Single-Pass Uncertainty Heads for Claim-Level Hallucination Detection in Persian Medical Language Models

Abstract

Hallucination detection is particularly important for medical language models, but repeated-sampling approaches are expensive and existing uncertainty-head resources do not directly transfer to a new backbone and language. We adapt the LLM Uncertainty Head (LUH) framework to Aya-Expanse-8B-based Persian medical models, using Gaokerena-V and Gaokerena-R as two previously developed backbones. We first examine response variability on a 168-question Iranian medical entrance examination and observe substantially lower five-run consistency for Gaokerena-V than for Aya-Expanse-8B, whereas Gaokerena-R is comparable to Aya-Expanse-8B. We then construct two paired claim-level hallucination datasets directly in Persian, containing 1,600 responses for each backbone, and train lightweight claim-level heads on frozen backbone attention maps and token probabilities. On held-out test splits, the heads obtain PR-AUCs of 0.4820 and 0.4652, corresponding to 2.30 and 2.66 times their respective random baselines, and ROC-AUCs of 0.7852 and 0.7810. The heads require neither retrieval nor repeated sampling at inference time. These results provide an initial study of single-pass claim-level uncertainty estimation for Persian medical language models; the test splits are small and the labels are automatically generated.