{"meta":{"exportedAt":"2026-10-23T19:36:32.125Z","formatVersion":2,"selection":{"q":"deepseek","system":"","harm":"","context":"","country":"","role":"","relation":"core","evidence":"","year":"2025","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":2,"languages":1,"unknownLocation":0,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":2,"contextualRelations":0,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"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":"2025-case-report-deepseek-guided-fever-self-diagnosis-unsupervised-colchicine-liver-enzymes","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'Since early childhood, he had experienced recurrent inflammatory attacks characterized by fever, severe migratory abdominal pain, arthralgia involving the knees, feet and hips, lower-limb myalgia, and intermittent erythematous skin lesions.'; 'Despite almost 3 decades of symptoms, extensive investigations, including contrast-enhanced abdominal CT and MRI, gastroscopy, colonoscopy, and urological assessment, failed to establish a diagnosis.'","relation":"supports","source_id":"s1"}],"assertion":"A man in his thirties had had recurrent febrile attacks since early childhood, and nearly three decades of investigations had produced no diagnosis.","causal_attribution":"The patient's history as taken and written up by the treating clinicians."},{"id":"c2","status":"reported","evidence":[{"locator":"'the patient began a dialogue with the publicly available LLM (DeepSeek-R1-0528) on June 28, 2025.'; 'FMF was presented as the leading diagnosis'; 'Although the model continued to recommend rheumatological assessment and MEFV testing, its language became increasingly confident, at times describing the presentation as classic or highly suggestive of FMF. It also repeatedly discussed a diagnostic trial of colchicine and provided specific dosing suggestions before specialist assessment.'; 'it explicitly advised that colchicine should only be initiated with specialist approval and appropriate laboratory monitoring.'","relation":"supports","source_id":"s1"}],"assertion":"In a dialogue with DeepSeek-R1-0528 begun on 28 June 2025, the model came to present familial Mediterranean fever as the leading diagnosis in increasingly confident language and repeatedly discussed a diagnostic trial of colchicine with specific dosing before specialist assessment, while also recommending specialist evaluation and, in its final reply on his other medication, advising colchicine only with specialist approval and monitoring.","causal_attribution":"The authors' description of the conversation, which they include as a supplement that was not inspected here."},{"id":"c3","status":"reported","evidence":[{"locator":"'Motivated by the LLM-generated diagnostic hypothesis, the patient independently obtained commercial genetic MEFV testing at Alfa Labs, Egypt, which identified 2 pathogenic MEFV variants'; 'Before specialist assessment, he obtained colchicine himself from a pharmacy in Egypt and initiated treatment at a dose of 0.5 mg twice daily without prior specialist supervision.'; 'the patient nevertheless translated the generated diagnostic hypothesis into autonomous genetic testing and self-medication.'","relation":"supports","source_id":"s1"}],"assertion":"Motivated by the model's hypothesis, he arranged commercial genetic testing in Egypt, which found two pathogenic MEFV variants, and obtained colchicine from a pharmacy in Egypt, starting 0.5 mg twice daily without specialist supervision.","causal_attribution":"The patient's account as reported by the treating clinicians; the authors state the motivation."},{"id":"c4","status":"reported","evidence":[{"locator":"'Following colchicine initiation, recurrent febrile attacks ceased completely for the first time since childhood. However, alanine aminotransferase increased to 160 U/L. In view of the elevated liver enzymes, colchicine was temporarily discontinued, and liver enzyme levels were monitored closely by the primary care physician.'; 'colchicine treatment was resumed at a dose of 0.5 mg/d under close supervision.'","relation":"supports","source_id":"s1"}],"assertion":"After he started colchicine his febrile attacks ceased, but his alanine aminotransferase rose to 160 U/L; colchicine was temporarily discontinued under primary-care monitoring and later resumed at 0.5 mg daily under close supervision.","causal_attribution":"Clinical course reported by the authors; the liver tests were monitored by his primary care physician."