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Exploring the Secondary Risks of Large Language Models

arXiv:2506.12382v4 Announce Type: replace-cross Abstract: Ensuring the safety and alignment of Large Language Models is a significant challenge with their growing integration into critical applications and societal functions. While prior research has primarily focused on jailbreak attacks, less attention has been given to non-adversarial failures that subtly emerge during benign interactions. We introduce secondary risks a novel class of failure modes marked by harmful or misleading behaviors during benign prompts. Unlike adversarial attacks, these risks stem from imperfect generalization and often evade standard safety mechanisms. To enable systematic evaluation, we introduce two risk primitives verbose response and speculative advice that capture the core failure patterns. Building on these definitions, we propose SecLens, a black-box, multi-objective search framework that efficiently elicits secondary risk behaviors by optimizing task relevance, risk activation, and linguistic plausibility. To support reproducible evaluation, we release SecRiskBench, a benchmark dataset of 650 prompts covering eight diverse real-world risk categories. Experimental results from extensive evaluations on 16 popular models demonstrate that secondary risks are widespread, transferable across models, and modality independent, emphasizing the urgent need for enhanced safety mechanisms to address benign yet harmful LLM behaviors in real-world deployments.

EHRStruct: A Comprehensive Benchmark Framework for Evaluating Large Language Models on Structured Electronic Health Record Tasks

arXiv:2511.08206v3 Announce Type: replace Abstract: Structured Electronic Health Record (EHR) data stores patient information in relational tables and plays a central role in clinical decision-making. Recent advances have explored the use of large language models (LLMs) to process such data, showing promise across various clinical tasks. However, the absence of standardized evaluation frameworks and clearly defined tasks makes it difficult to systematically assess and compare LLM performance on structured EHR data. To address these evaluation challenges, we introduce EHRStruct, a benchmark specifically designed to evaluate LLMs on structured EHR tasks. EHRStruct defines 11 representative tasks spanning diverse clinical needs and includes 2,200 task-specific evaluation samples derived from two widely used EHR datasets. We use EHRStruct to evaluate 20 advanced and representative LLMs, covering both general and medical models. We further analyze key factors influencing model performance, including input formats, few-shot generalisation, and finetuning strategies, and compare results with 11 state-of-the-art LLM-based enhancement methods for structured data reasoning. Our results indicate that many structured EHR tasks place high demands on the understanding and reasoning capabilities of LLMs. In response, we propose EHRMaster, a code-augmented method that achieves state-of-the-art performance and offers practical insights to guide future research.
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