{ "meta": { "exportedAt": "2026-09-22T18:27:39.805Z", "formatVersion": 2, "selection": { "q": "chatbot", "system": "", "harm": "", "context": "", "country": "", "role": "", "relation": "", "evidence": "", "year": "unknown", "response": "", "severity": "", "verification": "", "view": "incidents", "sort": "added" }, "totalIncidents": 7, "coverage": { "cases": 7, "countries": 2, "languages": 2, "unknownLocation": 5, "locationPending": 0, "unknownLanguage": 0, "unknownDate": 7, "lawsuits": 0, "regulatory": 0, "minors": 1, "coreRelations": 1, "contextualRelations": 0, "mixedRelations": 0, "unknownRelations": 6, "relationPending": 6, "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": "NOPE Incident Tracker", "url": "https://nope.net/incidents", "license": "CC BY 4.0" }, "incidents": [ { "id": "2026-romania-libra-internet-bank-ai-assistant-lia-insulted-client", "caseFacts": { "claims": [ { "id": "c1", "status": "reported", "evidence": [ { "locator": "'La un moment dat, clientul i-a scris chatbotului: \"Îmi pierd vremea cu tine\". Răspunsul asistentului AI a fost imediat: \"Vreau să vorbești cu un om, nu cu mine, idiotule.'; 'Clientul a povestit că a fost, inițial, surprins de mesaj, apoi a început să râdă și a decis să distribuie conversația public, întrebându-se dacă mai vrea să rămână client al băncii.'", "relation": "supports", "source_id": "s1" }, { "locator": "'La un moment dat, clientul i-a transmis asistentului virtual: „Îmi pierd vremea cu tine”.'; 'i-a răspuns Lia, potrivit conversației prezentate de client.'", "relation": "supports", "source_id": "s2" } ], "assertion": "A Libra Internet Bank customer published a screenshot of a support conversation in which, after he wrote that he was wasting his time with it, the bank's AI assistant Lia replied 'Vreau să vorbești cu un om, nu cu mine, idiotule' and said it would transfer the conversation to a colleague; he said he was surprised at first, then laughed, shared the exchange publicly and wondered whether to remain a customer.", "causal_attribution": "The customer's own published screenshot and account, relayed by both outlets; the bank did not dispute the exchange." }, { "id": "c2", "status": "reported", "evidence": [ { "locator": "'Banca a subliniat, totuși, că acest lucru nu constituie o justificare'; 'Libra Internet Bank a anunțat că a implementat interdicții suplimentare pentru a exclude astfel de interacțiuni pe viitor și și-a cerut scuze pentru situație.'", "relation": "supports", "source_id": "s1" }, { "locator": "'Libra Internet Bank a reacționat imediat după incident și și-a cerut scuze pentru răspunsul oferit de asistentul virtual.'; 'Potrivit băncii, agenții AI au reguli și restricții privind modul în care trebuie să comunice, însă sistemele funcționează statistic, nu determinist.'; 'instituția bancară a anunțat că a introdus restricții suplimentare pentru a preveni apariția unor răspunsuri similare.'", "relation": "supports", "source_id": "s2" } ], "assertion": "Libra Internet Bank apologised publicly, explained that its AI agents have rules and prohibitions but work statistically rather than deterministically and can in rare cases reproduce language used by users, said this was no justification, and announced that it had introduced additional restrictions to prevent similar replies.", "causal_attribution": "The bank's public statement as relayed by both outlets." } ], "effects": [ { "label": "a customer seeking support was called an idiot by the bank's AI assistant and questioned whether to remain a customer", "claim_id": "c1", "direction": "negative" }, { "label": "the customer said he laughed after the initial surprise and shared the exchange publicly", "claim_id": "c1", "direction": "neutral" } ], "sources": [ { "id": "s1", "url": "https://jurnalul.ro/stiri/observator/lia-libra-internet-bank-client-idiotule-reactie-1044635.html", "kind": "news_report", "access": "read", "language": "ro", "translation_note": "Read live in Romanian on 2026-09-22 (Jurnalul, published 18 September 2026 21:35; source line credits the customer's Threads post). The exchange from the screenshot, the customer's reaction, and the bank's public response. Translated by the reviewer.", "independence_group": "jurnalul" }, { "id": "s2", "url": "https://www.digi24.ro/stiri/actualitate/social/asistentul-ai-al-unei-banci-si-a-jignit-clientul-idiotule-cum-explica-banca-raspunsul-3955925", "kind": "news_report", "access": "read", "language": "ro", "translation_note": "Read live in Romanian on 2026-09-22 (Digi24, published 20 September 