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SubscribeMediQ: Question-Asking LLMs and a Benchmark for Reliable Interactive Clinical Reasoning
Users typically engage with LLMs interactively, yet most existing benchmarks evaluate them in a static, single-turn format, posing reliability concerns in interactive scenarios. We identify a key obstacle towards reliability: LLMs are trained to answer any question, even with incomplete context or insufficient knowledge. In this paper, we propose to change the static paradigm to an interactive one, develop systems that proactively ask questions to gather more information and respond reliably, and introduce an benchmark - MediQ - to evaluate question-asking ability in LLMs. MediQ simulates clinical interactions consisting of a Patient System and an adaptive Expert System; with potentially incomplete initial information, the Expert refrains from making diagnostic decisions when unconfident, and instead elicits missing details via follow-up questions. We provide a pipeline to convert single-turn medical benchmarks into an interactive format. Our results show that directly prompting state-of-the-art LLMs to ask questions degrades performance, indicating that adapting LLMs to proactive information-seeking settings is nontrivial. We experiment with abstention strategies to better estimate model confidence and decide when to ask questions, improving diagnostic accuracy by 22.3%; however, performance still lags compared to an (unrealistic in practice) upper bound with complete information upfront. Further analyses show improved interactive performance with filtering irrelevant contexts and reformatting conversations. Overall, we introduce a novel problem towards LLM reliability, an interactive MediQ benchmark and a novel question-asking system, and highlight directions to extend LLMs' information-seeking abilities in critical domains.
Do LLMs Know When to NOT Answer? Investigating Abstention Abilities of Large Language Models
Abstention Ability (AA) is a critical aspect of Large Language Model (LLM) reliability, referring to an LLM's capability to withhold responses when uncertain or lacking a definitive answer, without compromising performance. Although previous studies have attempted to improve AA, they lack a standardised evaluation method and remain unsuitable for black-box models where token prediction probabilities are inaccessible. This makes comparative analysis challenging, especially for state-of-the-art closed-source commercial LLMs. This paper bridges this gap by introducing a black-box evaluation approach and a new dataset, Abstain-QA, crafted to rigorously assess AA across varied question types (answerable and unanswerable), domains (well-represented and under-represented), and task types (fact centric and reasoning). We also propose a new confusion matrix, the ''Answerable-Unanswerable Confusion Matrix'' (AUCM) which serves as the basis for evaluating AA, by offering a structured and precise approach for assessment. Finally, we explore the impact of three prompting strategies-Strict Prompting, Verbal Confidence Thresholding, and Chain-of-Thought (CoT)-on improving AA. Our results indicate that even powerful models like GPT-4, Mixtral 8x22b encounter difficulties with abstention; however, strategic approaches such as Strict prompting and CoT can enhance this capability.
Synchronous Faithfulness Monitoring for Trustworthy Retrieval-Augmented Generation
Retrieval-augmented language models (RALMs) have shown strong performance and wide applicability in knowledge-intensive tasks. However, there are significant trustworthiness concerns as RALMs are prone to generating unfaithful outputs, including baseless information or contradictions with the retrieved context. This paper proposes SynCheck, a lightweight monitor that leverages fine-grained decoding dynamics including sequence likelihood, uncertainty quantification, context influence, and semantic alignment to synchronously detect unfaithful sentences. By integrating efficiently measurable and complementary signals, SynCheck enables accurate and immediate feedback and intervention, achieving 0.85 AUROC in detecting faithfulness errors across six long-form retrieval-augmented generation tasks, improving prior best method by 4%. Leveraging SynCheck, we further introduce FOD, a faithfulness-oriented decoding algorithm guided by beam search for long-form retrieval-augmented generation. Empirical results demonstrate that FOD outperforms traditional strategies such as abstention, reranking, or contrastive decoding significantly in terms of faithfulness, achieving over 10% improvement across six datasets.
