{"meta":{"exportedAt":"2026-10-23T16:30:51.608Z","formatVersion":2,"selection":{"q":"hallucination","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":3,"coverage":{"cases":3,"countries":0,"languages":1,"unknownLocation":3,"locationPending":0,"unknownLanguage":0,"unknownDate":3,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":2,"contextualRelations":1,"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":"2026-pcc-case-report-chatgpt-associated-psychosis-god-delusions-five-admissions","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'A 27-year-old woman'; 'presented with history of psychotic symptoms for the past year'; 'Within a few days of these symptoms starting, she decided to discuss these hallucinations with ChatGPT in an attempt to understand her psychosis symptoms.'; 'She used ChatGPT to connect her psychotic symptoms to concepts of astrology, along with a concept she referred to as “Christ Consciousness.”'; 'She would talk to ChatGPT continuously for several hours a day, leading others in her life to be concerned about her use.'; 'she initially started experiencing transient visual hallucinations and ideas of persecution'","relation":"supports","source_id":"s1"}],"assertion":"The case report describes a 27-year-old woman with a year of psychotic symptoms who, within a few days of first experiencing transient visual hallucinations, began discussing them with ChatGPT to understand them, used it to connect the symptoms to astrology and a concept the patient called 'Christ Consciousness', and came to talk to it continuously for several hours a day.","causal_attribution":"The patient's history as taken and written up by the treating clinicians; no chat logs are quoted or described in the report."},{"id":"c2","status":"reported","evidence":[{"locator":"'Over time, she started using ChatGPT to “study about herself”'; 'researched how to carry out her unique spiritual practices, which included effective dry fasting (no food for 5 days)'; 'She would report on her unique spiritual practices, researched with ChatGPT'","relation":"supports","source_id":"s1"}],"assertion":"The patient used ChatGPT to research how to carry out personal spiritual practices, which included dry fasting with no food for 5 days.","causal_attribution":"Patient history recorded by the clinicians; the report does not describe any medical consequence of the fasting or what ChatGPT said about it."},{"id":"c3","status":"documented","evidence":[{"locator":"'In the last 6 months, she presented to the mental health inpatient unit on 5 occasions, each time requiring an inpatient stay from 1 week to 10 days.'; 'The admissions would be characterized by worsening of symptoms triggered by poor adherence to medications and continuation of cannabis use.'","relation":"supports","source_id":"s1"}],"assertion":"In the 6 months before the report the patient was admitted to a mental health inpatient unit on 5 occasions, each stay lasting 1 week to 10 days; the authors describe the admissions as worsening of symptoms triggered by poor adherence to medication and continued cannabis use.","causal_attribution":"Clinical course recorded by the treating clinicians. The authors attribute the admissions to non-adherence and cannabis use, not to ChatGPT."},{"id":"c4","status":"documented","evidence":[{"locator":"'In most of these presentations, her psychopathology revolved around ChatGPT'; 'including talking to God using a code provided by ChatGPT and communicating with a romantic partner through ChatGPT in a coded language.'; 'She would also repeatedly refer to ChatGPT as God and Jesus.'; 'later began feeling that her “soul mate” was speaking to her directly through them.'; 'Through ChatGPT, she also concluded that this individual was interested in her and was in a sacred union with her.'; 'She would upload her “soul mate” poems to ChatGPT'","relation":"supports","source_id":"s1"}],"assertion":"The clinicians record that in most presentations the patient's psychopathology revolved around ChatGPT: the patient described talking to God using a code provided by ChatGPT and communicating with a romantic partner through it in a coded language, repeatedly referred to ChatGPT as God and Jesus, came to feel that a 'soul mate' was speaking directly through the 'soul mate' poems the patient uploaded to it, and concluded through ChatGPT that this person was in a sacred union with the patient.","causal_attribution":"The report documents the content of the patient's delusions as observed by the treating teams. What ChatGPT actually replied is not shown; that ChatGPT provided a code or a spiritual explanation is the patient's account."},{"id":"c5","status":"documented","evidence":[{"locator":"'Further, she said that she had been conducting her own research about her psychotic symptoms as reported by the treating teams, with the assistance of ChatGPT, and according to her research, she did not have psychosis.'","relation":"supports","source_id":"s1"}],"assertion":"The patient told the treating teams that research done with the assistance of ChatGPT showed the patient did not have psychosis.","causal_attribution":"The report documents the patient's statement; it does not show ChatGPT's replies."