{ "meta": { "exportedAt": "2026-09-22T20:19:50.736Z", "formatVersion": 2, "selection": { "q": "health", "system": "", "harm": "", "context": "", "country": "", "role": "", "relation": "", "evidence": "", "year": "unknown", "response": "", "severity": "", "verification": "", "view": "incidents", "sort": "added" }, "totalIncidents": 4, "coverage": { "cases": 4, "countries": 1, "languages": 1, "unknownLocation": 3, "locationPending": 0, "unknownLanguage": 0, "unknownDate": 4, "lawsuits": 0, "regulatory": 0, "minors": 0, "coreRelations": 1, "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": "2026-reddit-partner-concealed-chatgpt-use-relationship-strain", "caseFacts": { "claims": [ { "id": "c1", "status": "reported", "evidence": [ { "locator": "'They have been paying for a ChatGPT subscription without me knowing, even though they currently owe me hundreds of dollars'; 'have been actively hiding how much they use it from me'", "relation": "supports", "source_id": "s1" } ], "assertion": "The partner paid for a ChatGPT subscription without the poster's knowledge while owing her hundreds of dollars, and had hidden the extent of their AI use.", "causal_attribution": "Poster's account; the partner has not spoken publicly." }, { "id": "c2", "status": "reported", "evidence": [ { "locator": "'They agreed that using gen-AI was harmful and that they are currently using it more than what is healthy, but refused to stop because using it gives them a dopamine hit'; 'They said it's addictive and that's why they don't want to stop'; 'once they have money they will likely continue the subscription'", "relation": "supports", "source_id": "s1" } ], "assertion": "The partner agreed the use was more than healthy but refused to stop because it gives a dopamine hit, called it addictive, and said they would likely renew the subscription when they had money.", "causal_attribution": "The partner's statements as relayed by the poster." }, { "id": "c3", "status": "reported", "evidence": [ { "locator": "'I told them that if they continue to use it without even attempting to slow it down, I cannot see myself continuing the relationship'; 'our therapist is quite pro-AI and has told my partner to use it before, so I'm scared to bring it up there'", "relation": "supports", "source_id": "s1" } ], "assertion": "The poster told the partner she cannot see the relationship continuing unless the use is reduced, and is afraid to raise it in couples therapy because the therapist has recommended AI use.", "causal_attribution": "Poster's own statement of the consequence." }, { "id": "c4", "status": "reported", "evidence": [ { "locator": "'They've also been using it to plan and organise their life'; 'say that it just helps them to do things because they struggle with organisation and other solutions they've tried haven't helped'", "relation": "supports", "source_id": "s1" } ], "assertion": "The partner uses ChatGPT to plan and organise their life and says it helps because of their conditions, where other solutions had not.", "causal_attribution": "Poster relaying the partner's explanation; recorded as context." } ], "effects": [ { "label": "the poster says the relationship may end over the partner's concealed and, by the partner's own account, addictive ChatGPT use", "claim_id": "c3", "direction": "negative" }, { "label": "the partner paid for a ChatGPT subscription while owing the poster hundreds of dollars", "claim_id": "c1", "direction": "negative" }, { "label": "the partner reports the tool helps them organise daily life where other solutions failed", "claim_id": "c4", "direction": "positive" } ], "sources": [ { "id": "s1", "url": "https://www.reddit.com/r/relationship_advice/comments/1whkz4j/", "kind": "forum_post", "access": "read", "language": "en", "translation_note": "Read in English on 2026-09-19 (full self-text retrieved through the arctic_shift archive API by post ID; 137 comments not reviewed; poster's handle not recorded).", "independence_group": "reddit-poster" } ], "version": 1, "ai_roles": [ "others_use", "own_use" ], "contexts": [ "relationships", "finance" ], "unknowns": [ "The partner's own account, the amounts involved, the dates of discovery and the country are not stated.", "Whether the relationship continued or the subscription was renewed is unknown.", "The 137 comments were not reviewed and are not used.", "The poster's and partner's identities are unknown; the