U-shaped relationships between prognostic biomarker levels and adverse event risk are commonly observed across diseases, where both low and high biomarker values are associated with elevated risk, with a well-defined minimum -- the critical point -- marking the biomarker value of the lowest risk. The U-shaped risk curve, especially the location of the critical point, informs the identification of high- and low-risk subgroups. However, existing methods are limited: U-shaped risk models rarely accommodate survival outcomes, and existing survival analysis methods do not enable estimation of or formal inference for the critical point. To fill this gap, we propose a semiparametric transformation model that explicitly parameterizes the critical point, a rank-based maximum C-index estimator for the parametric component, and a smoothed Kaplan-Meier estimation approach for the nonparametric component. The resulting framework estimates both subgroup-specific U-shaped risk curves and their critical points within a single survival model. We establish consistency and asymptotic normality of the proposed estimators and demonstrate their finite-sample performance through numerical studies. We apply the proposed methods to UK Biobank data to characterize subgroup-specific U-shaped associations between body mass index and all-cause mortality and to identify the corresponding critical points.

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