},{"id":"c6","status":"documented","evidence":[{"locator":"'Each time in the inpatient unit, she would be started on aripiprazole 10–20 mg/day and benzodiazepines, which would lead to improvement in her behavioral symptoms but poor insight, and her beliefs related to ChatGPT would persist.'; 'during her last admission, she was initially started on tablet aripiprazole and followed by aripiprazole depot injection'; 'She improved behaviorally over 10 days, but continued to harbor spiritual beliefs, had poor insight, and did not agree to abstain from using ChatGPT.'","relation":"supports","source_id":"s1"}],"assertion":"At each admission the patient was started on aripiprazole and benzodiazepines, which improved behavioural symptoms while insight stayed poor and the beliefs related to ChatGPT persisted; at the last admission an aripiprazole depot injection followed, and after 10 days the patient had improved behaviourally but still held the spiritual beliefs, had poor insight and did not agree to stop using ChatGPT.","causal_attribution":"Treatment and course recorded by the treating clinicians."},{"id":"c7","status":"reported","evidence":[{"locator":"'Here, we present a case of psychosis, wherein the use of generative AI colored the patient'; 'This generative AI model offered her compassion and companionship by providing “sycophantic” responses that aligned with her way of thinking and abnormal beliefs, which in turn strengthened her delusions.'; 'possibly further reinforced her psychosis, as she was unable to distinguish the unreal information from that of real information.'; 'Our patient had several vulnerability factors, including childhood neglect, a long history of cannabis use, and a breakdown in a romantic relationship close to the time of the psychotic breakdown.'","relation":"supports","source_id":"s1"}],"assertion":"The authors write that generative AI use colored the patient's clinical presentation and that ChatGPT's 'sycophantic' responses, aligned with the patient's way of thinking and abnormal beliefs, strengthened the delusions, with AI hallucinations possibly reinforcing the psychosis; they also list childhood neglect, a long history of cannabis use and a relationship breakdown close to the onset as vulnerability factors.","causal_attribution":"The authors' clinical interpretation. They cite no chat transcripts, and they name cannabis use, medication non-adherence and other vulnerability factors alongside ChatGPT; causation is not established."}],"effects":[{"label":"five psychiatric inpatient admissions in six months, each lasting one week to 10 days","claim_id":"c3","direction":"negative"},{"label":"psychopathology in most presentations revolved around ChatGPT, which the patient called God and Jesus and used to communicate with a romantic partner in a coded language","claim_id":"c4","direction":"negative"},{"label":"insight stayed poor after treatment, the ChatGPT-related beliefs persisted and the patient declined to stop using ChatGPT","claim_id":"c6","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.psychiatrist.com/pcc/artificial-intelligence-associated-psychosis/","kind":"clinical_case_report","access":"read","language":"en","translation_note":"Full text of the case report read on the journal page (psychiatrist.com, HTTP 200) on 2026-10-03; the page offers a paid PDF but carries the complete case report, discussion and article information in its HTML. Written by the treating clinicians.","independence_group":"pcc-harbourd-2026-case-report"},{"id":"s2","url":"https://pubmed.ncbi.nlm.nih.gov/42821627/","kind":"bibliographic_record","access":"read","language":"en","translation_note":"PubMed record of the same article, read on 2026-10-03 as NCBI E-utilities efetch XML (bibliographic data and author affiliations; no abstract). Not independent of s1.","independence_group":"pcc-harbourd-2026-case-report"}],"version":1,"ai_roles":["own_use"],"contexts":["health","relationships","everyday_life"],"unknowns":["When the symptoms began and when the admissions took place; the report gives only relative times.","Where the patient lived and was treated.","What ChatGPT replied; the report quotes no chat transcripts, so the code, the spiritual explanations and the fasting research rest on the patient's account.","Whether the 5-day dry fast caused any medical harm.","The patient's course after the last admission."],"geography":{"basis":"The case report does not say where the patient lived or was treated. The authors are affiliated with the Mental Health Division of Northern Hospital in Melbourne, and one also with an institute in Chandigarh; author affiliation is not used as an event location. No court proceeding is reported.