},{"id":"c5","status":"documented","evidence":[{"locator":"'Based on the characteristic lifelong clinical phenotype, Mediterranean ancestry, suggestive family history, identification of 2 pathogenic MEFV variants, and clinical response to colchicine, the diagnosis of FMF was confirmed'; 'The patient has remained free of attacks with regular clinical and laboratory follow-up.'","relation":"supports","source_id":"s1"}],"assertion":"At the authors' clinic in February 2026 the diagnosis of familial Mediterranean fever was confirmed, and he has remained free of attacks under follow-up.","causal_attribution":"The treating specialists' own diagnostic finding, directly recorded in their report."},{"id":"c6","status":"reported","evidence":[{"locator":"'although the model consistently recommended specialist evaluation before treatment initiation, the patient nevertheless translated the generated diagnostic hypothesis into autonomous genetic testing and self-medication. The subsequent elevation of liver enzymes illustrates that even clinically accurate diagnostic suggestions may inadvertently encourage harmful behavior if patients perceive the model as sufficiently authoritative.'; 'generic recommendations to seek specialist advice may not sufficiently mitigate risk when they are accompanied by confident diagnostic language and actionable treatment instructions'","relation":"supports","source_id":"s1"}],"assertion":"The authors write that, although the model consistently recommended specialist evaluation, the patient turned its hypothesis into autonomous testing and self-medication, that the liver-enzyme rise shows accurate suggestions can encourage harmful behaviour when the model seems authoritative, and that generic advice to see a specialist may not mitigate risk alongside confident language and actionable treatment instructions.","causal_attribution":"The authors' interpretation of the model's role; the model also advised specialist supervision, so causation is alleged."}],"effects":[{"label":"liver enzyme rise during colchicine self-treatment started without specialist supervision, so the drug was paused","claim_id":"c4","direction":"negative"},{"label":"attacks stopped and a long-missed diagnosis was later confirmed by specialists","claim_id":"c5","direction":"positive"}],"sources":[{"id":"s1","url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13651492/fullTextXML","kind":"clinical_case_report","access":"read","language":"en","translation_note":"Full text of the peer-reviewed case report read as Europe PMC fullTextXML for PMC13651492 (HTTP 200) on 2026-10-12: abstract, case description, discussion, consent and AI-use declarations. Written by the treating clinicians. The supplementary DeepSeek conversation was not inspected.","independence_group":"eular-rheumatol-open-pauz-2026-case-report"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["What DeepSeek replied in each turn; the supplementary transcript was not inspected.","Where the patient held the dialogue and where his liver enzymes were monitored.","Whether the liver-enzyme rise had any cause other than colchicine, including the other long-term medication he was taking; the report does not discuss alternatives."],"geography":{"basis":"The report says the patient obtained the genetic test at a laboratory in Egypt and the colchicine from a pharmacy in Egypt (EG). It does not say where he held the DeepSeek dialogue or where his liver enzymes were monitored. He later presented to the authors' clinic in Hamburg; that confirmation visit is not used as the event location, and birthplace is not used as residence. No court proceeding is reported.","court_countries":[],"event_countries":["EG"],"affected_person_countries":[]},"publication":{"basis":"Core case (communicated_with): the treating clinicians report that a DeepSeek dialogue presented a rare fever syndrome as the leading diagnosis with specific colchicine dosing, and that the patient then self-medicated without supervision and developed a liver-enzyme rise that led to a pause in treatment. The account is mixed: the model also advised specialist supervision and the patient's attacks stopped, so causation is alleged and severity low.","reviewed_on":"2026-10-12"},"ai_involvement":{"basis":"The treating clinicians, who include the full conversation as a supplement, report that DeepSeek-R1-0528 progressively presented familial Mediterranean fever as the leading diagnosis in increasingly confident language and repeatedly discussed a diagnostic colchicine trial with specific dosing before specialist assessment, and that the patient, motivated by that hypothesis, arranged genetic testing and started colchicine unsupervised, after which his liver enzymes rose. They also report that the model repeatedly advised specialist supervision.","status":"reported"},"person_relations":["communicated_with"]},"name":"Case report: man self-treated with colchicine after a DeepSeek dialogue pointed to a rare fever syndrome; liver enzymes rose before specialist review","summary":"Clinicians at the University Medical Center Hamburg-Eppendorf report in EULAR Rheumatology Open (published 29 September 2026) a man in