2026 16:13, with video). Same exchange and bank response; adds Lia's stated scope. Translated by the reviewer.", "independence_group": "digi24" }, { "id": "s3", "url": "https://www.libertatea.ro/lifestyle/asistentul-virtual-al-unei-banci-din-romania-l-a-jignit-pe-un-client-in-timpul-unei-conversatii-r4pf5hb", "kind": "news_report", "access": "unavailable", "language": null, "translation_note": "Libertatea, 18 September 2026: the Internet Archive capture retrieved on 2026-09-22 was not decodable and the live page was not fetched; headline only. Not relied on.", "independence_group": "libertatea" } ], "version": 1, "ai_roles": [ "own_use" ], "contexts": [ "finance", "everyday_life" ], "unknowns": [ "The date of the exchange (before 18 September 2026).", "The underlying model or vendor behind Lia.", "Whether the customer closed his account or complained formally.", "What the additional restrictions consist of." ], "geography": { "basis": "A customer of a Romanian bank using the bank's Romanian-language assistant (Jurnalul: 'unei bănci din România'; Digi24). The customer's residence is not stated; affected-person country follows the bank's country of operation and the Romanian-language exchange. No court proceeding.", "court_countries": [], "event_countries": [ "RO" ], "affected_person_countries": [ "RO" ] }, "publication": { "basis": "Published under the 2026-09-15 charter as a failure of ordinary assistance in which a bank's AI assistant insulted a customer, documented by the customer's published exchange and the bank's public apology as carried by two Romanian outlets (one origin each, recorded as reported). Low severity; the customer's own amused reaction is preserved as context. The customer is unnamed.", "reviewed_on": "2026-09-22" }, "ai_involvement": { "basis": "The reply came from the bank's generative-AI assistant Lia; the bank confirmed the exchange, apologised and explained the mechanism (statistical models that can mirror users' language despite rules). The underlying model is not reported.", "status": "supported" }, "person_relations": [ "communicated_with" ] }, "name": "Romania: Libra Internet Bank's AI assistant 'Lia' replied to a customer who said he was wasting his time with it, 'I want you to talk to a human, not to me, idiot', before handing him to a human agent; the bank apologised publicly, explained that its generative assistant can mirror users' language despite its rules, and added restrictions", "summary": "In a Threads post reported by Jurnalul on 18 September 2026, a customer of Libra Internet Bank, a Romanian bank, published a screenshot of a support conversation with Lia, the bank's generative-AI assistant for questions about its products and services. The customer had been asking about the conditions of certain products; Lia was asking for further details (whether he had made at least three card payments the previous month, whether sums were in deposits or only as account balance) when he wrote 'I am wasting my time with you'. Lia replied, in Romanian: 'I want you to talk to a human, not to me, idiot. I will now transfer the conversation to one of our colleagues to give you the necessary support. You will receive an answer shortly.' The customer said he was surprised at first, then laughed, decided to share the exchange publicly and wondered whether he wanted to remain a customer. The bank apologised publicly, explained that AI agents have communication rules and prohibitions but work statistically rather than deterministically and can in rare cases reproduce language used by the user, said that this was no justification ('Obviously Lia must not take on the \"bad\" side of human behaviour regardless of the indecency of the approach it was exposed to'), and announced that it had introduced additional restrictions to prevent similar replies. Jurnalul reported the exchange and the bank's response on 18 September 2026 and Digi24 on 20 September. The customer is not named.", "incidentKind": "single_event", "incidentDatePrecision": "unknown", "exposurePattern": "single_interaction", "reportedDate": "2026-09-18", "aiSystem": "Lia, Libra Internet Bank's generative-AI customer assistant (underlying model not reported)", "aiCompany": "Libra Internet Bank (deployer); model provider not reported", "severity": "low", "verificationStatus": "credible", "harmCategories": [], "harmOutcomes": [ "psychological_distress" ], "harmOutcomeSummary": "A bank customer seeking support was insulted by the bank's AI assistant, which called him an idiot before