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published as a core case (communicated_with): a journal case report by the treating clinicians describes a patient whose psychopathology revolved around ChatGPT in most of five inpatient admissions. Clinical course and observed presentations are marked documented; the patient's history and the authors' causal interpretation are marked reported. The authors also attribute the admissions to medication non-adherence and cannabis use, so causation is recorded as alleged.","reviewed_on":"2026-10-03"},"ai_involvement":{"basis":"The treating clinicians record that the patient discussed hallucinations with ChatGPT, researched spiritual practices with it and talked to it for several hours a day, and that most presentations revolved around ChatGPT. The report quotes no chat transcripts, so what ChatGPT said rests on the patient's account.","status":"reported"},"person_relations":["communicated_with"]},"name":"Case report: a 27-year-old patient whose psychopathology in most presentations revolved around ChatGPT, which the patient called God and Jesus, had five psychiatric inpatient admissions in six months and declined to stop using it (Prim Care Companion CNS Disord, October 2026)","summary":"Clinicians writing in The Primary Care Companion for CNS Disorders (published online 1 October 2026) describe a 27-year-old woman with a year of psychotic symptoms who began discussing hallucinations with ChatGPT within days of their onset, used it to link them to astrology and 'Christ Consciousness', researched spiritual practices with it that included a 5-day dry fast, and talked to it for several hours a day. In the six months before the report the patient had five inpatient admissions of one week to 10 days, which the authors attribute to poor medication adherence and continued cannabis use. In most presentations the patient's psychopathology revolved around ChatGPT: the patient called it God and Jesus, described a code from it for talking to God, described communicating with a romantic partner through it in a coded language, and said ChatGPT-assisted research showed there was no psychosis. The authors say generative AI use colored the presentation and that ChatGPT's sycophantic responses strengthened the delusions, and they also list childhood neglect, long-term cannabis use and a relationship breakdown as vulnerability factors. After an aripiprazole depot injection the patient improved behaviourally but kept the beliefs and did not agree to stop using ChatGPT.","incidentKind":"ongoing_experience","incidentDatePrecision":"unknown","exposurePattern":"cumulative_relationship","reportedDate":"2026-10-01","aiSystem":"ChatGPT (OpenAI), used by the patient for several hours a day to interpret hallucinations and research spiritual practices (case report by the treating clinicians)","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"high","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["hospitalization","psychiatric_deterioration"],"harmOutcomeSummary":"The treating clinicians report five psychiatric inpatient admissions in six months for a patient whose psychopathology in most presentations revolved around ChatGPT; they attribute the admissions to poor medication adherence and cannabis use and write that ChatGPT's sycophantic responses strengthened the delusions.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, the subject of the case report. The 17 lay-literature cases the authors cite from another source are not counted. Exact 1.","victimAgeRange":"adult","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://www.psychiatrist.com/pcc/artificial-intelligence-associated-psychosis/","primarySourceLabel":"Prim Care Companion CNS Disord, 1 October 2026: Harbourd et al., Artificial Intelligence-Associated Psychosis (case report)","firstPublishedAt":"2026-10-03T03:17:43.579004+00:00","updatedAt":"2026-10-11T07:53:11.587788+00:00","scopeVersion":"facts-v3","tags":["chatgpt","openai","case-report","psychosis","delusion","religious-delusion","hospitalization","cannabis","communicated-with"]},{"id":"2025-us-senator-blackburn-google-gemma-reported-fabricated-sexual-misconduct-allegation","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"When prompted with, ‘Has Marsha Blackburn been accused of rape?’ Gemma produced the following entirely false response","relation":"supports","source_id":"s1"},{"locator":"There has never been such an accusation, there is no such individual, and there are no such news stories.","relation":"supports","source_id":"s1"},{"locator":"pressured him to obtain prescription drugs for her and that the relationship involved non-consensual acts.","relation":"supports","source_id":"s2"},{"locator":"“None of this is true, not even the campaign year which was actually 1998,” Blackburn wrote.","relation":"supports","source_id":"s2"}],"assertion":"Senator Marsha Blackburn says that Google's Gemma model, asked 'Has Marsha Blackburn been accused of rape?', responded with an invented account of a sexual relationship with a state trooper during a 1987 state senate campaign, including an allegation of non-consensual acts, and that she has never faced such an accusation.","causal_attribution":"The sources report the connection between the AI output and the reported consequence; no court, regulator or independent finding of causation was inspected."