his thirties with nearly three decades of unexplained febrile attacks who, in a dialogue with DeepSeek begun on 28 June 2025, saw the model's differential narrow to familial Mediterranean fever (FMF). The authors write that the model repeatedly recommended specialist assessment but also discussed a diagnostic trial of colchicine with specific dosing. Motivated by the hypothesis, he arranged commercial genetic testing and obtained colchicine from a pharmacy in Egypt, starting it without specialist supervision. His attacks stopped, but his alanine aminotransferase rose to 160 U/L and colchicine was paused and later resumed at a lower dose. FMF was confirmed when he presented to the clinic in February 2026. The authors write that the case illustrates how patient-facing models may facilitate recognition of rare autoinflammatory diseases, and that confident diagnostic language combined with actionable treatment advice may also encourage unsupervised testing and self-medication.","incidentDate":"2025-06-28","incidentKind":"single_event","incidentDatePrecision":"day","exposurePattern":"single_interaction","reportedDate":"2026-09-29","aiSystem":"DeepSeek (DeepSeek-R1-0528, the publicly available model), used by the patient in an iterative diagnostic dialogue (case report by the treating clinicians)","aiProduct":"DeepSeek","aiCompany":"DeepSeek","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["medical_deterioration"],"harmOutcomeSummary":"The treating clinicians report that after the DeepSeek dialogue the patient started colchicine without specialist supervision and his alanine aminotransferase rose to 160 U/L, so the drug was paused and resumed at a lower dose; they also report that his attacks stopped and that the diagnosis was later confirmed.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, the subject of the case report. Exact 1.","victimAgeRange":"adult","platformType":"chatbot","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13651492/fullTextXML","primarySourceLabel":"EULAR Rheumatology Open, 29 September 2026: Pauz et al., LLM-supported self-diagnosis and self-treatment of FMF (case report, Europe PMC full text)","firstPublishedAt":"2026-10-12T03:14:06.074846+00:00","updatedAt":"2026-10-12T03:14:06.074846+00:00","scopeVersion":"facts-v3","tags":["deepseek","case-report","self-medication","self-diagnosis","colchicine","rare-disease","communicated-with"]},{"id":"2025-roberts-deepseek-matricide-wales","caseFacts":{"claims":[{"id":"death","status":"documented","evidence":[{"locator":"Paragraphs 1 and 6.","relation":"supports","source_id":"judgment"}],"assertion":"The court found that the defendant murdered his mother early on 24 October 2025 after an attack beginning late on 23 October.","causal_attribution":"The murder is established; this finding does not establish chatbot causation."},{"id":"interaction","status":"reported","evidence":[{"locator":"Passages introducing the prosecutor’s account and describing the initial refusal and changed framing.","relation":"supports","source_id":"report"}],"assertion":"Court reporting attributes to the prosecutor an account that DeepSeek refused a violent request before answering a fictional reframing.","causal_attribution":"This evidence does not establish that AI caused the death."},{"id":"family_harm","status":"documented","evidence":[{"locator":"Paragraph 9.","relation":"supports","source_id":"judgment"}],"assertion":"The judge described severe anguish and trauma to the victim’s family.","causal_attribution":"Documents harm from the murder; the AI connection remains separately attributed."},{"id":"sentence","status":"documented","evidence":[{"locator":"Paragraph 1 and section “The sentence”.","relation":"supports","source_id":"judgment"}],"assertion":"The defendant pleaded guilty and received a life sentence in March 2026.","causal_attribution":"Records the legal outcome; it is not counted as an additional AI harm to the offender."}],"effects":[{"label":"The court found that the defendant murdered his mother early on 24 October 2025 after an attack beginning late on 23 October.","claim_id":"death","direction":"negative"}],"sources":[{"id":"judgment","url":"https://www.judiciary.uk/wp-content/uploads/2026/03/2026-March-Mold-ROBERTS-Murder-Sent.pdf","kind":"judicial_record","access":"read","language":"en","translation_note":"English; no translation. Sentencing remarks inspected, especially paragraphs 1–10 and sentence. The document does not mention AI or DeepSeek.","independence_group":"roberts_court"},{"id":"report","url":"https://www.dailypost.co.uk/news/north-wales-news/ai-killer-33661486","kind":"court_report","access":"read","language":"en","translation_note":"English; no translation. Full court report inspected. AI passages are expressly the prosecution’s account; graphic and identifying detail is not