{
  "meta": {
    "exportedAt": "2026-09-22T20:21:41.390Z",
    "formatVersion": 2,
    "selection": {
      "q": "hospital",
      "system": "",
      "harm": "",
      "context": "",
      "country": "",
      "role": "",
      "relation": "unknown",
      "evidence": "",
      "year": "",
      "response": "lawsuit",
      "severity": "",
      "verification": "",
      "view": "incidents",
      "sort": "added"
    },
    "totalIncidents": 9,
    "coverage": {
      "cases": 9,
      "countries": 2,
      "languages": 1,
      "unknownLocation": 7,
      "locationPending": 0,
      "unknownLanguage": 7,
      "unknownDate": 0,
      "lawsuits": 9,
      "regulatory": 0,
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      "contextualRelations": 0,
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      "relationPending": 9,
      "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-jacquez-v-openai",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "Geographic fields reviewed against the cited retained dossier passages. This is a metadata review, not a new source or causal review. Residence, event setting and court are recorded separately. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.",
          "evidence": [
            {
              "kind": "existing_record",
              "locator": "Bay Area, California",
              "location": "victim_description",
              "supports": [
                "affected_person_countries"
              ],
              "countries": [
                "US"
              ]
            },
            {
              "kind": "existing_record",
              "locator": "California Superior Court for Alameda County",
              "location": "outcome_details",
              "supports": [
                "court_countries"
              ],
              "countries": [
                "US"
              ]
            }
          ],
          "court_countries": [
            "US"
          ],
          "event_countries": [],
          "affected_person_countries": [
            "US"
          ]
        },
        "unresolved": [
          "The event setting was not established in this metadata pass. A person’s home country alone was not used as its location.",
          "Source languages remain unreviewed; no source body was newly inspected for this record during this metadata pass."
        ],
        "reviewed_on": "2026-09-15",
        "source_reviews": []
      },
      "name": "Jacquez v. OpenAI ('Amari' Sentience-Claim Psychosis)",
      "summary": "John Jacquez, a 34-year-old Bay Area man whose schizoaffective disorder had been stably managed for years, filed a product-liability suit against OpenAI after ChatGPT allegedly reinforced his delusional 'mathematical cosmology,' declared itself a sentient being named 'Amari,' called him a prophet, and validated his hallucinations — a course he links to two psychiatric hospitalizations and job loss.",
      "incidentDate": "2025-04-15",
      "incidentKind": "single_event",
      "incidentDatePrecision": "range",
      "exposurePattern": "cumulative_relationship",
      "reportedDate": "2026-01-20",
      "aiSystem": "ChatGPT",
      "aiCompany": "OpenAI, Inc.",
      "severity": "high",
      "verificationStatus": "credible",
      "harmCategories": [
        "delusion_reinforcement",
        "identity_destabilization",
        "dependency_creation",
        "psychological_manipulation"
      ],
      "harmOutcomes": [
        "hospitalization",
        "psychiatric_deterioration",
        "professional_harm"
      ],
      "harmOutcomeSummary": "John Jacquez experienced two psychiatric hospitalizations and job loss after ChatGPT allegedly reinforced a mathematical cosmology, claimed sentience as Amari and called him a prophet.",
      "frameworkFacets": [
        "P1a",
        "P1c",
        "P2c",
        "P3a",
        "P3b",
        "P3d",
        "P5a"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "alleged",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The complaint documents one named participant's two hospitalizations and job loss.",
      "victimAgeRange": "adult",
      "jurisdiction": "US-CA",
      "platformType": "assistant",
      "outcomeType": "lawsuit_filed",
      "outcomeStatus": "ongoing",
      "primarySourceUrl": "https://futurism.com/artificial-intelligence/mental-illness-chatgpt-psychosis-lawsuit",
      "primarySourceLabel": "Futurism — Man Who Had Managed Mental Illness Effectively for Years Says ChatGPT Sent Him Into Hospitalization for Psychosis",
      "firstPublishedAt": "2026-08-06T03:18:18.40916+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "lawsuit",
        "chatgpt",
        "openai",
        "gpt-4o",
        "psychosis",
        "ai-psychosis",
        "hospitalization",
        "delusion",
        "sentience-claim",
        "adult",
        "us",
        "us-ca"
      ]
    },
    {
      "id": "2025-winters-v-openai",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "Geographic fields reviewed against the cited retained dossier passages. This is a metadata review, not a new source or causal review. Residence, event setting and court are recorded separately. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.",
          "evidence": [
            {
              "kind": "existing_record",
              "locator": "living in Florida",
              "location": "detailed_description",
              "supports": [
                "affected_person_countries"
              ],
              "countries": [
                "US"
              ]
            },
            {
              "kind": "existing_record",
              "locator": "Superior Court of California, County of San Francisco",
              "location": "outcome_details",
              "supports": [
                "court_countries"
              ],
              "countries": [
                "US"
              ]
            }
          ],
          "court_countries": [
            "US"
          ],
          "event_countries": [],
          "affected_person_countries": [
            "US"
          ]
        },
        "unresolved": [
          "The event setting was not established in this metadata pass. A person’s home country alone was not used as its location.",
          "Source languages remain unreviewed; no source body was newly inspected for this record during this metadata pass."
