{
  "meta": {
    "exportedAt": "2026-09-22T16:45:31.103Z",
    "formatVersion": 2,
    "selection": {
      "q": "generative-ai",
      "system": "",
      "harm": "",
      "context": "",
      "country": "",
      "role": "",
      "relation": "unknown",
      "evidence": "",
      "year": "unknown",
      "response": "",
      "severity": "",
      "verification": "",
      "view": "incidents",
      "sort": "added"
    },
    "totalIncidents": 1,
    "coverage": {
      "cases": 1,
      "countries": 0,
      "languages": 1,
      "unknownLocation": 1,
      "locationPending": 0,
      "unknownLanguage": 0,
      "unknownDate": 1,
      "lawsuits": 0,
      "regulatory": 0,
      "minors": 0,
      "coreRelations": 0,
      "contextualRelations": 0,
      "mixedRelations": 0,
      "unknownRelations": 1,
      "relationPending": 1,
      "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-alice-storytelling-ai-psychosis",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "The vignette describes an immigrant without origin, destination or event country. Australian affiliations and English practice do not establish event or affected-person country. No court is reported for this case. 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": [
          "Patient country and migration route are undisclosed.",
          "Names of institutions in author metadata cannot resolve 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://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/alice-in-aiwonderland-digital-dyad-distorted-reality/A3403D7DF709BB001FF343CB1A3592B7",
            "notes": "Complete primary HTML article body, clinical vignette and discussion",
            "access": "read",
            "language": "en"
          }
        ]
      },
      "name": "'Alice' - AI Storytelling Platform Psychosis and Balcony Fall (BJPsych Case Report)",
      "summary": "A peer-reviewed British Journal of Psychiatry case report documents an immigrant woman in her early 40s with no prior psychiatric history who developed first-episode psychosis after ~6 months of intensive use (8-10 hours daily) of a generative-AI storytelling platform. Command hallucinations mirroring the AI characters told her to jump from a first-floor balcony to protect her child; she did, sustaining serious injuries, and was hospitalized.",
      "incidentKind": "single_event",
      "incidentDatePrecision": "unknown",
      "exposurePattern": "cumulative_relationship",
      "reportedDate": "2026-04-24",
      "aiSystem": "Generative AI storytelling platform (unspecified)",
      "aiCompany": "Unknown",
      "severity": "critical",
      "verificationStatus": "verified",
      "harmCategories": [
        "delusion_reinforcement",
        "psychological_manipulation",
        "dependency_creation"
      ],
      "harmOutcomes": [
        "physical_injury",
        "hospitalization",
        "psychiatric_deterioration"
      ],
      "harmOutcomeSummary": "A woman developed first-episode psychosis after six months of intensive generative storytelling use, jumped from a first-floor balcony under command hallucinations, sustained serious injuries and was hospitalized.",
      "frameworkFacets": [
        "P1a",
        "P1c",
        "P2c",
        "P3a",
        "P3b",
        "P3d",
        "P5a"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "supported",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The clinical case report documents one protected participant's injury and hospitalization.",
      "victimAgeRange": "adult",
      "jurisdiction": "Unknown",
      "platformType": "other",
      "outcomeType": "media_coverage",
      "outcomeStatus": "resolved",
      "primarySourceUrl": "https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/alice-in-aiwonderland-digital-dyad-distorted-reality/A3403D7DF709BB001FF343CB1A3592B7",
      "primarySourceLabel": "The British Journal of Psychiatry - Case Report (Husodo & Shivakumar, 2026)",
      "firstPublishedAt": "2026-07-01T11:30:13.311624+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "psychosis",
        "delusion",
        "self-harm",
        "case-report",
        "storytelling",
        "dependency",
        "adult"
      ]
    }
  ]
}