CompAIssionate Other: Identity Assumptions in LLM Responses to Distress

Drishti Goel, Ethan M. Nguyen, Violeta J. Rodriguez, Koustuv Saha

Individuals experiencing suicidal ideation (SI) or psychological distress may disclose their social identities when seeking support from LLMs. Attending to identity-related stressors can be important for providing contextually appropriate and empathetic support. However, disclosing an identity does not necessarily mean that it is a cause of distress. In this work, we audit how LLMs interpret distress through disclosed identities. Using paired counterfactual interventions, we evaluate six LLMs across two SI and distress datasets, 16 identity and control conditions, and two prompting protocols. Our findings suggest that models can transform identity disclosures into explanatory narratives, attributing distress to presumed identity-related adversity. These assumptions frequently appear within otherwise empathetic responses, particularly when marginalized identities are disclosed. We contextualize our findings through the lens of compassionate othering to characterize these patterns as a form of harm in which empathetic responses impose identity-linked assumptions on individual suffering. These responses can misrepresent individuals' experiences by treating their identities as…