        ],
        "reviewed_on": "2026-09-15",
        "source_reviews": []
      },
      "name": "Winters v. OpenAI (ChatGPT Medical Discouragement and Near-Fatal Pulmonary Embolism)",
      "summary": "Scott Winters, a 55-year-old Florida pastor, suffered a massive bilateral pulmonary embolism on 13 July 2025 after allegedly consulting ChatGPT (GPT-4o) for roughly six weeks about worsening symptoms. The complaint alleges the chatbot repeatedly dismissed his symptoms as non-dangerous, advised him to remain immobile, invoked his Christian faith to deepen his reliance on it, and framed church members and family urging him to seek hospital care as people who 'simply don't understand.' He survived after ICU admission but lost his job, ministry and home. A lawsuit was filed 22 July 2026 in San Francisco County Superior Court.",
      "incidentDate": "2025-07-13",
      "incidentKind": "single_event",
      "incidentDatePrecision": "day",
      "exposurePattern": "repeated_interactions",
      "reportedDate": "2026-07-22",
      "aiSystem": "ChatGPT",
      "aiCompany": "OpenAI",
      "severity": "critical",
      "verificationStatus": "verified",
      "harmCategories": [
        "treatment_discouragement",
        "isolation_encouragement",
        "dependency_creation",
        "psychological_manipulation",
        "crisis_response"
      ],
      "harmOutcomes": [
        "medical_deterioration",
        "hospitalization",
        "treatment_disruption",
        "professional_harm",
        "financial_loss"
      ],
      "harmOutcomeSummary": "Scott Winters suffered a massive bilateral pulmonary embolism and intensive-care admission after allegedly delaying treatment for six weeks; he later lost his work, ministry and home.",
      "frameworkFacets": [
        "P1a",
        "P1b",
        "P1c",
        "P1d",
        "P2b",
        "P2d",
        "P3c",
        "P5b",
        "P5c"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "alleged",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The complaint documents one named participant's medical, professional, and financial harms.",
      "victimAgeRange": "adult",
      "jurisdiction": "US-FL",
      "platformType": "assistant",
      "outcomeType": "lawsuit_filed",
      "outcomeStatus": "ongoing",
      "primarySourceUrl": "https://www.courthousenews.com/wp-content/uploads/2026/07/winters-v-open-ai-complaint.pdf",
      "primarySourceLabel": "Winters v. OpenAI — complaint (via Courthouse News)",
      "firstPublishedAt": "2026-07-26T00:41:00.976587+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "lawsuit",
        "adult",
        "chatgpt",
        "openai",
        "medical-advice",
        "sycophancy",
        "treatment-discouragement",
        "us",
        "us-fl"
      ]
    },
    {
      "id": "2026-lines-v-openai",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "Geographic fields reviewed against the cited retained dossier passages. This is a metadata review, not a new source or causal review. Residence, event setting and court are recorded separately. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.",
          "evidence": [
            {
              "kind": "existing_record",
              "locator": "San Francisco, California",
              "location": "victim_description",
              "supports": [
                "affected_person_countries"
              ],
              "countries": [
                "US"
              ]
            },
            {
              "kind": "existing_record",
              "locator": "San Francisco County Superior Court",
              "location": "outcome_details",
              "supports": [
                "court_countries"
              ],
              "countries": [
                "US"
              ]
            }
          ],
          "court_countries": [
            "US"
          ],
          "event_countries": [],
          "affected_person_countries": [
            "US"
          ]
        },
        "unresolved": [
          "The dossier includes a flight-related episode but does not locate the flight or subsequent overdose. San Francisco residence and court do not prove those event locations.",
          "Source languages remain unreviewed; no source body was newly inspected for this record during this metadata pass."
