When silence is safer: a review and decision-theoretic framework for LLM abstention in healthcare

Large language models (LLMs) are designed to generate answers to user prompts, which often drives them to respond even when uncertainty is high, information is incomplete, or a refusal would be more appropriate. In healthcare, this tendency can be dangerous: confidently stated but inaccurate medical advice can cause significant harm, making the ability to abstain […]

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