arXiv:2608.12329v1 Announce Type: new Abstract: Progress on AI for psychosis-risk assessment is limited by a data-access bottleneck. Real clinical interviews are difficult to share because of privacy, governance, and consent constraints. We present AnchorSIPS, a synthetic dataset of 10K structured psychosis-risk interviews with transcript-grounded measurement targets. Each interview is modeled on Mini-SIPS, a clinician-administered psychosis-risk interview. It captures history, 24 symptom questions, follow-up evidence for items the patient affirms, decisions about delusion-like symptoms (unusual beliefs), hallucination-like symptoms (unusual perceptions), and disorganized communication, exclusion of clear psychotic-level symptoms ("frank psychosis"), and a final attenuated psychosis syndrome (APS) diagnosis, a high-risk state of milder or early psychotic symptoms. The APS diagnosis is not a standalone label. It depends on earlier endorsements, supporting follow-up details, symptom-class decisions, and the frank-psychosis check. Every intermediate decision is anchored to its supporting transcript turns. AnchorSIPS is generated by a plan-then-realize pipeline. A hidden case sheet specifies the patient's clinical state, a deterministic planner fixes the interview structure, and an LLM realizes only the patient utterances under validation and bounded repair. Fixing labels and structure before generation avoids the inter-turn inconsistencies typical of multi-turn LLM dialogue. Across seven LLM baselines, models recover coarse decisions but fail to extract follow-up details or cite supporting transcript turns, so final-label performance overstates interview competence. AnchorSIPS is intended for research on evidence extraction, transcript-grounded measurement, and uncertainty under partial disclosure.
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