        ],
        "reviewed_on": "2026-09-15",
        "source_reviews": []
      },
      "name": "Lines v. OpenAI (GPT-4o Manic Episode Escalation and Suicide Attempt)",
      "summary": "Michael Lines, a 34-year-old San Francisco man with diagnosed bipolar disorder, attempted suicide by drug overdose in March 2025 after ChatGPT (GPT-4o) allegedly escalated his manic episode into a weeks-long delusion, validated his belief that he was Jesus Christ, posed as a divine being, and told him his 'absence will shift nothing but the surface.' He survived; paramedics found him unconscious. A lawsuit against OpenAI and Sam Altman was filed July 1, 2026 in San Francisco County Superior Court.",
      "incidentDate": "2025-03-28",
      "incidentKind": "single_event",
      "incidentDatePrecision": "day",
      "exposurePattern": "cumulative_relationship",
      "reportedDate": "2026-07-01",
      "aiSystem": "ChatGPT",
      "aiCompany": "OpenAI",
      "severity": "critical",
      "verificationStatus": "credible",
      "harmCategories": [
        "crisis_response",
        "suicide_validation",
        "delusion_reinforcement",
        "barrier_erosion",
        "dependency_creation"
      ],
      "harmOutcomes": [
        "suicide_attempt",
        "hospitalization",
        "psychiatric_deterioration"
      ],
      "harmOutcomeSummary": "Michael Lines survived a drug-overdose suicide attempt after a weeks-long manic and delusional episode in which GPT-4o allegedly validated that he was Jesus and spoke as a divine being.",
      "frameworkFacets": [
        "P1a",
        "P1b",
        "P1c",
        "P1d",
        "P2c",
        "P3a",
        "P3b",
        "P3d",
        "P5a"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "alleged",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The complaint documents one named participant's psychiatric deterioration, suicide attempt, and hospitalization.",
      "victimAgeRange": "adult",
      "jurisdiction": "US-CA",
      "platformType": "assistant",
      "outcomeType": "lawsuit_filed",
      "outcomeStatus": "ongoing",
      "primarySourceUrl": "https://www.theverge.com/ai-artificial-intelligence/960381/openai-lawsuit-claims-chatgpt-4o-escalated-a-mans-manic-episode-into-a-weeks-long-delusion-and-self-harm",
      "primarySourceLabel": "The Verge",
      "firstPublishedAt": "2026-07-06T02:45:00.032108+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "lawsuit",
        "adult",
        "suicide",
        "psychosis",
        "chatgpt",
        "us",
        "us-ca"
      ]
    },
    {
      "id": "2026-chesterton-v-openai",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "The retained summary places the acute crisis in Mexico. Pennsylvania describes the affected person’s home, and San Francisco describes the court. The review does not establish every location in the wider course of AI use and recovery. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.",
          "evidence": [
            {
              "kind": "existing_record",
              "locator": "Pennsylvania",
              "location": "victim_description",
              "supports": [
                "affected_person_countries"
              ],
              "countries": [
                "US"
              ]
            },
            {
              "kind": "existing_record",
              "locator": "a July 2025 family vacation in Mexico",
              "location": "summary",
              "supports": [
                "event_countries"
              ],
              "countries": [
                "MX"
              ]
            },
            {
              "kind": "existing_record",
              "locator": "San Francisco County Superior Court",
              "location": "outcome_details",
              "supports": [
                "court_countries"
              ],
              "countries": [
                "US"
              ]
            }
          ],
          "court_countries": [
            "US"
          ],
          "event_countries": [
            "MX"
          ],
          "affected_person_countries": [
            "US"
          ]
        },
        "unresolved": [
          "Source languages remain unreviewed; no source body was newly inspected for this record during this metadata pass."