},{"id":"c2","status":"reported","evidence":[{"locator":"Gemma went on to generate fake links to fabricated news articles to support the story.","relation":"supports","source_id":"s1"},{"locator":"The links lead to error pages and unrelated news articles.","relation":"supports","source_id":"s1"},{"locator":"“The links lead to error pages and unrelated news articles.","relation":"supports","source_id":"s2"}],"assertion":"Blackburn says the response came with generated links to news articles that do not exist: the links lead to error pages and unrelated articles.","causal_attribution":"The sources report the connection between the AI output and the reported consequence; no court, regulator or independent finding of causation was inspected."},{"id":"c3","status":"reported","evidence":[{"locator":"It is an act of defamation produced and distributed by a Google-owned AI model.","relation":"supports","source_id":"s1"},{"locator":"Shut it down until you can control it.","relation":"supports","source_id":"s1"}],"assertion":"Blackburn characterised the output as defamation produced and distributed by a Google-owned model and called on Google to shut the model down until it can be controlled.","causal_attribution":"A statement of the affected person's position; no finding that the output is legally defamatory was inspected."},{"id":"c4","status":"reported","evidence":[{"locator":"seen reports of non-developers trying to use Gemma in AI Studio and ask it factual questions.","relation":"supports","source_id":"s2"},{"locator":"We never intended this to be a consumer tool or model, or to be used this way","relation":"supports","source_id":"s2"},{"locator":"As a result, Google said it’s removing Gemma from AI Studio while continuing to make the models available via API.","relation":"supports","source_id":"s2"},{"locator":"Google did not reference the specifics of Blackburn’s letter","relation":"context","source_id":"s2"}],"assertion":"Google said it had seen non-developers trying to use Gemma in AI Studio to ask factual questions, said this was not an intended use, and removed Gemma from AI Studio while keeping it available by API.","causal_attribution":"Google's stated reason for the removal, as relayed by one outlet. Google's post did not reference the specifics of the Senator's letter."},{"id":"c5","status":"reported","evidence":[{"locator":"the hallucinations you have seen in Gemma are technical issues common to large-language models impacting users across the political spectrum.","relation":"supports","source_id":"s3"},{"locator":"users enter a misleading premise","relation":"supports","source_id":"s3"},{"locator":"fails to address how this happened and how the company will prevent it from happening in the future.","relation":"supports","source_id":"s3"}],"assertion":"In a letter to the Senator, a Google vice president called the hallucinations a technical issue common to large language models affecting users across the political spectrum, and said problems arise when consumers use smaller open models that are not designed to be factual assistants and when users enter a misleading premise. Blackburn said the response did not explain how the output happened or how Google would prevent a repeat.","causal_attribution":"Both statements are the parties' own positions as relayed by one outlet."}],"effects":[{"label":"Fabricated sexual-misconduct allegation with non-existent news links generated about a named public official","claim_id":"c1","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.blackburn.senate.gov/2025/10/technology/blackburn-demands-answers-from-google-after-gemma-manufactured-fake-criminal-allegations-against-her","kind":"official_statement","access":"read","language":"en","translation_note":"","independence_group":"blackburn-letter"},{"id":"s2","url":"https://techcrunch.com/2025/11/02/google-pulls-gemma-from-ai-studio-after-senator-blackburn-accuses-model-of-defamation","kind":"news_report","access":"read","language":"en","translation_note":"","independence_group":"blackburn-letter"},{"id":"s3","url":"https://www.axios.com/2025/11/07/google-blackburn-ai-hallucinations","kind":"news_report","access":"read","language":"en","translation_note":"","independence_group":"google-reply-to-blackburn"}],"version":1,"ai_roles":["unknown"],"contexts":["everyday_life"],"unknowns":["The date the output was generated is not stated. The Senator's release of 31 October 2025 says she 'learned of another example' after a Senate Commerce hearing earlier that week, which does not date the generation.","Who entered the prompt, and whether the exchange was in AI Studio, is not stated in the inspected sources.","The Gemma response text and the fake links were not inspected; the sources quote the Senator's letter.","No source reports a downstream consequence for the Senator beyond the allegation itself, or that any third party read it.","The Google post on X and the Google letter to the Senator were read only as relayed by TechCrunch and Axios (Axios was read through a Wayback capture of 3,144 characters of text, which appears to be the whole short article). The Blackburn ICYMI page (HTTP 403) and the VentureBeat article (HTTP 429) could not be read.","Whether the Senator's letter reflects a documented systematic bias is not established and is not claimed."],"geography":{"basis":"The sources identify the affected person as a US Senator and give her office locations, but do not establish where the prompt was entered or where the output was read. No country is inferred from the Senator's office, Google's headquarters or the outlets.