Food Noise & False Safety: A Systematic Evaluation of How LLMs Fail to Adapt to Eating Disorder Queries with Clinician Feedback

Fuente: arXiv
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Main Authors: Pucci, Giulia, Hemendinger, Emily, Li, Ruizhe, Abercrombie, Gavin, Dinkar, Tanvi, Sinclair, Arabella
Format: Preprint
Published: 2026
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author Pucci, Giulia
Hemendinger, Emily
Li, Ruizhe
Abercrombie, Gavin
Dinkar, Tanvi
Sinclair, Arabella
author_facet Pucci, Giulia
Hemendinger, Emily
Li, Ruizhe
Abercrombie, Gavin
Dinkar, Tanvi
Sinclair, Arabella
contents Recent evidence shows that people with eating disorders (EDs) are increasingly seeking guidance, advice, and emotional support from Large Language Model (LLM)-based chat systems. Although these systems are not designed to provide clinical advice, their perceived expertise, neutrality and accessibility make them a frequent, albeit risky, source of support. This paper investigates potential patterns of interaction between users with EDs and LLMs, focusing on the potential harms arising from models that uncritically adapt to, and facilitate unsafe or self-harming user requests. We find, in consultation with clinical ED experts, that specific linguistic cues in prompts increase the likelihood of unsafe responses and, through systematically varying the degree of potential risk present in the user prompt, report the extent to which LLMs uncritically adapt to problematic, and potentially dangerous user inputs.
format Preprint
id arxiv_https___arxiv_org_abs_2606_02444
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Food Noise & False Safety: A Systematic Evaluation of How LLMs Fail to Adapt to Eating Disorder Queries with Clinician Feedback
Pucci, Giulia
Hemendinger, Emily
Li, Ruizhe
Abercrombie, Gavin
Dinkar, Tanvi
Sinclair, Arabella
Artificial Intelligence
Computation and Language
Recent evidence shows that people with eating disorders (EDs) are increasingly seeking guidance, advice, and emotional support from Large Language Model (LLM)-based chat systems. Although these systems are not designed to provide clinical advice, their perceived expertise, neutrality and accessibility make them a frequent, albeit risky, source of support. This paper investigates potential patterns of interaction between users with EDs and LLMs, focusing on the potential harms arising from models that uncritically adapt to, and facilitate unsafe or self-harming user requests. We find, in consultation with clinical ED experts, that specific linguistic cues in prompts increase the likelihood of unsafe responses and, through systematically varying the degree of potential risk present in the user prompt, report the extent to which LLMs uncritically adapt to problematic, and potentially dangerous user inputs.
title Food Noise & False Safety: A Systematic Evaluation of How LLMs Fail to Adapt to Eating Disorder Queries with Clinician Feedback
topic Artificial Intelligence
Computation and Language
url https://arxiv.org/abs/2606.02444