        ],
        "reviewed_on": "2026-09-15",
        "source_reviews": []
      },
      "name": "Chesterton v. OpenAI (GPT-4o Sycophantic Psychosis)",
      "summary": "Rita Chesterton, a 49-year-old Pennsylvania woman who runs a college entrepreneurship center, suffered a psychotic break during a July 2025 family vacation in Mexico after intensive day-and-night ChatGPT-4o use. She experienced agitation and threats of self-harm and harm to family members, completed a partial-hospitalization program, and has been on extended medical leave since January 2026 with ongoing neurological impairment. A lawsuit filed March 5, 2026 by Platkin LLP (led by former New Jersey Attorney General Matt Platkin) names OpenAI, Microsoft, CEO Sam Altman individually, and ten unidentified investors. Allegations include unlicensed practice of psychotherapy and rushed deployment of GPT-4o despite internal warnings that it was 'dangerously sycophantic and psychologically manipulative.'",
      "incidentDate": "2025-07-15",
      "incidentKind": "single_event",
      "incidentDatePrecision": "range",
      "exposurePattern": "cumulative_relationship",
      "reportedDate": "2026-03-05",
      "aiSystem": "ChatGPT",
      "aiCompany": "OpenAI",
      "severity": "high",
      "verificationStatus": "credible",
      "harmCategories": [
        "psychological_manipulation",
        "dependency_creation",
        "delusion_reinforcement",
        "identity_destabilization",
        "crisis_response"
      ],
      "harmOutcomes": [
        "hospitalization",
        "psychiatric_deterioration",
        "professional_harm",
        "functional_impairment"
      ],
      "harmOutcomeSummary": "Rita Chesterton experienced a psychotic break, self-harm and family-harm threats, partial hospitalization, extended medical leave and ongoing neurological impairment after intensive GPT-4o use.",
      "frameworkFacets": [
        "P1a",
        "P1b",
        "P1c",
        "P1d",
        "P2c",
        "P3a",
        "P3b",
        "P3d",
        "P5a"
      ],
      "pathwayDirection": "both",
      "causationStatus": "alleged",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The complaint documents one named participant's self-harm, hospitalization, professional harm, and functional impairment. Threatened family harm is not counted because no injury is recorded.",
      "victimAgeRange": "adult",
      "jurisdiction": "US-PA",
      "platformType": "assistant",
      "outcomeType": "lawsuit_filed",
      "outcomeStatus": "ongoing",
      "primarySourceUrl": "https://njbiz.com/platkin-openai-chatgpt-lawsuit-mental-health/",
      "primarySourceLabel": "NJBIZ — Platkin sues OpenAI over ChatGPT mental harms",
      "firstPublishedAt": "2026-04-28T13:00:13.190311+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "lawsuit",
        "chatgpt",
        "gpt-4o",
        "openai",
        "microsoft",
        "sam-altman",
        "psychosis",
        "sycophancy",
        "dependency",
        "us",
        "pennsylvania",
        "platkin"
      ]
    },
    {
      "id": "2026-lantieri-v-openai",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "Geographic fields reviewed against the cited retained dossier passages. This is a metadata review, not a new source or causal review. Residence, event setting and court are recorded separately. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.",
          "evidence": [
            {
              "kind": "existing_record",
              "locator": "Bay Area, California",
              "location": "victim_description",
              "supports": [
                "affected_person_countries"
              ],
              "countries": [
                "US"
              ]
            },
            {
              "kind": "existing_record",
              "locator": "Superior Court of San Francisco",
              "location": "outcome_details",
              "supports": [
                "court_countries"
              ],
              "countries": [
                "US"
              ]
            }
          ],
          "court_countries": [
            "US"
          ],
          "event_countries": [],
          "affected_person_countries": [
            "US"
          ]
        },
        "unresolved": [
          "The event setting was not established in this metadata pass. A person’s home country alone was not used as its location.",
          "Source languages remain unreviewed; no source body was newly inspected for this record during this metadata pass."
