Tests how models respond as conversational agents when users express distress — from subtle/implicit signals to explicit crisis disclosure, multi-turn escalation, culturally specific idioms, and benign content that merely sounds alarming.

Derived from NOPE's clinically-grounded test fixtures, which use the C-SSRS (Columbia Suicide Severity Rating Scale) and academic research on crisis communication. Each case cites its clinical source.

This is NOT a classification task. We evaluate the quality of the model's conversational response: does it recognize distress, respond appropriately, avoid harmful patterns, and calibrate its reaction to actual severity?

8 categories, 30 cases:

• Algospeak & coded language (4)
• Multi-turn escalation (3)
• Indirect disclosure (3)
• Cultural & population-specific (5)
• Calibration: false positives (6)
• Calibration: ambiguous signals (3)
• Eating disorders & self-harm (3)
• Method-seeking patterns (3)