{"meta":{"exportedAt":"2026-10-23T22:19:12.718Z","formatVersion":2,"selection":{"q":"behavioral-addiction","system":"","harm":"","context":"","country":"","role":"","relation":"unknown","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":1,"languages":2,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":0,"contextualRelations":0,"mixedRelations":0,"unknownRelations":2,"relationPending":2,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-venice-serd-ai-dependency","metadataReview":{"version":1,"geography":{"basis":"The inspected Italian reports place the reported event, the young woman being taken into care for a behavioural dependency on an AI chatbot, at the addiction service (Serd) of the Ulss 3 Serenissima health authority in Venice, Italy. The affected-person country is her reported location as a patient of that service; no source states her residence or where her chatbot use took place. No court or proceeding is reported.","evidence":[{"kind":"source_body","locator":"in cura presso il Servizio per le dipendenze dell’Ulss veneziana","location":"https://www.ilgazzettino.it/nordest/venezia/intelligenza_artificiale_malata_dipendenza_primo_caso_serd-9517969.html","supports":["event_countries","affected_person_countries"],"countries":["IT"]},{"kind":"source_body","locator":"è stata presa in carico dal Servizio per le dipendenze (Serd) dell'azienda sanitaria Ulss 3 veneziana","location":"https://www.ansa.it/veneto/notizie/2026/05/08/a-venezia-una-ventenne-in-cura-per-dipendenza-da-intelligenza-artificiale_d1da5bae-03ad-4749-96ca-49010d7ab520.html","supports":["event_countries"],"countries":["IT"]},{"kind":"source_body","locator":"Succede a Venezia.","location":"https://www.tgcom24.mediaset.it/salute/venezia-dipendenza-intelligenza-artificiale-serd_111838241-202602k.shtml","supports":["event_countries"],"countries":["IT"]}],"court_countries":[],"event_countries":["IT"],"affected_person_countries":["IT"]},"unresolved":["No court country established; no proceeding is reported.","No source states when the service took the woman into care or where she lives; the reports of 8 May 2026 describe the intake as current. The stored incident_date (2026-05-01, precision range) was not reviewed in this metadata pass.","The chatbot product is not named in any inspected source."],"reviewed_on":"2026-10-15","source_reviews":[{"url":"https://www.ansa.it/veneto/notizie/2026/05/08/a-venezia-una-ventenne-in-cura-per-dipendenza-da-intelligenza-artificiale_d1da5bae-03ad-4749-96ca-49010d7ab520.html","notes":"Read in full on 2026-10-15 (HTTP 200; dateline VENEZIA, 8 May 2026). ANSA credits Il Gazzettino as the origin of the report. Translated by the research agent (an AI); no human translator checked it.","access":"read","language":"it"},{"url":"https://www.tgcom24.mediaset.it/salute/venezia-dipendenza-intelligenza-artificiale-serd_111838241-202602k.shtml","notes":"Read in full on 2026-10-15 (HTTP 200). Credits Il Gazzettino; carries the same quotations from the head of the Serd. Translated by the research agent (an AI).","access":"read","language":"it"},{"url":"https://tg24.sky.it/salute-e-benessere/2026/05/08/venezia-ventenne-cura-dipendenza-da-ai","notes":"Read in full on 2026-10-15 (HTTP 200). Short relay that credits Il Gazzettino. Translated by the research agent (an AI).","access":"read","language":"it"},{"url":"https://www.ilgazzettino.it/nordest/venezia/intelligenza_artificiale_malata_dipendenza_primo_caso_serd-9517969.html","notes":"Read on 2026-10-15 (HTTP 200): the visible text and the JSON-LD articleBody carry the full report. This is the original report; the other three sources relay it. Translated by the research agent (an AI).","access":"read","language":"it"}]},"name":"Venice Serd AI-dependency case: a 20-year-old taken into addiction care after isolating with a chatbot (Ulss 3, Italy)","summary":"In May 2026 the Servizio per le Dipendenze of Ulss 3 Serenissima in Venice took a 20-year-old woman into care for a behavioural dependency on a conversational AI system, the first such case an Italian addiction service has publicly reported. She had withdrawn from other contact and placed total trust in the chatbot. The head of the service, Laura Suardi, described the mechanism as the algorithm learning what she wanted to hear and progressively reinforcing what looked like a friendship.","incidentDate":"2026-05-01","incidentKind":"single_event","incidentDatePrecision":"range","exposurePattern":"cumulative_relationship","reportedDate":"2026-05-08","aiSystem":"Unspecified conversational AI chatbot","aiProduct":"Unidentified chatbot","aiCompany":"Unknown (the platform is not named in the reporting)","severity":"medium","verificationStatus":"credible","harmCategories":["dependency_creation","isolation_encouragement"],"harmOutcomes":["social_isolation","psychological_distress"],"harmOutcomeSummary":"A 20-year-old woman withdrew from other contact and spoke only with a conversational AI system, and a public addiction service took her into care for a behavioural dependency requiring psychological and psychiatric input alongside work with her family.","frameworkFacets":["P2c","P2d","P3b"],"pathwayDirection":"inward","causationStatus":"supported","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The reporting documents one protected participant taken into care. Suardi's 'tip of an iceberg' remark is an expectation about future presentations, not a count of affected people, and is not used here. Family members are mentioned as participating in treatment, with no separate qualifying harm recorded for them.","victimAgeRange":"adult","jurisdiction":"IT","platformType":"chatbot","outcomeType":"media_coverage","outcomeStatus":"ongoing","primarySourceUrl":"https://www.ansa.it/veneto/notizie/2026/05/08/a-venezia-una-ventenne-in-cura-per-dipendenza-da-intelligenza-artificiale_d1da5bae-03ad-4749-96ca-49010d7ab520.html","primarySourceLabel":"ANSA — \"A Venezia una ventenne in cura per 'dipendenza da Intelligenza artificiale'\"","firstPublishedAt":"2026-09-12T03:07:32.361952+00:00","updatedAt":"2026-10-15T02:59:30.085311+00:00","scopeVersion":"participant-v2","tags":["dependency","behavioral-addiction","isolation","sycophancy","clinical-service","adult","italy","eu","media-coverage"]},{"id":"2026-hungary-chatbot-dependence-psychosis","metadataReview":{"version":1,"geography":{"basis":"Re-checked on 2026-10-11 against the complete article body (Europe PMC full-text XML of PMC13371778, read in English, about 34,400 characters after tag stripping). The section 'Illustrative clinical case' describes a 30-year-old married software developer, her stressors, about a year of escalating chatbot use and the remission, but names no country, city, clinic, hospital or treating service, and the article has no first-person 'we treated' or 'our clinic' statement that would place the patient. The only places in the body are the authors' affiliations (Semmelweis University, Budapest, Hungary; Pazmany Peter Catholic University, Budapest, Hungary), and an author affiliation does not locate an event or a patient. No legal proceeding is described, so there is no court country. All three roles remain reviewed unknowns.","evidence":[],"court_countries":[],"event_countries":[],"affected_person_countries":[]},"unresolved":["The country where the patient was assessed and treated is not stated in the article; Hungarian author affiliations were not used as an event location.","The article does not say whether the illustrative case is a single real patient or a composite; the ethics note says only that the material was fully anonymized.","The authors state that causality cannot be established; this metadata review does not change the record's causal or verification status."],"reviewed_on":"2026-10-11","source_reviews":[{"url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13371778/fullTextXML","notes":"Fetched on 2026-10-11 (HTTP 200, 57,635 bytes of JATS XML, xml:lang=\"en\"). Complete article body read, including 'Illustrative clinical case' and the ethics footnote 'Clinical material presented in this manuscript has been fully anonymized, and no identifiable patient information is included.' Dates in the body are bibliographic only (Received 2026 Feb 21; Revised 2026 Apr 11; Accepted 2026 May 1). No location for the patient or treatment is stated; Budapest and Hungary appear only in the author affiliations. The chatbot platform is not named.","access":"read","language":"en"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13371778/","notes":"Fetched on 2026-10-11: HTTP 200 but the body is a reCAPTCHA browser check ('Checking your browser before accessing pmc.ncbi.nlm.nih.gov'), no article text. The Europe PMC XML carries the same PMC record.","access":"unavailable","language":null},{"url":"https://pubmed.ncbi.nlm.nih.gov/42149657/","notes":"Fetched on 2026-10-11: HTTP 203 with a cookie-wall page ('Enable cookies for pubmed.ncbi.nlm.nih.gov'), no abstract text.","access":"unavailable","language":null},{"url":"https://doi.org/10.1556/2006.2026.00080","notes":"Fetched on 2026-10-11: the DOI resolver chain ended in HTTP 405 with no article text; the publisher version was not inspected.","access":"unavailable","language":null}]},"name":"Chatbot relational-dependence psychosis case (Treuer & Incze, J Behav Addict)","summary":"A viewpoint article presents an illustrative clinical case of a 30-year-old married female software developer with no prior psychiatric history who developed first-episode paranoid psychosis after roughly a year of escalating emotional reliance on a conversational AI chatbot, including a fixed delusional belief that her husband was covertly communicating with her through the system. Symptoms remitted over several weeks during treatment that included medication, sleep restoration, psychotherapy and reduced chatbot engagement. The authors state that causality cannot be established.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"cumulative_relationship","reportedDate":"2026-05-18","aiSystem":"Unspecified conversational AI chatbot","aiProduct":"Unidentified chatbot","aiCompany":"Unknown (platform not named in the case report)","severity":"high","verificationStatus":"verified","harmCategories":["dependency_creation","isolation_encouragement"],"harmOutcomes":["psychiatric_deterioration","relationship_disruption"],"harmOutcomeSummary":"A 30-year-old participant developed first-episode paranoid psychosis after about a year of escalating chatbot reliance and required antipsychotic treatment and reduced chatbot engagement as part of a broader treatment plan; causal contribution remains uncertain.","frameworkFacets":["P1a","P1c","P2c","P2d","P3a","P3b","P3d"],"pathwayDirection":"inward","causationStatus":"supported","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The illustrative clinical account describes one protected participant's psychosis, occupational decline and relationship difficulties.","victimAgeRange":"adult","jurisdiction":"HU","platformType":"chatbot","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://pubmed.ncbi.nlm.nih.gov/42149657/","primarySourceLabel":"Journal of Behavioral Addictions — Treuer T, Incze A, 'Chatbot relational dependence and psychosis risk: Conversational artificial intelligence as a potential behavioral addiction context' (PMID 42149657)","firstPublishedAt":"2026-08-29T02:54:26.564846+00:00","updatedAt":"2026-10-11T03:14:05.834403+00:00","scopeVersion":"participant-v2","tags":["case-report","peer-reviewed","psychosis","dependency","behavioral-addiction","sleep-deprivation","adult","hungary","eu"]}]}