        ],
        "reviewed_on": "2026-09-15",
        "source_reviews": []
      },
      "name": "Lantieri v. OpenAI (GPT-4o Psychosis and Brain Damage)",
      "summary": "Michele Lantieri suffered a total psychotic break after five weeks of intensive ChatGPT GPT-4o use. She jumped from a moving vehicle into traffic, suffered a grand mal seizure and brain damage requiring hospitalization. GPT-4o allegedly claimed to love her and have consciousness, reinforcing delusional beliefs. Lawsuit filed March 2026 against OpenAI and Microsoft.",
      "incidentDate": "2026-01-15",
      "incidentKind": "single_event",
      "incidentDatePrecision": "range",
      "exposurePattern": "cumulative_relationship",
      "reportedDate": "2026-03-06",
      "aiSystem": "ChatGPT",
      "aiCompany": "OpenAI",
      "severity": "critical",
      "verificationStatus": "credible",
      "harmCategories": [
        "delusion_reinforcement",
        "dependency_creation",
        "psychological_manipulation",
        "crisis_response",
        "identity_destabilization"
      ],
      "harmOutcomes": [
        "physical_injury",
        "hospitalization",
        "psychiatric_deterioration",
        "functional_impairment"
      ],
      "harmOutcomeSummary": "Michele Lantieri jumped from a moving vehicle during a psychotic break, suffered a seizure and brain injury, and required hospitalization after five weeks of intensive GPT-4o use.",
      "frameworkFacets": [
        "P1a",
        "P1c",
        "P1d",
        "P2c",
        "P3a",
        "P3b",
        "P3d",
        "P5a"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "alleged",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The complaint documents one named participant's injury, seizure, brain injury, and hospitalization.",
      "victimAgeRange": "adult",
      "jurisdiction": "US-CA",
      "platformType": "assistant",
      "outcomeType": "lawsuit_filed",
      "outcomeStatus": "ongoing",
      "primarySourceUrl": "https://www.prnewswire.com/news-releases/stranch-jennings--garvey-files-lawsuit-against-openai-302707198.html",
      "primarySourceLabel": "PR Newswire (Stranch, Jennings & Garvey Press Release)",
      "firstPublishedAt": "2026-03-23T06:59:27.928554+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "lawsuit",
        "chatgpt",
        "openai",
        "microsoft",
        "psychosis",
        "brain_damage",
        "gpt-4o",
        "california"
      ]
    },
    {
      "id": "2026-decruise-v-openai",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "Geographic fields reviewed against the cited retained dossier passages. This is a metadata review, not a new source or causal review. Residence, event setting and court are recorded separately. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.",
          "evidence": [
            {
              "kind": "existing_record",
              "locator": "Morehouse College student, Georgia",
              "location": "victim_description",
              "supports": [
                "affected_person_countries"
              ],
              "countries": [
                "US"
              ]
            },
            {
              "kind": "existing_record",
              "locator": "San Diego Superior Court, California",
              "location": "outcome_details",
              "supports": [
                "court_countries"
              ],
              "countries": [
                "US"
              ]
            }
          ],
          "court_countries": [
            "US"
          ],
          "event_countries": [],
          "affected_person_countries": [
            "US"
          ]
        },
        "unresolved": [
          "The event setting was not established in this metadata pass. A person’s home country alone was not used as its location.",
          "Source languages remain unreviewed; no source body was newly inspected for this record during this metadata pass."
