Evidence map›Paper›PMID 42111317›Full record

ArticleFrontiers in artificial intelligence2026

Designing AI for distress: an iterative case study of a hierarchical agent for psychosocial support.

Vaishnavi Patturajan, Devipreya Ravikumar, Sneghavalli Narayanan, Vallidevi Krishnamurthy, Stephen Santhosh

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Article in Frontiers in artificial intelligence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Vaishnavi PatturajanSchool of Computer Science and Engineering, Vellore Institute of Technology, Chennai, Tamil Nadu, India.
Devipreya RavikumarSchool of Computer Science and Engineering, Vellore Institute of Technology, Chennai, Tamil Nadu, India.
Sneghavalli NarayananSchool of Computer Science and Engineering, Vellore Institute of Technology, Chennai, Tamil Nadu, India.
Vallidevi KrishnamurthySchool of Computer Science and Engineering, Vellore Institute of Technology, Chennai, Tamil Nadu, India.
Stephen SanthoshDelMag Innovations, Chennai, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In recent years, psychosocial issues like bullying and ragging have risen all around the world. Even though there are some victims who report such cases, most of them never do so because of fear, stigma, or mistrust, mainly among students. This scenario highlights the necessity of safe, anonymous, and easily available support system. The promising approach to solving this problem is conversational AI because it allows people to request assistance in a simple and an easy-going way. However, conversational AI systems often lack contextual sensitivity, emotional intelligence, and appropriate support response mechanisms. To address this, there is a need for structured frameworks integrating human-in-the-loop oversight along with preventive and actionable insights to ensure ethical and proportional responses. This paper introduces SocialWellbeing, a socio-technical system which is designed to overcome psychosocial harms in a three-pillar framework. Methods: The initial pillar offers artificial intelligence-based first-line care whereby users can share their issues anonymously and get caring responses. The second pillar facilitates human-guided escalation where more serious cases are passed to trusted advisors or authorities to provide real-life support. The third pillar is devoted to data-driven prevention, where anonymized data are used to identify trends and serve as a guide in the institutional preventive efforts. Results: The AI system was tested in two stages. Phase 1 involved prompt engineering that identified the types of incidents, detected the emotions, and generated supportive responses. Phase 2 improved this strategy with a chain-of-thought strategy, which was A.G.E. (Acknowledge-Guide-Escalate) oriented and explicit guidelines and escalation logic to add reliability and clarity to the strategy. Results of this evaluation show that Phase 2 improved the Gemini 2.5 Flash model's classification accuracy to approximately 88%-89%, compared to 84%-86% in Phase 1, with empathy scores increasing from 4.2-4.3 to 4.4-4.8 on a five-point scale. The level of empathy also went up on a five-point scale to 4.4-4.8 as compared to 4.2-4.3. Discussion: The findings indicate that a structured, hierarchical approach improves the reliability and safety of psychosocial AI systems. The Acknowledge-Guide-Escalate (A.G.E.) framework enables consistent emotional recognition and contextually relevant guidance. The inclusion of human-in-the-loop oversight and preventive, actionable insights strengthens ethical alignment and response quality.

Indexed as

AI-based guidanceconfidentialityemotional supportescalationGemini APIlarge language modelmental health chatbotpsychosocial assistance

Identifiers

PMID42111317
PMCPMC13154040

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.