. The symptom most strongly associated with leaving is thus the one peers adjust to least, and a single burnout score obscures both patterns.

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Stereotypically Yours: Portrayal and Perception of Race-Coded AI Companions

AI companions can purportedly adopt racial personas, raising questions about how they represent identity and how users interpret these portrayals. We combined an algorithmic audit of race-coded AI personas with interviews with 12 companion users who interacted with a probe. Our audit revealed systematic differences, such as Asian-coded male personas receiving higher submissiveness scores than White counterparts, and Black, Hispanic, and Indigenous male personas receiving higher aggression scores than their White counterparts in open-weight models. Interviews revealed that participants envisioned AI companions as offering cultural familiarity and outside perspectives, but differed in which portrayals they considered meaningful or stereotypical. Some rejected overt racial signaling while still expecting culturally distinctive responses. Triangulating these findings with theory, we highlight how social norms and cultural expectations complicate efforts to support meaningful racial representation without reproducing stereotypes. We discuss how companion personalization should be evaluated beyond user satisfaction to account for broader representational harms.

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Social Simulacra in the Wild: AI Agent Communities on Moltbook

As autonomous LLM-based agents increasingly populate social platforms, understanding the dynamics of AI-agent communities becomes essential for both communication research and platform governance. We present the first large-scale empirical comparison of AI-agent and human online communities, analyzing 73,899 Moltbook and 189,838 Reddit posts across five matched communities. Structurally, we find that Moltbook exhibits extreme participation inequality (Gini = 0.84 vs. 0.47) and high cross-community author overlap (33.8% vs. 0.5%). In terms of linguistic attributes, content generated by AI-agents is emotionally flattened, cognitively shifted toward assertion over exploration, and socially detached. These differences give rise to apparent community-level homogenization, but we show this is primarily a structural artifact of shared authorship. At the author level, individual agents are more identifiable than human users, driven by outlier stylistic profiles amplified by their extreme posting volume. As AI-mediated communication reshapes online discourse, our work offers an empirical foundation for understanding how multi-agent interaction gives rise to collective communication dynamics distinct from those of human communities.

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Disrupted Companionship: A Risk Assessment Framework and Cross-Platform Quantitative Analysis of Psychosocial Responses to AI Companion Disruptions

AI companions can provide meaningful relationships, yet these relationships remain vulnerable to platform-initiated changes. We study AI companion disruptions: platform changes that alter or terminate users' ongoing companionship with an AI. We compile 30 disruption events across major platforms, develop a taxonomy of six disruption types, identify three broad reasons for disruption, and propose a risk-assessment framework comprising four dimensions: relational discontinuity, population vulnerability, communication deficit, and transition-support deficit. Using longitudinal Reddit data, we estimate community-level psychosocial responses with a hierarchical Bayesian interrupted time-series model incorporating predictive controls. Across events, disruption onset was associated with immediate increases in anxiety, stress, suicidal expression, and grief activation, with relational discontinuity and transition-support deficit being associated with more adverse immediate responses across several outcomes. Our findings provide a cross-platform characterization of AI companion disruptions, quantitative evidence of their psychosocial impacts, and a prospective framework for assessing their potential risks before implementation.

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CareMirror: Bringing Caregiver Wellbeing into the Dementia Care Ecosystem

Family caregivers of people living with dementia shoulder emotional and practical responsibilities, yet their own wellbeing often remains peripheral to dementia care. We built CareMirror, an envisioned caregiver wellbeing ecosystem with interconnected caregiver- and clinician-facing interfaces for longitudinal reflection, personalized support, and caregiver-controlled sharing with clinical care. We conducted semi-structured interviews with 14 caregivers, using CareMirror as a design probe to examine how they perceived this ecosystem and what expectations, concerns, and boundaries emerged around clinical connection. Caregivers valued attention to their wellbeing, longitudinal awareness, context-sensitive support, and clinical visibility when it could lead to meaningful follow-up. However, repeated reflection could become burdensome or emotionally difficult, automatic clinical sharing could inhibit candid disclosure, and participants wanted control over what information entered clinical care. They also expected AI to support reflection and communication without replacing caregiver voice or clinician judgment. We contribute design considerations for proactive, clinically connected caregiver wellbeing support.

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PeerPen: AI-Assisted Writing for Online Mental Health Peer Support

Online mental health communities thrive on peer support, yet those who volunteer to help often lack formal training and may struggle to articulate supportive responses. AI co-writing could lower this barrier; however, peer support derives much of its value from being perceived as personal, raising questions around authorship, ownership, and trust. We built PeerPen, a writing assistance tool embedded within a Reddit-like interface, supporting two main features: draft generation and revision of user-written responses. Through semi-structured interviews with 15 participants, we find that PeerPen reduced the burden of composing responses and increased confidence in offering support. Participants wanted AI to assist their writing without taking over authorship and anticipated tensions around authenticity and trust. Such assistance could make authorship uncertain even for responses written without it, weakening trust across the community. We contribute design implications for AI writing assistance that scaffolds supportive communication, preserves authorship, and accounts for community-level trust.

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First Impressions: How Placement Shapes the Influence of AI Summaries

AI-generated summaries increasingly mediate how people interpret information across platforms, including product reviews on e-commerce sites. Using Amazon's AI summaries as a case study, we conducted a preregistered, randomized experiment (N = 278) comparing how AI summaries and user reviews shaped product perceptions, and how their influence varied with valence and presentation order. We found that both AI summaries and user reviews influenced participants' opinions, with negative summaries having a larger effect than positive ones. Presentation order was the most important factor: the first source anchored judgment and only user reviews could displace an existing anchor. Although participants reported preferring user reviews, they often underestimated the influence of AI summaries on their judgments. Our findings show how the placement of AI summaries shapes user perception and highlight opportunities to design interfaces that support more deliberate judgments about when to rely on summaries and when to examine the underlying content directly.

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