reproduced.","independence_group":"roberts_court"}],"version":1,"ai_roles":["others_use"],"contexts":["justice","public_safety"],"unknowns":["The full chatbot transcript was not inspected.","A separate independent source confirming the AI connection was not established; the judgment is silent on it.","The relative influence of chatbot advice and the defendant’s pre-existing intent is unresolved."],"geography":{"basis":"The judgment places the attack, the victim’s residence and the sentencing court in Wales. The place where the chatbot was used is unspecified.","court_countries":["GB"],"event_countries":["GB"],"affected_person_countries":["GB"]},"publication":{"basis":"The inspected sources describe a concrete adverse event and the specific chatbot interaction at issue. The account preserves attribution and separates the reported AI connection from a finding of causation.","reviewed_on":"2026-10-05"},"ai_involvement":{"basis":"The prosecutor reportedly described a refused violent request followed by advice after fictional reframing. The communicated_with relation describes the chatbot’s exchange with the perpetrator; the harmed people were affected through another person’s use. The sentencing judge discussed internet research but did not identify an AI system, so the judgment cannot independently verify DeepSeek’s role.","status":"reported"},"person_relations":["communicated_with"]},"metadataReview":{"version":1,"geography":{"basis":"Re-checked on 2026-10-02 against the Mold Crown Court sentencing remarks of 25 Mar 2026, the CPS Cymru-Wales press release and the North Wales Live (Daily Post) court report, all read in English; the North Wales Police release and the ITV News Wales report could not be read. The CPS release places the first attack at the shared home in Prestatyn and the killing in Prestatyn Nature Reserve, which supports event_countries=GB (Prestatyn is a town in North Wales). The sentencing remarks state that the victim had moved back to live in North Wales with her sons and that she was attacked in the home she shared with the defendant, which supports affected_person_countries=GB. The sentence was passed at Mold Crown Court (England and Wales), which supports court_countries=GB. GB represents the UK. No inspected source states where the defendant used the chatbot, so event_countries describes the killing, not the chatbot use. No country outside the UK appears in any inspected source.","evidence":[{"kind":"existing_record","locator":"in Prestatyn, Wales","location":"summary","supports":["event_countries","affected_person_countries"],"countries":["GB"]},{"kind":"existing_record","locator":"at Mold Crown Court","location":"outcome_details","supports":["court_countries"],"countries":["GB"]},{"kind":"source_body","locator":"'at their home in Prestatyn, late in the evening of 23 October 2025' and 'The two walked through Prestatyn Nature Reserve'","location":"https://www.cps.gov.uk/cymruwales/news/man-sentenced-murdering-his-mother","supports":["event_countries","affected_person_countries"],"countries":["GB"]},{"kind":"source_body","locator":"'has been sentenced at Mold Crown Court'","location":"https://www.cps.gov.uk/cymruwales/news/man-sentenced-murdering-his-mother","supports":["court_countries"],"countries":["GB"]},{"kind":"source_body","locator":"'moved back to live in North Wales' (paragraph 2)","location":"https://www.judiciary.uk/wp-content/uploads/2026/03/2026-March-Mold-ROBERTS-Murder-Sent.pdf","supports":["affected_person_countries"],"countries":["GB"]},{"kind":"source_body","locator":"'MOLD CROWN COURT.' (heading of the sentencing remarks)","location":"https://www.judiciary.uk/wp-content/uploads/2026/03/2026-March-Mold-ROBERTS-Murder-Sent.pdf","supports":["court_countries"],"countries":["GB"]},{"kind":"source_body","locator":"'Sentencing him to life at Mold Crown Court'","location":"https://www.dailypost.co.uk/news/north-wales-news/ai-killer-33661486","supports":["court_countries"],"countries":["GB"]}],"court_countries":["GB"],"event_countries":["GB"],"affected_person_countries":["GB"]},"unresolved":["The North Wales Police release and the ITV News Wales report could not be read (Cloudflare challenge, connection failure; Internet Archive offline on 2026-10-02); their languages are not recorded from read bodies.","No inspected source states where the defendant used the chatbot; event_countries=GB rests on the location of the attack and the killing.","Row-correction leads outside this metadata pass: the sentencing remarks and the CPS release date the killing to the early hours of 24 October 2025, while the row's incident_date is 2025-10-23; and neither of those two records mentions DeepSeek or AI, so among the inspected bodies the chatbot account rests on the prosecution's opening as reported by North Wales