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Beyond the Flag: Clinical Framing Closes the Moderation Gap in Suicide Risk Measurement

arXiv · AI, language, vision and robotics · article · Sep 5, 2026 · UTC

Moderation APIs are built to flag policy-violating content, not to measure graded clinical risk. But a platform's duty does not end at detection: the response owed to passive distress differs sharply from the response owed to active planning with means access, and emerging regulation (e.g., California Senate Bill 243) is turning that distinction into a compliance requirement. We therefore ask how well deployed safety signals recover clinically meaningful severity. We release a benchmark of 516 r/SuicideWatch posts rated by a licensed psychiatrist on a four-level ordinal schema (Indicator, Idea

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