{ "meta": { "exportedAt": "2026-09-22T18:34:13.892Z", "formatVersion": 2, "selection": { "q": "health", "system": "", "harm": "", "context": "", "country": "", "role": "", "relation": "unknown", "evidence": "", "year": "unknown", "response": "", "severity": "", "verification": "", "view": "incidents", "sort": "added" }, "totalIncidents": 3, "coverage": { "cases": 3, "countries": 1, "languages": 1, "unknownLocation": 2, "locationPending": 0, "unknownLanguage": 0, "unknownDate": 3, "lawsuits": 0, "regulatory": 0, "minors": 0, "coreRelations": 0, "contextualRelations": 0, "mixedRelations": 0, "unknownRelations": 3, "relationPending": 3, "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": "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-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-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" ] } ] }