The Art of Refusal: A Survey of Abstention in Large Language Models
Abstention, the refusal of large language models (LLMs) to provide an answer, is increasingly recognized for its potential to mitigate hallucinations and enhance safety in building LLM systems. In this survey, we introduce a framework to examine abstention behavior from three perspectives: the query, the model, and human values. We review the literature on abstention methods (categorized based on the development stages of LLMs), benchmarks, and evaluation metrics, and discuss the merits and limitations of prior work. We further identify and motivate areas for future research, such as encouraging the study of abstention as a meta-capability across tasks and customizing abstention abilities based on context. In doing so, we aim to broaden the scope and impact of abstention methodologies in AI systems.
Fair Classifiers that Abstain without Harm
In critical applications, it is vital for classifiers to defer decision-making to humans. We propose a post-hoc method that makes existing classifiers selectively abstain from predicting certain samples. Our abstaining classifier is incentivized to maintain the original accuracy for each sub-population (i.e. no harm) while achieving a set of group fairness definitions to a user specified degree. To this end, we design an Integer Programming (IP) procedure that assigns abstention decisions for each training sample to satisfy a set of constraints. To generalize the abstaining decisions to test samples, we then train a surrogate model to learn the abstaining decisions based on the IP solutions in an end-to-end manner. We analyze the feasibility of the IP procedure to determine the possible abstention rate for different levels of unfairness tolerance and accuracy constraint for achieving no harm. To the best of our knowledge, this work is the first to identify the theoretical relationships between the constraint parameters and the required abstention rate. Our theoretical results are important since a high abstention rate is often infeasible in practice due to a lack of human resources. Our framework outperforms existing methods in terms of fairness disparity without sacrificing accuracy at similar abstention rates.
An Embarrassingly Simple Defense Against LLM Abliteration Attacks
Large language models (LLMs) are typically aligned to comply with safety guidelines by refusing harmful instructions. A recent attack, termed abliteration, isolates and suppresses the single latent direction most responsible for refusal behavior, enabling the model to generate unethical content. We propose a defense that modifies how models generate refusals. We construct an extended-refusal dataset that contains harmful prompts with a full response that justifies the reason for refusal. We then fine-tune Llama-2-7B-Chat and Qwen2.5-Instruct (1.5B and 3B parameters) on our extended-refusal dataset, and evaluate the resulting systems on a set of harmful prompts. In our experiments, extended-refusal models maintain high refusal rates, dropping at most by 10%, whereas baseline models' refusal rates drop by 70-80% after abliteration. A broad evaluation of safety and utility shows that extended-refusal fine-tuning neutralizes the abliteration attack while preserving general performance.
Plugin estimators for selective classification with out-of-distribution detection
Real-world classifiers can benefit from the option of abstaining from predicting on samples where they have low confidence. Such abstention is particularly useful on samples which are close to the learned decision boundary, or which are outliers with respect to the training sample. These settings have been the subject of extensive but disjoint study in the selective classification (SC) and out-of-distribution (OOD) detection literature. Recent work on selective classification with OOD detection (SCOD) has argued for the unified study of these problems; however, the formal underpinnings of this problem are still nascent, and existing techniques are heuristic in nature. In this paper, we propose new plugin estimators for SCOD that are theoretically grounded, effective, and generalise existing approaches from the SC and OOD detection literature. In the course of our analysis, we formally explicate how na\"{i}ve use of existing SC and OOD detection baselines may be inadequate for SCOD. We empirically demonstrate that our approaches yields competitive SC and OOD detection performance compared to baselines from both literatures.
Certifiers Make Neural Networks Vulnerable to Availability Attacks
To achieve reliable, robust, and safe AI systems, it is vital to implement fallback strategies when AI predictions cannot be trusted. Certifiers for neural networks are a reliable way to check the robustness of these predictions. They guarantee for some predictions that a certain class of manipulations or attacks could not have changed the outcome. For the remaining predictions without guarantees, the method abstains from making a prediction, and a fallback strategy needs to be invoked, which typically incurs additional costs, can require a human operator, or even fail to provide any prediction. While this is a key concept towards safe and secure AI, we show for the first time that this approach comes with its own security risks, as such fallback strategies can be deliberately triggered by an adversary. In addition to naturally occurring abstains for some inputs and perturbations, the adversary can use training-time attacks to deliberately trigger the fallback with high probability. This transfers the main system load onto the fallback, reducing the overall system's integrity and/or availability. We design two novel availability attacks, which show the practical relevance of these threats. For example, adding 1% poisoned data during training is sufficient to trigger the fallback and hence make the model unavailable for up to 100% of all inputs by inserting the trigger. Our extensive experiments across multiple datasets, model architectures, and certifiers demonstrate the broad applicability of these attacks. An initial investigation into potential defenses shows that current approaches are insufficient to mitigate the issue, highlighting the need for new, specific solutions.
