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Wenhu Chen et al

7 Pith papers cite this work. Polarity classification is still indexing.

7 Pith papers citing it
abstract

Large language models (LLMs) are increasingly deployed in medical contexts, raising critical concerns about safety, alignment, and susceptibility to adversarial manipulation. While prior benchmarks assess model refusal capabilities for harmful prompts, they often lack clinical specificity, graded harmfulness levels, and coverage of jailbreak-style attacks. We introduce CARES (Clinical Adversarial Robustness and Evaluation of Safety), a benchmark for evaluating LLM safety in healthcare. CARES includes over 18,000 prompts spanning eight medical safety principles, four harm levels, and four prompting styles: direct, indirect, obfuscated, and role-play, to simulate both malicious and benign use cases. We propose a three-way response evaluation protocol (Accept, Caution, Refuse) and a fine-grained Safety Score metric to assess model behavior. Our analysis reveals that many state-of-the-art LLMs remain vulnerable to jailbreaks that subtly rephrase harmful prompts, while also over-refusing safe but atypically phrased queries. Finally, we propose a mitigation strategy using a lightweight classifier to detect jailbreak attempts and steer models toward safer behavior via reminder-based conditioning. CARES provides a rigorous framework for testing and improving medical LLM safety under adversarial and ambiguous conditions.

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cs.AI 4 cs.CL 3

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2026 6 2025 1

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representative citing papers

DataDignity: Training Data Attribution for Large Language Models

cs.AI · 2026-05-07 · unverdicted · novelty 7.0

ScoringModel raises mean Recall@10 to 52.2 on the FakeWiki provenance benchmark from 35.0 for the best baseline, winning 41 of 45 model-by-condition comparisons and gaining 15.7 points on jailbreak-style queries.

Understanding Annotator Safety Policy with Interpretability

cs.AI · 2026-05-06 · unverdicted · novelty 6.0

Annotator Policy Models learn safety policies from labeling behavior alone, accurately predicting responses and revealing sources of disagreement like policy ambiguity and value pluralism.

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