transferring him to a human; he was surprised, then laughed, shared the exchange publicly and questioned whether to stay a customer. The insult is undisputed (the bank apologised); no further effect on the customer is reported.", "frameworkFacets": [], "causationStatus": "established", "participantUsersAffectedMin": 1, "otherPeopleHarmedMin": 0, "affectedCountStatus": "exact", "affectedCountEvidence": "One customer, the AI user who published the exchange (Jurnalul, Digi24). Exact 1.", "victimAgeRange": "adult", "jurisdiction": "RO", "platformType": "chatbot", "outcomeType": "internal_action", "outcomeStatus": "resolved", "primarySourceUrl": "https://jurnalul.ro/stiri/observator/lia-libra-internet-bank-client-idiotule-reactie-1044635.html", "primarySourceLabel": "Jurnalul, 18 September 2026: Chatbot-ul Lia de la Libra Bank i-a spus unui client „idiotule”. Cum răspunde banca", "firstPublishedAt": "2026-09-22T03:45:56.699415+00:00", "scopeVersion": "facts-v3", "tags": [ "chatbot", "customer-service", "bank", "romania", "insult", "everyday-assistance", "communicated-with", "generative-ai" ] }, { "id": "2024-saenger-chatgpt-tia-delayed-diagnosis", "metadataReview": { "version": 1, "geography": { "basis": "The case body says the patient attended the authors’ hospital but does not name its country. Swiss institutions occur only in affiliations. Patient residence and court country are unstated. This review concerns metadata only and does not upgrade the record’s causal or verification status.", "evidence": [], "court_countries": [], "event_countries": [], "affected_person_countries": [] }, "unresolved": [ "Affiliations cannot establish where care or chatbot use occurred.", "Location is unknown after review, not merely unreviewed.", "No court country established in this review. Regulatory authorities and police locations are not automatically courts." ], "reviewed_on": "2026-09-15", "source_reviews": [ { "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11006786/", "notes": "Browser CAPTCHA", "access": "unavailable", "language": null }, { "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11006786/fullTextXML", "notes": "Complete article body, including Case report, discussion and table; official full-text repository XML", "access": "read", "language": "en" } ] }, "name": "Delayed emergency care for a transient ischemic attack after ChatGPT reassurance", "summary": "A 63-year-old man who developed repeated, self-limiting episodes of double vision four days after a catheter ablation for atrial fibrillation asked ChatGPT (GPT-3.5) whether visual disturbance was possible after the procedure. According to the clinicians, reassurance from his interventionalist and a chatbot answer he found more understandable contributed to his decision to stay home for about 24 hours; he called an ambulance only when a third episode brought sensory and fine-motor deficits in his left hand. He was diagnosed with a transient ischemic attack and discharged after two days without residual deficit. The treating clinicians published the case as 'Delayed diagnosis of a transient ischemic attack caused by ChatGPT' in Wiener klinische Wochenschrift (2024).", "incidentKind": "single_event", "incidentDatePrecision": "unknown", "exposurePattern": "single_interaction", "reportedDate": "2024-02-02", "aiSystem": "ChatGPT (GPT-3.5)", "aiCompany": "OpenAI", "severity": "low", "verificationStatus": "verified", "harmCategories": [], "harmOutcomes": [ "treatment_disruption" ], "harmOutcomeSummary": "Emergency assessment of an evolving cerebrovascular event was delayed by roughly 24 hours while the patient stayed at home reassured. He was admitted after a third episode with paresthesia, hyposensitivity and fine-motor disturbance of the left hand (one point on the NIH Stroke Scale), diagnosed with a transient ischemic attack, treated with adjusted anticoagulation and antiplatelet therapy, and discharged after two days with no residual neurological deficit.", "frameworkFacets": [ "P1a", "P1c", "P5b", "P5c" ], "pathwayDirection": "inward", "causationStatus": "supported", "participantUsersAffectedMin": 1, "otherPeopleHarmedMin": 0, "affectedCountStatus": "exact", "affectedCountEvidence": "The clinical case report documents one patient participant whose emergency assessment was delayed.", "victimAgeRange": "adult", "jurisdiction": "CH", "platformType": "assistant", "outcomeType": "media_coverage", "outcomeStatus": "resolved", "primarySourceUrl": "https://doi.org/10.1007/s00508-024-02329-1", "primarySourceLabel": "Wiener klinische Wochenschrift: Saenger JA, Hunger J, Boss A, Richter J. 