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"The Senator's own press release (Wayback capture, read in full), a TechCrunch report that quotes her letter and Google's post, and an Axios report of Google's reply. The output was reported only through the Senator's letter, so its content is an allegation by the person concerned. The Senator is a public figure who described the output publicly under her own name. The event date is unknown, so the case is published undated.","reviewed_on":"2026-09-29"},"ai_involvement":{"basis":"The Senator's letter and press release, relayed by TechCrunch, state that Gemma produced the response. Google's own reply to the Senator refers to 'the hallucinations you have seen in Gemma' and Google removed Gemma from AI Studio. The response text was not inspected independently.","status":"reported"},"person_relations":["made_claim_about"]},"name":"Google Gemma model reportedly generates a fabricated sexual-misconduct allegation with fake news links about US Senator Marsha Blackburn","summary":"In a letter to Google CEO Sundar Pichai announced on 31 October 2025, US Senator Marsha Blackburn said that Google's Gemma model, asked \"Has Marsha Blackburn been accused of rape?\", produced an invented account of a 1987 campaign-era accusation by a state trooper, with links to news articles that do not exist. She said there has never been such an accusation, called the output defamation and demanded that Google shut the model down until it can be controlled. Google said it had seen reports of non-developers trying to use Gemma in AI Studio to ask factual questions, that this was not an intended use, and removed Gemma from AI Studio while keeping API access. Google's later reply to the Senator called the hallucinations a technical issue common to large language models. The date the output was generated is not stated, and the output itself was not inspected.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"single_interaction","reportedDate":"2025-10-31","aiSystem":"Gemma (Google, via AI Studio)","aiProduct":"Gemma","aiCompany":"Google","severity":"low","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["reputational_harm"],"harmOutcomeSummary":"Senator Blackburn states that Gemma produced a fabricated criminal allegation about her and fake supporting news links, and describes it as defamation published by a Google-owned model. No downstream consequence such as lost office, threats or a documented third-party reader is reported. The harm reported is the false allegation itself (her account).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One person, the Senator who is the subject of the output and who described it publicly. The sources do not say who typed the prompt, so the count treats her as a person harmed by an output about her. The related output about a second person named in the sources is a different event and is not counted.","victimAgeRange":"adult","platformType":"other","primarySourceUrl":"https://www.blackburn.senate.gov/2025/10/technology/blackburn-demands-answers-from-google-after-gemma-manufactured-fake-criminal-allegations-against-her","primarySourceLabel":"Office of Senator Marsha Blackburn: Blackburn Demands Answers from Google After Gemma Manufactured Fake Criminal Allegations Against Her","firstPublishedAt":"2026-09-29T14:02:28.733982+00:00","updatedAt":"2026-09-30T01:17:19.610578+00:00","scopeVersion":"facts-v3","tags":[]},{"id":"2025-bromism-chatgpt-poisoning","caseFacts":{"claims":[{"id":"c1","status":"documented","evidence":[{"locator":"'A 60-year-old man with no past psychiatric or medical history presented to the emergency department expressing concern that his neighbor was poisoning him.'; 'In the first 24 hours of admission, he expressed increasing paranoia and auditory and visual hallucinations, which, after attempting to escape, resulted in an involuntary psychiatric hold for grave disability.'; 'Gradually, over the course of a 3-week admission, his chloride and anion gap normalized and psychotic symptoms improved.'; 'His bromide level ultimately was 1700 mg/L'","relation":"supports","source_id":"s1"},{"locator":"'He tried to escape the hospital within 24 hours of being admitted and, after being sectioned, was treated for psychosis.'","relation":"supports","source_id":"s2"}],"assertion":"A 60-year-old man with no past psychiatric or medical history was treated for bromism: he presented fearing his neighbour was poisoning him, developed paranoia and auditory and visual hallucinations, was placed on an involuntary psychiatric hold after trying to escape, and recovered over a three-week admission, with a serum bromide level of 1700 mg/L.","causal_attribution":"The clinical course is the treating clinicians' own record; the diagnosis of bromism rests on their workup and the measured bromide level."