record deliberately omits the handle." ], "geography": { "basis": "The post gives no location; 'hundreds of dollars' does not establish a country. Unknown after review.", "court_countries": [], "event_countries": [], "affected_person_countries": [] }, "publication": { "basis": "Published under the 2026-09-15 charter's public-forum rule as a concrete first-person account of an ongoing adverse experience (relationship strain and money spent while in debt, attributed by the poster to a partner's concealed, self-described addictive ChatGPT use), described with attribution and without corroboration; the partner's stated benefit is preserved as a positive effect. Anonymous poster; no handle, names or location recorded; the partner's specific conditions are not listed.", "reviewed_on": "2026-09-19" }, "ai_involvement": { "basis": "The poster reports that her partner uses ChatGPT (a paid subscription) for creative-writing feedback and daily planning and describes the use as addictive; the system communicated with the partner. Nothing is known about the content of the exchanges beyond the poster's description.", "status": "reported" }, "person_relations": [ "communicated_with" ] }, "name": "First-person forum account: a 21-year-old says her partner of three years hid a paid ChatGPT subscription while owing her money, calls the use addictive and refuses to cut back, and she is weighing whether to stay", "summary": "In a public post to r/relationship_advice on 16 September 2026, a 21-year-old woman wrote that she had recently discovered her partner of three years had been using ChatGPT far more than admitted: paying for a subscription without her knowledge while owing her hundreds of dollars, feeding their creative writing into it for feedback after promising never to, and using it to plan and organise daily life. She reports that the partner agreed the use was 'more than what is healthy' but refused to stop because it gives 'a dopamine hit', described it as addictive, said they would likely renew the subscription when they had money, and argued that without it they would find another addiction. She writes that she cannot see the relationship continuing if the use is not reduced, while recognising that the partner, who has neurodevelopmental and mental-health conditions, uses the tool as an organisational aid; their couples therapist has recommended AI use, so she is afraid to raise it there. The post drew 137 comments. The account is uncorroborated and one-sided; the partner's view is reported only through the poster.", "incidentKind": "ongoing_experience", "incidentDatePrecision": "unknown", "exposurePattern": "repeated_interactions", "reportedDate": "2026-09-16", "aiSystem": "ChatGPT (OpenAI), paid subscription", "aiCompany": "OpenAI", "severity": "low", "verificationStatus": "unverified", "harmCategories": [], "harmOutcomes": [ "relationship_disruption", "financial_loss" ], "harmOutcomeSummary": "The poster reports that her partner's concealed, self-described addictive ChatGPT use, paid for while owing her money, has brought the three-year relationship to the point where she is considering ending it; the partner is reported to acknowledge using the tool more than is healthy. All effects are as reported by the poster.", "frameworkFacets": [], "causationStatus": "alleged", "participantUsersAffectedMin": 1, "otherPeopleHarmedMin": 1, "affectedCountStatus": "exact", "affectedCountEvidence": "Two people are described as affected: the partner who uses ChatGPT (self-described unhealthy, addictive use and money spent while in debt, as reported by the poster) and the poster herself (relationship strain, money owed). Exact count of two; the therapist is not counted.", "victimAgeRange": "adult", "jurisdiction": "unknown", "platformType": "chatbot", "outcomeType": "media_coverage", "outcomeStatus": "ongoing", "primarySourceUrl": "https://www.reddit.com/r/relationship_advice/comments/1whkz4j/", "primarySourceLabel": "r/relationship_advice, 16 September 2026: \"I (21F) don't know how to continue my relationship with my partner (23NB) because of AI\" (public post, 137 comments)", "firstPublishedAt": "2026-09-19T03:14:47.266799+00:00", "scopeVersion": "facts-v3", "tags": [ "first-person", "reddit", "chatgpt", "relationship", "compulsive-use", "concealment", "subscription", "couples-therapy" ] }, { "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" ] } ] }