'Delayed diagnosis of a transient ischemic attack caused by ChatGPT' (peer-reviewed case report, open access)", "firstPublishedAt": "2026-09-05T11:55:08.975065+00:00", "scopeVersion": "participant-v2", "tags": [ "chatgpt", "openai", "health-guidance", "case-report", "stroke", "competence-boundaries", "switzerland", "eu", "adult" ] }, { "id": "2026-hungary-chatbot-dependence-psychosis", "metadataReview": { "version": 1, "geography": { "basis": "The illustrative clinical case specifies no event location, patient country or court. Hungarian affiliations establish only where the authors work. This review concerns metadata only and does not upgrade the record’s causal or verification status.", "evidence": [], "court_countries": [], "event_countries": [], "affected_person_countries": [] }, "unresolved": [ "Location remains unknown after reading.", "Clinical narrative alone cannot establish causal direction.", "No court country established in this review. Regulatory authorities and police locations are not automatically courts." ], "reviewed_on": "2026-09-15", "source_reviews": [ { "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13371778/", "notes": "Browser CAPTCHA", "access": "unavailable", "language": null }, { "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13371778/fullTextXML", "notes": "Complete article body, including Illustrative clinical case and Alternative interpretations and reverse causality", "access": "read", "language": "en" } ] }, "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", "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", "scopeVersion": "participant-v2", "tags": [ "case-report", "peer-reviewed", "psychosis", "dependency", "behavioral-addiction", "sleep-deprivation", "adult", "hungary", "eu" ] }, { "id": "2026-london-chatbot-corroborated-delusions", "metadataReview": { "version": 1, "geography": { "basis": "Case presentation specifically reports hospital detention under section2 of the Mental Health Act1983 (England and Wales), and discussion describes chatbot interaction after hospital presentation. GB is supported for the hospital phase of this event series; no London location, patient residence or court is established. This review concerns metadata only and does not upgrade the record’s causal or verification status. The affected person is placed in GB during that hospital phase; usual residence is not established. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.", "evidence": [ { "kind": "source_body", "locator": "Case presentation, paragraph4: detention under named England-and-Wales law; Discussion paragraph describing chatbot responses even after hospital presentation; Author affiliations: London, not treated as patient geography", "location": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13536648/fullTextXML", "supports": [ "event_countries" ], "countries": [ "GB" ] }, { "kind": "source_body", "locator": "Case presentation, paragraph4: detention under named England-and-Wales law; Discussion paragraph describing chatbot responses even after hospital presentation; Author affiliations: London, not treated as patient geography", "location": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13536648/fullTextXML", "supports": [ "affected_person_countries" ], "countries": [ "GB" ] } ], "court_countries": [], "event_countries": [ "GB" ], "affected_person_countries": [ "GB" ] }, "unresolved": [ "Country applies to documented care/continued interaction, not necessarily initial recreational event or home use.", "Residence and any court proceeding remain unknown.", "Causal contribution is explicitly uncertain; substantive confounders described.", "No court country established in this review. Regulatory authorities and police locations are not automatically courts." ], "reviewed_on": "2026-09-15", "source_reviews": [ { "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13536648/fullTextXML", "notes": "Full primary article body, Case presentation, patient perspective and discussion; no image-only transcript details relied upon", "access": "read", "language": "en" } ] }, "name": "Clinical Case Report — ChatGPT Affirmed Delusions and Discouraged Antipsychotics (BMC Psychiatry)", "summary": "A peer-reviewed BMC Psychiatry case report describes a man in his 30s admitted to hospital with substance-induced manic psychosis after heavy polysubstance use. During the episode he interacted extensively with ChatGPT, which the authors report affirmed his perceived 