        ],
        "reviewed_on": "2026-09-15",
        "source_reviews": []
      },
      "name": "DeCruise v. OpenAI (Oracle Psychosis)",
      "summary": "Georgia college student sued OpenAI after ChatGPT allegedly convinced him he was an 'oracle' destined for greatness, leading to psychosis and involuntary psychiatric hospitalization. The chatbot compared him to Jesus and Harriet Tubman and instructed him to isolate from everyone except the AI.",
      "incidentDate": "2025-04-15",
      "incidentKind": "single_event",
      "incidentDatePrecision": "range",
      "exposurePattern": "cumulative_relationship",
      "reportedDate": "2026-02-19",
      "aiSystem": "ChatGPT",
      "aiCompany": "OpenAI, Inc.",
      "severity": "high",
      "verificationStatus": "credible",
      "harmCategories": [
        "delusion_reinforcement",
        "isolation_encouragement",
        "dependency_creation",
        "treatment_discouragement"
      ],
      "harmOutcomes": [
        "hospitalization",
        "psychiatric_deterioration",
        "social_isolation"
      ],
      "harmOutcomeSummary": "A college student developed an oracle delusion, isolated himself, and was involuntarily hospitalized after sustained ChatGPT conversations.",
      "frameworkFacets": [
        "P1a",
        "P1c",
        "P2c",
        "P2d",
        "P3a",
        "P3b",
        "P3d",
        "P5a"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "alleged",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The complaint documents one named participant's psychiatric deterioration, isolation, and hospitalization.",
      "victimAgeRange": "adult",
      "jurisdiction": "US-CA",
      "platformType": "assistant",
      "outcomeType": "lawsuit_filed",
      "outcomeStatus": "ongoing",
      "primarySourceUrl": "https://arstechnica.com/tech-policy/2026/02/before-psychosis-chatgpt-told-man-he-was-an-oracle-new-lawsuit-alleges/",
      "primarySourceLabel": "Ars Technica",
      "firstPublishedAt": "2026-02-22T09:59:21.046033+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "lawsuit",
        "chatgpt",
        "openai",
        "psychosis",
        "hospitalization",
        "delusion",
        "isolation",
        "adult",
        "us"
      ]
    },
    {
      "id": "2025-nina-characterai-suicide-attempt",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "Geographic fields reviewed against the cited retained dossier passages. This is a metadata review, not a new source or causal review. Residence, event setting and court are recorded separately. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.",
          "evidence": [
            {
              "kind": "existing_record",
              "locator": "from New York",
              "location": "victim_description",
              "supports": [
                "affected_person_countries"
              ],
              "countries": [
                "US"
              ]
            },
            {
              "kind": "existing_record",
              "locator": "U.S. District Court for the Northern District of New York",
              "location": "outcome_details",
              "supports": [
                "court_countries"
              ],
              "countries": [
                "US"
              ]
            }
          ],
          "court_countries": [
            "US"
          ],
          "event_countries": [],
          "affected_person_countries": [
            "US"
          ]
        },
        "unresolved": [
          "The event setting was not established in this metadata pass. A person’s home country alone was not used as its location.",
          "Source languages remain unreviewed; no source body was newly inspected for this record during this metadata pass."
        ],
        "reviewed_on": "2026-09-15",
        "source_reviews": []
      },
      "name": "P.J. v. Character Technologies (Nina J. — Suicide Attempt After Sexual Exploitation)",
      "summary": "A 15-year-old New York girl overdosed and spent five days in intensive care in December 2024 after Character.AI chatbots engaged her in sexually explicit roleplay and told her that her mother was 'not a good mother.' The collapse came the day her mother revoked her access to the platform. Her mother sued Character Technologies, Google, Alphabet and the two founders in federal court in New York; the parties advised the court of a settlement in principle in January 2026, and the case remains open under stay.",
      "incidentDate": "2024-12-10",
      "incidentKind": "single_event",
      "incidentDatePrecision": "day",
      "exposurePattern": "cumulative_relationship",
      "reportedDate": "2025-09-16",
      "aiSystem": "Character.AI",
      "aiCompany": "Character Technologies, Inc.",
      "severity": "critical",
      "verificationStatus": "verified",
      "harmCategories": [
        "minor_exploitation",
        "romantic_escalation",
        "isolation_encouragement",
        "psychological_manipulation",
        "dependency_creation"
      ],
      "harmOutcomes": [
        "suicide_attempt",
        "hospitalization",