Attention Strategies for Multi-Source Sequence-to-Sequence Learning
Modeling attention in neural multi-source sequence-to-sequence learning remains a relatively unexplored area, despite its usefulness in tasks that incorporate multiple source languages or modalities. We propose two novel approaches to combine the outputs of attention mechanisms over each source sequence, flat and hierarchical. We compare the proposed methods with existing techniques and present results of systematic evaluation of those methods on the WMT16 Multimodal Translation and Automatic Post-editing tasks. We show that the proposed methods achieve competitive results on both tasks.
Is Your Automated Software Engineer Trustworthy?
Large Language Models (LLMs) are being increasingly used in software engineering tasks, with an increased focus on bug report resolution over the past year. However, most proposed systems fail to properly handle uncertain or incorrect inputs and outputs. Existing LLM-based tools and coding agents respond to every issue and generate a patch for every case, even when the input is vague or their own output is incorrect. There are no mechanisms in place to abstain when confidence is low. This leads to unreliable behaviour, such as hallucinated code changes or responses based on vague issue reports. We introduce BouncerBench, a benchmark that evaluates whether LLM-based software agents can refuse to act when inputs are ill-defined or refuse to respond when their own outputs are likely to be incorrect. Unlike prior benchmarks that implicitly incentivize models to generate responses even when uncertain, BouncerBench aims to improve precision by targeting two overlooked failure points: (1) vague or underspecified issue descriptions in tickets and (2) logically or functionally incorrect code patches created by the system. It measures whether proposed systems can distinguish actionable issues from vague tickets and valid patches from untrustworthy ones. We also implement a basic input and output bouncer, evaluating how well current LLMs can abstain when needed. Our results show that most models fail to abstain from underspecified inputs or incorrect outputs. Hence, we conclude that there is significant room for improvement before LLMs can be trusted to make correct decisions and recommendations in real-world software engineering workflows. BouncerBench provides a first step toward evaluating and building more cautious, trustworthy code agents. The replication package, dataset, and leaderboard can be found at bouncerbench.com
Learning Conformal Abstention Policies for Adaptive Risk Management in Large Language and Vision-Language Models
Large Language and Vision-Language Models (LLMs/VLMs) are increasingly used in safety-critical applications, yet their opaque decision-making complicates risk assessment and reliability. Uncertainty quantification (UQ) helps assess prediction confidence and enables abstention when uncertainty is high. Conformal prediction (CP), a leading UQ method, provides statistical guarantees but relies on static thresholds, which fail to adapt to task complexity and evolving data distributions, leading to suboptimal trade-offs in accuracy, coverage, and informativeness. To address this, we propose learnable conformal abstention, integrating reinforcement learning (RL) with CP to optimize abstention thresholds dynamically. By treating CP thresholds as adaptive actions, our approach balances multiple objectives, minimizing prediction set size while maintaining reliable coverage. Extensive evaluations across diverse LLM/VLM benchmarks show our method outperforms Least Ambiguous Classifiers (LAC) and Adaptive Prediction Sets (APS), improving accuracy by up to 3.2%, boosting AUROC for hallucination detection by 22.19%, enhancing uncertainty-guided selective generation (AUARC) by 21.17%, and reducing calibration error by 70%-85%. These improvements hold across multiple models and datasets while consistently meeting the 90% coverage target, establishing our approach as a more effective and flexible solution for reliable decision-making in safety-critical applications. The code is available at: {https://github.com/sinatayebati/vlm-uncertainty}.