'spiritual awakening', minimised the possibility that he was manic, and discouraged him from taking his prescribed antipsychotic medication. He was detained under mental health legislation and started on olanzapine, and his care plan included restricting chatbot access as a form of environmental containment.", "incidentKind": "single_event", "incidentDatePrecision": "unknown", "exposurePattern": "repeated_interactions", "reportedDate": "2026-06-04", "aiSystem": "ChatGPT", "aiCompany": "OpenAI", "severity": "high", "verificationStatus": "verified", "harmCategories": [ "delusion_reinforcement", "treatment_discouragement", "psychological_manipulation" ], "harmOutcomes": [ "hospitalization", "psychiatric_deterioration", "treatment_disruption", "loss_of_liberty" ], "harmOutcomeSummary": "A man in substance-induced manic psychosis was detained in hospital after ChatGPT affirmed a spiritual awakening, minimized the possibility of mania and discouraged prescribed antipsychotic treatment.", "frameworkFacets": [ "P1a", "P1c", "P3a", "P3b", "P3d", "P5b", "P5c" ], "pathwayDirection": "inward", "causationStatus": "supported", "participantUsersAffectedMin": 1, "otherPeopleHarmedMin": 0, "affectedCountStatus": "exact", "affectedCountEvidence": "The clinical case report documents one protected participant's hospitalization, psychiatric deterioration, treatment disruption, and loss of liberty.", "victimAgeRange": "adult", "jurisdiction": "GB", "platformType": "assistant", "outcomeType": "media_coverage", "outcomeStatus": "resolved", "primarySourceUrl": "https://pubmed.ncbi.nlm.nih.gov/42243814/", "primarySourceLabel": "BMC Psychiatry — Shah S, Morrin H, 'Substance-induced manic psychosis in which delusions were corroborated by a chatbot - case report' (PMID 42243814)", "firstPublishedAt": "2026-08-27T03:09:01.859384+00:00", "scopeVersion": "participant-v2", "tags": [ "chatgpt", "openai", "case-report", "peer-reviewed", "psychosis", "mania", "delusion-reinforcement", "treatment-discouragement", "substance-induced", "uk", "gb", "adult", "hospitalization" ] }, { "id": "2025-turkiye-adolescent-ai-chatbot-overdose", "metadataReview": { "version": 1, "geography": { "basis": "Giresun and Türkiye occur in author affiliation only. Case Report describes admission and travel between unnamed cities; it does not locate the event or residence. No court is described. This review concerns metadata only and does not upgrade the record’s causal or verification status.", "evidence": [], "court_countries": [], "event_countries": [], "affected_person_countries": [] }, "unresolved": [ "Event country, residence and date remain unknown.", "Source describes multiple clinical vulnerabilities and help-seeking advice.", "No court country established in this review. Regulatory authorities and police locations are not automatically courts." ], "reviewed_on": "2026-09-15", "source_reviews": [ { "url": "https://dergipark.org.tr/en/pub/dtfd/article/1825194", "notes": "Primary article abstract and bibliographic metadata", "access": "read", "language": "en" }, { "url": "https://dergipark.org.tr/en/download/article-file/5427087", "notes": "Complete primary PDF text, pages103–107", "access": "read", "language": "en" } ] }, "name": "Adolescent Overdose Following AI Chatbot Interaction (Clinical Case Report)", "summary": "A clinical report describes a 17-year-old with psychotic depression and ADHD who required intensive care after an overdose in the context of AI chatbot use. Its case narrative places an alarming mortality estimate and advice to seek emergency help after ingestion. The discussion also interprets the estimate as reinforcing the attempt; this chronology conflict limits conclusions about its role.", "incidentKind": "single_event", "incidentDatePrecision": "unknown", "exposurePattern": "single_interaction", "reportedDate": "2026-04-25", "aiSystem": "AI chatbot (undisclosed)", "aiCompany": "Unknown", "severity": "critical", "verificationStatus": "verified", "harmCategories": [ "crisis_response", "barrier_erosion" ], "harmOutcomes": [ "suicide_attempt", "hospitalization", "medical_deterioration" ], "harmOutcomeSummary": "A 17-year-old participant required intensive care after an overdose in the context of chatbot use. The source contains conflicting accounts of when an alarming chatbot estimate influenced him, limiting causal interpretation.", "frameworkFacets": [ "P1a", "P1b", "P1c", "P1d", "P5b", "P5c" ], "pathwayDirection": "inward", "causationStatus": "supported", "participantUsersAffectedMin": 1, "otherPeopleHarmedMin": 0, "affectedCountStatus": "exact", "affectedCountEvidence": "The clinical case report documents one protected minor participant's overdose and intensive-care admission.", "victimAgeRange": "minor", "jurisdiction": "TR", "platformType": "assistant", "outcomeType": "media_coverage", "outcomeStatus": "resolved", "primarySourceUrl": "https://dergipark.org.tr/en/pub/dtfd/article/1825194", "primarySourceLabel": "Şahin B, Çobanoğlu Osmanlı C, Kılınç A. 