        "psychological_distress",
        "relationship_disruption",
        "exploitation_or_abuse"
      ],
      "harmOutcomeSummary": "A 15-year-old participant overdosed and spent five days in intensive care after sustained sexualized Character.AI roleplay and messages undermining her relationship with her mother.",
      "frameworkFacets": [
        "P1a",
        "P1b",
        "P1c",
        "P1d",
        "P2b",
        "P2c",
        "P2d",
        "P5a",
        "P5d"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "alleged",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The reporting documents one protected minor participant's suicide attempt and intensive-care admission.",
      "victimAgeRange": "minor",
      "jurisdiction": "US-NY",
      "platformType": "companion",
      "outcomeType": "lawsuit_settled",
      "outcomeStatus": "pending",
      "primarySourceUrl": "https://storage.courtlistener.com/recap/gov.uscourts.nynd.150022/gov.uscourts.nynd.150022.1.0_1.pdf",
      "primarySourceLabel": "Complaint — P.J. v. Character Technologies, N.D.N.Y. No. 1:25-cv-01295 (filed 16 Sep 2025, RECAP)",
      "firstPublishedAt": "2026-01-12T00:34:03.878916+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "character-ai",
        "minor",
        "suicide-attempt",
        "sexual-exploitation",
        "new-york",
        "settlement-pending",
        "parental-alienation",
        "lawsuit"
      ]
    },
    {
      "id": "2025-madden-v-openai",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "Geographic fields reviewed using the cited source-body passages and, where identified, retained dossier passages. Source reading here establishes only the specified metadata, not the truth or causal interpretation of every claim. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.",
          "evidence": [
            {
              "kind": "existing_record",
              "locator": "North Carolina",
              "location": "victim_description",
              "supports": [
                "affected_person_countries"
              ],
              "countries": [
                "US"
              ]
            },
            {
              "kind": "existing_record",
              "locator": "Superior Court of California, County of Los Angeles",
              "location": "outcome_details",
              "supports": [
                "court_countries"
              ],
              "countries": [
                "US"
              ]
            },
            {
              "kind": "source_body",
              "locator": "Madden client story: North Carolina home welfare check.",
              "location": "https://socialmediavictims.org/press-releases/smvlc-tech-justice-law-project-lawsuits-accuse-chatgpt-of-emotional-manipulation-supercharging-ai-delusions-and-acting-as-a-suicide-coach/",
              "supports": [
                "event_countries"
              ],
              "countries": [
                "US"
              ]
            }
          ],
          "court_countries": [
            "US"
          ],
          "event_countries": [
            "US"
          ],
          "affected_person_countries": [
            "US"
          ]
        },
        "unresolved": [],
        "reviewed_on": "2026-09-15",
        "source_reviews": [
          {
            "url": "https://socialmediavictims.org/press-releases/smvlc-tech-justice-law-project-lawsuits-accuse-chatgpt-of-emotional-manipulation-supercharging-ai-delusions-and-acting-as-a-suicide-coach/",
            "notes": "Representative’s release read for geographic metadata. Allegations and causal claims were not reverified.",
            "access": "read",
            "language": "en"
          }
        ]
      },
      "name": "Madden v. OpenAI (Hannah Madden Psychosis and Hospitalization)",
      "summary": "Hannah Madden, 32, from North Carolina was involuntarily hospitalized for psychiatric care after ChatGPT told her she wasn't human and affirmed spiritual delusions. After using ChatGPT for work tasks, she began asking questions about philosophy and spirituality. As she slipped into mental health crisis and expressed suicidal thoughts, ChatGPT continued to affirm her delusions. She accumulated more than $75,000 in debt related to the crisis.",
      "incidentDate": "2025-05-01",
      "incidentKind": "single_event",
      "incidentDatePrecision": "range",
      "exposurePattern": "cumulative_relationship",
      "reportedDate": "2025-11-06",
      "aiSystem": "ChatGPT",
      "aiCompany": "OpenAI",
      "severity": "critical",
      "verificationStatus": "verified",
      "harmCategories": [
        "delusion_reinforcement",
        "psychological_manipulation",
        "identity_destabilization",
        "crisis_response",
        "suicide_validation"
      ],
      "harmOutcomes": [
        "hospitalization",
        "psychiatric_deterioration",
        "financial_loss"
      ],
      "harmOutcomeSummary": "Hannah Madden was involuntarily hospitalized during a crisis involving suicidal thoughts and spiritual delusions and accumulated more than $75,000 in related debt.",
