As Large Language Models (LLMs) achieve remarkable success across a wide range of applications, such as chatbots and code copilots, concerns surrounding the generation of harmful content have come increasingly into focus. Despite significant advances in aligning LLMs with safety and ethical standards, adversarial prompts can still be crafted to elicit undesirable responses. Existing mitigation strategies are predominantly based on post-hoc filtering, which introduces substantial latency or computational overhead, and is incompatible with token-level streaming generation. In this work, we introduce Self-Sanitize, a novel LLM-driven mitigation framework inspired by cognitive psychology, which emulates human self-monitor and self-repair behaviors during conversations. Self-Sanitize comprises a lightweight Self-Monitor module that continuously inspects high-level intentions within the LLM at the token level via representation engineering, and a Self-Repair module that performs in-place correction of harmful content without initiating separate review dialogues. This design allows for real-time streaming monitoring and seamless repair, with negligible impact on latency and resource utilization. Given that privacy-invasive content has often been insufficiently focused in previous studies, we perform extensive experiments on four LLMs across three privacy leakage scenarios. The results demonstrate that Self-Sanitize achieves superior mitigation performance with minimal overhead and without degrading the utility of LLMs, offering a practical and robust solution for safer LLM deployments. Our code is available at the following link: https://github.com/wjfu99/LLM_Self_Sanitize

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