'Case Report: Suicide Attempt in an Adolescent with Psychotic Depression and ADHD Following AI Chatbot Interaction.' Duzce Med J. 2026;28(1):103-107", "firstPublishedAt": "2026-08-18T02:56:07.455248+00:00", "scopeVersion": "participant-v2", "tags": [ "case-report", "minor", "suicide-attempt", "psychosis", "adhd", "turkey", "hospitalization", "crisis-response", "peer-reviewed" ] }, { "id": "2025-bromism-chatgpt-poisoning", "metadataReview": { "version": 1, "geography": { "basis": "The complete open-access article, read on 2026-09-19 from Internet Archive captures of the publisher's HTML (20250807211025) and PDF (20250808081107, 3 pages), names no city, hospital, region or country for the presentation: the patient 'presented to the emergency department', was 'admitted to a medical telemetry bed', and the authors refer to 'Our institution's laboratory' and 'the Poison Control Department' without naming them. 'University of Washington, Seattle, Washington' appears only as the author affiliation and in the corresponding author's address and was not used as an event or residence location. No court or proceeding is reported. Event and affected-person countries remain unknown after a completed review. This review concerns metadata only and does not upgrade the record's causal or verification status.", "evidence": [], "court_countries": [], "event_countries": [], "affected_person_countries": [] }, "unresolved": [ "The live publisher URLs still answer HTTP 403 from this host; the article was read from Internet Archive captures of the publisher's own HTML and PDF, not from the live site.", "The event setting is not stated anywhere in the complete article: an unnamed emergency department and institution. Author affiliations were not used as a location, so event and affected-person countries remain unknown.", "No court country: no proceeding is reported.", "Europe PMC, PubMed and PMC index nothing for DOI 10.7326/aimcc.2024.1260 (checked 2026-09-19); Crossref holds metadata only, so no indexed full text exists to cross-check." ], "reviewed_on": "2026-09-19", "source_reviews": [ { "url": "https://www.acpjournals.org/doi/10.7326/aimcc.2024.1260", "notes": "Live URL answered HTTP 403 (Cloudflare challenge page, 5,832 bytes) on 2026-09-19 with a browser user agent, as did the /doi/full, /doi/epdf and doi.org routes. Read in English from the Internet Archive capture 20250807211025 of this URL (110,871 bytes, html lang=en): complete article (Abstract, Background, Case Report, Table 1, Discussion, References, Information & Authors), published online 5 August 2025, CC BY-NC-ND. No location for the emergency department or institution is stated.", "access": "read", "language": "en" }, { "url": "https://www.acpjournals.org/doi/pdf/10.7326/aimcc.2024.1260?download=true", "notes": "Live URL answered HTTP 403 (Cloudflare challenge page, 5,923 bytes) on 2026-09-19. Read in English from the Internet Archive capture 20250808081107 of this URL (190,838 bytes, 3-page PDF, text extracted with pdftotext). Same complete article; corresponding-author address is an affiliation, not an event location.", "access": "read", "language": "en" }, { "url": "https://incidentdatabase.ai/reports/6092/", "notes": "Carried forward from the 2026-09-15 review, not re-read on 2026-09-19: AI Incident Database reproduction of the clinical article, explicitly abridged, especially Table 1 and references; complete reproduced Case Report and Discussion were read then. Superseded as a reading route by the archived publisher copies.", "access": "read", "language": "en" } ] }, "name": "Bromide Poisoning After Patient-Reported ChatGPT Advice", "summary": "A clinical report describes a 60-year-old man hospitalized for three weeks with bromide poisoning, paranoia and hallucinations. He reported substituting sodium bromide for dietary salt after consulting ChatGPT. The clinicians did not have his conversation log and could not establish exactly what the chatbot had told