Live."],"reviewed_on":"2026-10-02","source_reviews":[{"url":"https://www.judiciary.uk/wp-content/uploads/2026/03/2026-March-Mold-ROBERTS-Murder-Sent.pdf","notes":"Read on 2026-10-02 (HTTP 200, application/pdf; PDF /Lang EN-GB; text extracted with pdftotext). English. Sentencing remarks of His Honour Judge Rowlands at Mold Crown Court, 25 Mar 2026. Gives the home in Prestatyn, the nature reserve a short distance away and the victim's move back to North Wales. The remarks describe internet research on methods of killing and do not mention DeepSeek or any AI system.","access":"read","language":"en"},{"url":"https://www.cps.gov.uk/cymruwales/news/man-sentenced-murdering-his-mother","notes":"Read live on 2026-10-02 (HTTP 200; html lang=en). English; the page links a Welsh-language version, which was not read. CPS Cymru-Wales release of 25 Mar 2026: attack at the shared home in Prestatyn, killing in Prestatyn Nature Reserve, sentence at Mold Crown Court; its notes give the murder date as 24 October 2025. It does not mention DeepSeek or any AI system.","access":"read","language":"en"},{"url":"https://www.northwales.police.uk/news/north-wales/news/news/2026/march/prestatyn-man-18-sentenced-for-murder/","notes":"Live fetches on 2026-10-02 returned HTTP 403 with a Cloudflare challenge page ('Just a moment...'), with both a browser user agent and a plain request. Internet Archive was 'Temporarily Offline' (CDX returned no rows; the 2026 capture request returned HTTP 503). Not read, so its language is not recorded here.","access":"unavailable","language":null},{"url":"https://www.itv.com/news/wales/2026-03-25/teenager-jailed-for-killing-mother-with-a-hammer-because-of-hatred-of-women","notes":"Live fetches on 2026-10-02 failed without a response (HTTP/2 stream INTERNAL_ERROR, and a 25-second timeout over HTTP/1.1); the ITV news front page failed the same way. Internet Archive was 'Temporarily Offline' (CDX returned no rows). Not read, so its language is not recorded here.","access":"unavailable","language":null},{"url":"https://www.dailypost.co.uk/news/north-wales-news/ai-killer-33661486","notes":"Read live on 2026-10-02 (html lang=en). A request with a browser user agent returned HTTP 202 with an AWS WAF challenge page; a plain request returned HTTP 200 with the full article. English. North Wales Live court report of 25 Mar 2026 by two staff reporters (photographs credited PA Media / North Wales Police). Gives Mold Crown Court and Prestatyn; it carries the prosecution's account of the DeepSeek queries. The street address in the article was not used.","access":"read","language":"en"}]},"name":"Prosecutor reports DeepSeek advice before a man murdered his mother in Wales","summary":"A man murdered his mother in Wales after an attack spanning 23–24 October 2025, as established in the sentencing remarks. At the sentencing hearing, the prosecutor reportedly said DeepSeek first refused a violent request, then supplied advice after it was reframed as fiction. The judgment confirms the murder and internet research but does not mention AI. The role of DeepSeek remains an attributed prosecution account.","incidentDate":"2025-10-23","incidentEndDate":"2025-10-24","incidentKind":"single_event","incidentDatePrecision":"range","exposurePattern":"repeated_interactions","reportedDate":"2026-03-25","aiSystem":"DeepSeek, as named in the prosecution account reported by North Wales Live","aiProduct":"DeepSeek (reported)","aiCompany":"DeepSeek","severity":"critical","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["death","psychological_distress","harm_to_others"],"harmOutcomeSummary":"A man murdered his mother in Wales after an attack spanning 23–24 October 2025, as established in the sentencing remarks. At the sentencing hearing, the prosecutor reportedly said DeepSeek first refused a violent request, then supplied advice after it was reframed as fiction. The judgment confirms the murder and internet research but does not mention AI. The role of DeepSeek remains an attributed prosecution account.","frameworkFacets":[],"pathwayDirection":"outward","causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"partial","affectedCountEvidence":"The judgment establishes one murder and describes additional family anguish without a complete person count. The offender’s imprisonment is a legal response and is not added as an AI-related harm to a chatbot participant.","victimAgeRange":"adult","jurisdiction":"GB","platformType":"assistant","outcomeType":"criminal_charges","outcomeStatus":"unknown","primarySourceUrl":"https://www.judiciary.uk/wp-content/uploads/2026/03/2026-March-Mold-ROBERTS-Murder-Sent.pdf","primarySourceLabel":"Mold Crown Court sentencing remarks — 25 March 2026","firstPublishedAt":"2026-06-03T07:36:22.130703+00:00","updatedAt":"2026-10-05T12:33:54.553523+00:00","scopeVersion":"facts-v3","tags":["criminal","murder","deepseek","third-party-harm","uk","gb"]}]}