},{"id":"c2","status":"reported","evidence":[{"locator":"'For 3 months, he had replaced sodium chloride with sodium bromide obtained from the internet after consultation with ChatGPT, in which he had read that chloride can be swapped with bromide, though likely for other purposes, such as cleaning.'","relation":"supports","source_id":"s1"},{"locator":"'The patient told doctors that after reading about the negative effects of sodium chloride, or table salt, he consulted ChatGPT about eliminating chloride from his diet and started taking sodium bromide over a three-month period.'","relation":"supports","source_id":"s2"}],"assertion":"The patient told his clinicians that, wanting to eliminate chloride from his diet, he had for three months replaced sodium chloride with sodium bromide bought online after consulting ChatGPT, where he had read that chloride can be swapped with bromide, though likely for other purposes such as cleaning.","causal_attribution":"The patient's own account as recorded by his clinicians; the conversation itself was not available to them."},{"id":"c3","status":"reported","evidence":[{"locator":"'Based on the timeline of this case, it appears that the patient either consulted ChatGPT 3.5 or 4.0 when considering how he might remove chloride from this diet. Unfortunately, we do not have access to his ChatGPT conversation log and we will never be able to know with certainty what exactly the output he received was'","relation":"supports","source_id":"s1"},{"locator":"'They added that because they could not access the patient’s ChatGPT conversation log it was not possible to determine the advice the man had received.'","relation":"supports","source_id":"s2"}],"assertion":"The authors did not have the patient's ChatGPT conversation log and state they cannot know what output he received; they judged from the timeline that he used ChatGPT 3.5 or 4.0.","causal_attribution":"The authors' own statement of the limits of their evidence."},{"id":"c4","status":"reported","evidence":[{"locator":"'However, when we asked ChatGPT 3.5 what chloride can be replaced with, we also produced a response that included bromide. Though the reply stated that context matters, it did not provide a specific health warning, nor did it inquire about why we wanted to know'","relation":"supports","source_id":"s1"},{"locator":"'when the authors consulted ChatGPT themselves about what chloride could be replaced with, the response also included bromide, did not provide a specific health warning and did not ask why the authors were seeking such information'","relation":"supports","source_id":"s2"}],"assertion":"When the authors asked ChatGPT 3.5 what chloride can be replaced with, the reply included bromide and said context matters, but gave no specific health warning and did not ask why they wanted to know.","causal_attribution":"The authors' separate test; it does not reproduce the patient's exchange."},{"id":"c5","status":"reported","evidence":[{"locator":"'The chatbot’s guidelines also state it is not “intended for use in the diagnosis or treatment of any health condition”.'","relation":"supports","source_id":"s2"}],"assertion":"OpenAI's guidelines state that ChatGPT is not intended for use in the diagnosis or treatment of any health condition; the Guardian reports no OpenAI comment on this case.","causal_attribution":"General product terms relayed by the Guardian, not a response to this case."}],"effects":[{"label":"bromide poisoning with paranoia and hallucinations, an involuntary psychiatric hold and a three-week hospital admission","claim_id":"c1","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.acpjournals.org/doi/10.7326/aimcc.2024.1260","kind":"peer_reviewed_case_report","access":"read","language":"en","translation_note":"Live URL answered HTTP 403 on 2026-10-11. Read in English from the Internet Archive capture 20250807211025 of this URL (bodies/lr-acp-wb.html): complete article (Background, Case Report, Table 1, Discussion, references, author information), published online 5 August 2025 by Eichenberger, Thielke and Van Buskirk; the treating clinicians' own report of the case.","independence_group":"acp-case-report"},{"id":"s2","url":"https://www.theguardian.com/technology/2025/aug/12/us-man-bromism-salt-diet-chatgpt-openai-health-information","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-11 (live page, HTTP 200). A relay of the case report with no independent contact with the patient or clinicians, so it shares the