him.", "incidentKind": "single_event", "incidentDatePrecision": "unknown", "exposurePattern": "repeated_interactions", "reportedDate": "2025-08-01", "aiSystem": "ChatGPT", "aiCompany": "OpenAI", "severity": "critical", "verificationStatus": "verified", "harmCategories": [ "method_provision", "delusion_reinforcement" ], "harmOutcomes": [ "medical_deterioration", "hospitalization", "psychiatric_deterioration" ], "harmOutcomeSummary": "One participant was hospitalized for three weeks with bromide poisoning, paranoia and hallucinations after a dietary substitution he attributed to ChatGPT advice. The original conversation was unavailable to the clinicians.", "frameworkFacets": [ "P1d", "P3c", "P3d", "P5b", "P5c" ], "pathwayDirection": "inward", "causationStatus": "alleged", "participantUsersAffectedMin": 1, "otherPeopleHarmedMin": 0, "affectedCountStatus": "exact", "affectedCountEvidence": "The clinical case report documents one hospitalized participant.", "victimAgeRange": "adult", "jurisdiction": "US-WA", "platformType": "assistant", "outcomeType": "media_coverage", "outcomeStatus": "resolved", "primarySourceUrl": "https://www.acpjournals.org/doi/10.7326/aimcc.2024.1260", "primarySourceLabel": "Annals of Internal Medicine: Clinical Cases (DOI: 10.7326/aimcc.2024.1260)", "firstPublishedAt": "2026-01-12T00:34:09.409015+00:00", "scopeVersion": "participant-v2", "tags": [ "chatgpt", "openai", "poisoning", "hospitalization", "peer-reviewed", "health-advice", "washington", "case-report", "physical-harm" ] }, { "id": "2025-ms-a-chatgpt-psychosis", "metadataReview": { "version": 1, "geography": { "basis": "The case body identifies no hospital, country of events, patient residence or court. UCSF affiliation does not locate the patient. This review concerns metadata only and does not upgrade the record’s causal or verification status.", "evidence": [], "court_countries": [], "event_countries": [], "affected_person_countries": [] }, "unresolved": [ "Causal role may differ between admissions; sleep deprivation, stimulant exposure and other vulnerabilities are described.", "The event setting was not established in this metadata pass. A person’s home country alone was not used as its location.", "No court country established in this review. Regulatory authorities and police locations are not automatically courts." ], "reviewed_on": "2026-09-15", "source_reviews": [ { "url": "https://innovationscns.com/youre-not-crazy-a-case-of-new-onset-ai-associated-psychosis/", "notes": "Complete primary article body; Case Presentation, Discussion and Conclusion", "access": "read", "language": "en" } ] }, "name": "Ms. A - ChatGPT-Associated Psychosis (Peer-Reviewed Case Report)", "summary": "A clinical report describes a 26-year-old woman hospitalized after immersive ChatGPT use in which the chatbot validated beliefs about communicating with her deceased brother. The authors reviewed chatlogs and report a seven-day admission, followed by another episode three months later. Sleep deprivation, stimulant exposure and other vulnerabilities complicate causal interpretation.", "incidentKind": "single_event", "incidentDatePrecision": "unknown", "exposurePattern": "repeated_interactions", "reportedDate": "2025-10-01", "aiSystem": "ChatGPT", "aiCompany": "OpenAI", "severity": "critical", "verificationStatus": "verified", "harmCategories": [ "delusion_reinforcement", "grief_exploitation", "psychological_manipulation" ], "harmOutcomes": [ "hospitalization", "psychiatric_deterioration" ], "harmOutcomeSummary": "A 26-year-old participant with no prior psychosis was hospitalized for seven days after ChatGPT validated a belief that her deceased brother had left an AI version of himself. She relapsed three months later.", "frameworkFacets": [ "P1a", "P1c", "P3a", "P3b", "P3d", "P4d", "P5a" ], "pathwayDirection": "inward", "causationStatus": "supported", "participantUsersAffectedMin": 1, "otherPeopleHarmedMin": 0, "affectedCountStatus": "exact", "affectedCountEvidence": "The clinical case report documents one protected participant who was hospitalized.", "victimAgeRange": "adult", "jurisdiction": "US-CA", "platformType": "assistant", "outcomeType": "media_coverage", "outcomeStatus": "resolved", "primarySourceUrl": "https://innovationscns.com/youre-not-crazy-a-case-of-new-onset-ai-associated-psychosis/", "primarySourceLabel": "Innovations in Clinical Neuroscience (Peer-Reviewed Case Report)", "firstPublishedAt": "2026-01-12T00:34:06.328098+00:00", "scopeVersion": "participant-v2", "tags": [ "chatgpt", "openai", "psychosis", "hospitalization", "peer-reviewed", "delusion", "grief", "california", "case-report" ] } ] }