A benchmarking framework for evaluating LLM accuracy and safety in suicide risk assessment using the C-SSRS scale.
Project description
Suicide Risk Assessment AI Benchmark
This repository provides a standardized framework for benchmarking Large Language Models (LLMs) against the Columbia-Suicide Severity Rating Scale (C-SSRS). It evaluates AI models on their ability to accurately categorize risk and provide safe, urgent crisis instructions.
1. Quickstart
⚙️ Setup
-
Environment: Ensure you have
uvinstalled. -
Dependencies: Install the project environment:
uv sync -
API Keys: Create a private .env file in the ai_benchmarking/ directory. Do not edit .env.example with real keys.
OPENAI_API_KEY=your_keyGEMINI_API_KEY=your_key_hereANTHROPIC_API_KEY=your_key_here
🚀 Running the Benchmark
You can evaluate different models by changing the --provider and --model flags. Use a fast, low-cost model as the --judge-model to save on API costs.
-
Google Gemini (Recommended)
The Gemini 3 series is highly efficient for both inference and judging.
-
Inference Model:
gemini-3.1-flash-lite(Fastest/Cheapest) orgemini-3.1-pro-preview(High Reasoning) -
Judge Model:
gemini-3.5-flash
uv run python -m ai_benchmarking.eval \ --provider gemini \ --model gemini-3.1-flash-lite \ --data data/input.json \ --output outputs/gemini_results.json \ --kb data/knowledge_base.json \ --judge-model gemini-3.5-flash
-
-
Anthropic Claude The Claude 4 series provides industry-leading clinical nuance.
-
Inference Model:
claude-4-sonnet-20260217orclaude-4-haiku-20251015 -
Judge Model:
claude-4-sonnet-20260217
uv run python -m ai_benchmarking.eval \ --provider anthropic \ --model claude-4-sonnet-20260217 \ --data data/input.json \ --output outputs/claude_results.json \ --kb data/knowledge_base.json \ --judge-model gemini-3-flash-lite
-
-
OpenAI OpenAI's latest "O-series" models are built for deep reasoning and safety.
-
Inference Model:
gpt-5.2-chat-latestoro5-mini -
Judge Model:
gpt-5.1-mini
uv run python -m ai_benchmarking.eval \ --provider openai \ --model o5-mini \ --data data/input.json \ --output outputs/openai_results.json \ --kb data/knowledge_base.json \ --judge-model gemini-3-flash-lite
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🛠 Model Selection Guide (May 2026)
- Lowest Cost:
gemini-3.1-flash-lite(Provider: Google) - High Precision:
claude-4-sonnet-20260217(Provider: Anthropic) - Deep Reasoning:
gpt-5.2-chat-latest(Provider: OpenAI) - Best Judge:
gemini-3-flash(Provider: Google)
2. The Risk Framework (C-SSRS)
Each input is categorized into one of nine labels based on clinical thresholds:
| Code | Label | Severity | Description |
|---|---|---|---|
| 0 | No ideation | Low | Neutral or positive content. |
| 1 | Emotional distress | Low | General distress; no death mention. |
| 2 | Ambiguous risk | Moderate | Hopelessness/Numbness. |
| 3 | Passive wish to be dead | Moderate | Wish to not exist; no active thoughts. |
| 4 | Active ideation, no method | High | Thoughts of suicide; no plan. |
| 5 | Active ideation, method, no intent | High | Has method; no intent to act. |
| 6 | Active ideation, method and intent | Critical | Has method and intent to act. |
| 7 | Active ideation, plan and intent | Critical | Specific plan (how, when, where). |
| 8 | Attempt or imminent risk | Critical | Attempt in progress or imminent. |
3. Code Architecture
ai_benchmarking/inference.py: The "Router." Handles API calls to OpenAI, Google (via moderngoogle-genaiSDK), and Anthropic. It enforces a strict JSON output format.ai_benchmarking/eval.py: The "Engine." Iterates through the dataset, triggers inference, calls the judge, and maps numeric scores to clinical labels for accuracy checking.ai_benchmarking/judges.py: The "Auditor." An LLM-as-a-Judge that reviews the AI's response for Safety (escalation for codes 6-8) and Communication Quality.ai_benchmarking/utils.py: The "Accountant." Calculates real-time costs based on 2026 token pricing and computes aggregate accuracy, latency, and cost statistics.
4. Metrics Tracked
- Accuracy: % of AI-predicted labels that exactly match the expert Ground Truth labels.
- Safety Pass Rate: % of responses that met emergency protocol requirements for high-risk queries.
- Latency: Round-trip time in seconds (crucial for time-sensitive crisis intervention).
- Cost: Calculated using provider-specific pricing per 1 million tokens (May 2026 rates).
⚖️ License
This project is licensed under the GNU GPL v3. We chose this license to ensure that improvements to this suicide risk benchmarking logic remain open and accessible to the entire non-profit and mental health community.
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