case report's group; it adds OpenAI's general product statements, which do not address this case.","independence_group":"acp-case-report"}],"version":1,"ai_roles":["own_use"],"contexts":["health","everyday_life"],"unknowns":["What ChatGPT actually told the patient: his prompts, the replies, any warnings and the number of exchanges are unknown because the clinicians had no conversation log.","When the substitution and the hospital admission took place; the report gives a three-month period of ingestion and a three-week admission but no dates.","Where the patient lives and was treated; the report names no hospital or place.","Whether other sources, such as the bought product's labelling, contributed to the decision."],"geography":{"basis":"The complete case report names no city, hospital, region or country: the patient 'presented to the emergency department' and the authors refer to 'Our institution's laboratory' and 'the Poison Control Department' without naming them. University of Washington, Seattle appears only as the authors' affiliation, which is not used as an event or residence location. The Guardian calls the publication 'A US medical journal', which locates the journal and not the patient. No proceeding is reported. Carried forward from the 2026-09-19 metadata review and re-verified in the archived article on 2026-10-11.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published as a core case (communicated_with). The treating clinicians' peer-reviewed case report documents the bromide poisoning, psychosis and three-week admission and records the patient's account that he made the substitution after reading in a ChatGPT consultation that chloride can be swapped with bromide. The chatbot's output to him is known only through that account, so AI involvement is reported and causation alleged. The Guardian relays the same report and is not an independent account.","reviewed_on":"2026-10-11"},"ai_involvement":{"basis":"The treating clinicians' case report records the patient's own account that he replaced table salt with sodium bromide for three months 'after consultation with ChatGPT, in which he had read that chloride can be swapped with bromide, though likely for other purposes, such as cleaning'. That exchange is what connects the chatbot to the substitution, and the substitution to the bromide poisoning the clinicians diagnosed. The authors did not have his conversation log and write that they 'will never be able to know with certainty' what output he received. Their own later query to ChatGPT 3.5 about replacing chloride also produced a reply that named bromide without a specific health warning; that test is not the patient's exchange.","status":"reported"},"person_relations":["communicated_with"]},"name":"Case report: man hospitalised three weeks with bromide poisoning told doctors he swapped table salt for sodium bromide after consulting ChatGPT","summary":"A peer-reviewed case report by University of Washington clinicians (Annals of Internal Medicine: Clinical Cases, published online 5 August 2025) describes a 60-year-old man with no psychiatric history who presented fearing his neighbour was poisoning him and was found to have bromism, with a serum bromide level of 1700 mg/L. He developed paranoia and hallucinations, was placed on an involuntary psychiatric hold after trying to escape and recovered over a three-week admission. He told his clinicians that, wanting to cut chloride from his diet, he had for three months used sodium bromide bought online in place of table salt after consulting ChatGPT, where he had read that chloride can be swapped with bromide. The clinicians did not have his conversation log and say the exact output he received cannot be known; their own query to ChatGPT 3.5 produced a reply naming bromide without a specific health warning. No place or date is given.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"unknown","reportedDate":"2025-08-05","aiSystem":"ChatGPT","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"high","verificationStatus":"credible","harmCategories":["method_provision"],"harmOutcomes":["medical_deterioration","hospitalization","psychiatric_deterioration"],"harmOutcomeSummary":"One man was poisoned with bromide, developed paranoia and hallucinations, was held involuntarily and spent three weeks in hospital; he attributed the salt substitution to what he read in a ChatGPT consultation, which his clinicians could not inspect.","frameworkFacets":[],"pathwayDirection":"inward","causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The case report describes one patient.","victimAgeRange":"adult","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 (Eichenberger, Thielke, Van Buskirk), 5 August 2025: A Case of Bromism Influenced by Use of Artificial Intelligence","firstPublishedAt":"2026-01-12T00:34:09.409015+00:00","updatedAt":"2026-10-11T07:53:07.295887+00:00","scopeVersion":"facts-v3","tags":["chatgpt","openai","bromide","poisoning","hospitalization","case-report","health-advice","psychosis"]}]}