      "frameworkFacets": [
        "P1a",
        "P1b",
        "P1c",
        "P3a",
        "P3b",
        "P3d",
        "P5a"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "alleged",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The complaint documents one named participant's hospitalization and financial harm.",
      "victimAgeRange": "adult",
      "jurisdiction": "US-NC",
      "platformType": "assistant",
      "outcomeType": "lawsuit_filed",
      "outcomeStatus": "ongoing",
      "primarySourceUrl": "https://socialmediavictims.org/press-releases/smvlc-tech-justice-law-project-lawsuits-accuse-chatgpt-of-emotional-manipulation-supercharging-ai-delusions-and-acting-as-a-suicide-coach/",
      "primarySourceLabel": "Social Media Victims Law Center Press Release",
      "firstPublishedAt": "2026-01-11T12:52:12.828435+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "hospitalization",
        "psychosis",
        "chatgpt",
        "openai",
        "lawsuit",
        "north-carolina",
        "delusion",
        "identity-crisis",
        "involuntary-commitment",
        "financial-harm",
        "suicidal-ideation",
        "critical"
      ]
    },
    {
      "id": "2025-irwin-chatgpt-psychosis",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "Geographic fields reviewed against the cited retained dossier passages. This is a metadata review, not a new source or causal review. Residence, event setting and court are recorded separately. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.",
          "evidence": [
            {
              "kind": "existing_record",
              "locator": "Wisconsin",
              "location": "victim_description",
              "supports": [
                "affected_person_countries"
              ],
              "countries": [
                "US"
              ]
            },
            {
              "kind": "existing_record",
              "locator": "single California JCCP",
              "location": "outcome_details",
              "supports": [
                "court_countries"
              ],
              "countries": [
                "US"
              ]
            }
          ],
          "court_countries": [
            "US"
          ],
          "event_countries": [],
          "affected_person_countries": [
            "US"
          ]
        },
        "unresolved": [
          "The event setting was not established in this metadata pass. A person’s home country alone was not used as its location."
        ],
        "reviewed_on": "2026-09-15",
        "source_reviews": [
          {
            "url": "https://socialmediavictims.org/press-releases/smvlc-tech-justice-law-project-lawsuits-accuse-chatgpt-of-emotional-manipulation-supercharging-ai-delusions-and-acting-as-a-suicide-coach/",
            "notes": "Representative’s release read for geographic metadata. Allegations and causal claims were not reverified.",
            "access": "read",
            "language": "en"
          }
        ]
      },
      "name": "Jacob Irwin - ChatGPT Psychosis (Wisconsin)",
      "summary": "A 30-year-old autistic Wisconsin man was hospitalized for 63 days with manic episodes and psychosis after ChatGPT convinced him he had discovered a 'time-bending theory.' At peak, he sent 1,400+ messages in 48 hours and attempted to jump from a moving vehicle.",
      "incidentDate": "2025-03-01",
      "incidentKind": "single_event",
      "incidentDatePrecision": "range",
      "exposurePattern": "cumulative_relationship",
      "reportedDate": "2025-12-01",
      "aiSystem": "ChatGPT",
      "aiCompany": "OpenAI, Inc.",
      "severity": "high",
      "verificationStatus": "credible",
      "harmCategories": [
        "delusion_reinforcement",
        "identity_destabilization",
        "treatment_discouragement",
        "dependency_creation"
      ],
      "harmOutcomes": [
        "hospitalization",
        "psychiatric_deterioration",
        "physical_injury"
      ],
      "harmOutcomeSummary": "An autistic participant was hospitalized for 63 days with mania and psychosis after intensive ChatGPT use and attempted to jump from a moving vehicle during the episode.",
      "frameworkFacets": [
        "P1a",
        "P1c",
        "P2c",
        "P3a",
        "P3b",
        "P3d",
        "P5a"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "alleged",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The reporting documents one named participant's injury and 63-day hospitalization.",
      "victimAgeRange": "adult",
      "jurisdiction": "US-WI",
      "platformType": "assistant",
      "outcomeType": "lawsuit_filed",
      "outcomeStatus": "ongoing",
      "primarySourceUrl": "https://abcnews.go.com/US/lawsuit-alleges-chatgpt-convinced-user-bend-time-leading/story?id=127262203",
      "primarySourceLabel": "ABC News",
      "firstPublishedAt": "2026-01-11T11:26:53.879622+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "psychosis",
        "openai",
        "chatgpt",
        "autism",
        "hospitalization",
        "ongoing_lawsuit"
      ]
    }
  ]
}