{
  "meta": {
    "exportedAt": "2026-09-22T20:22:42.697Z",
    "formatVersion": 2,
    "selection": {
      "q": "hospital",
      "system": "",
      "harm": "",
      "context": "",
      "country": "",
      "role": "",
      "relation": "unknown",
      "evidence": "",
      "year": "",
      "response": "minors",
      "severity": "",
      "verification": "",
      "view": "incidents",
      "sort": "added"
    },
    "totalIncidents": 2,
    "coverage": {
      "cases": 2,
      "countries": 0,
      "languages": 1,
      "unknownLocation": 2,
      "locationPending": 0,
      "unknownLanguage": 1,
      "unknownDate": 1,
      "lawsuits": 1,
      "regulatory": 0,
      "minors": 2,
      "coreRelations": 0,
      "contextualRelations": 0,
      "mixedRelations": 0,
      "unknownRelations": 2,
      "relationPending": 2,
      "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": "2025-turkiye-adolescent-ai-chatbot-overdose",
      "metadataReview": {
        "version": 1,
        "geography": {
          "basis": "Giresun and Türkiye occur in author affiliation only. Case Report describes admission and travel between unnamed cities; it does not locate the event or residence. No court is described. 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": [
          "Event country, residence and date remain unknown.",
          "Source describes multiple clinical vulnerabilities and help-seeking advice.",
          "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://dergipark.org.tr/en/pub/dtfd/article/1825194",
            "notes": "Primary article abstract and bibliographic metadata",
            "access": "read",
            "language": "en"
          },
          {
            "url": "https://dergipark.org.tr/en/download/article-file/5427087",
            "notes": "Complete primary PDF text, pages103–107",
            "access": "read",
            "language": "en"
          }
        ]
      },
      "name": "Adolescent Overdose Following AI Chatbot Interaction (Clinical Case Report)",
      "summary": "A clinical report describes a 17-year-old with psychotic depression and ADHD who required intensive care after an overdose in the context of AI chatbot use. Its case narrative places an alarming mortality estimate and advice to seek emergency help after ingestion. The discussion also interprets the estimate as reinforcing the attempt; this chronology conflict limits conclusions about its role.",
      "incidentKind": "single_event",
      "incidentDatePrecision": "unknown",
      "exposurePattern": "single_interaction",
      "reportedDate": "2026-04-25",
      "aiSystem": "AI chatbot (undisclosed)",
      "aiCompany": "Unknown",
      "severity": "critical",
      "verificationStatus": "verified",
      "harmCategories": [
        "crisis_response",
        "barrier_erosion"
      ],
      "harmOutcomes": [
        "suicide_attempt",
        "hospitalization",
        "medical_deterioration"
      ],
      "harmOutcomeSummary": "A 17-year-old participant required intensive care after an overdose in the context of chatbot use. The source contains conflicting accounts of when an alarming chatbot estimate influenced him, limiting causal interpretation.",
      "frameworkFacets": [
        "P1a",
        "P1b",
        "P1c",
        "P1d",
        "P5b",
        "P5c"
      ],
      "pathwayDirection": "inward",
      "causationStatus": "supported",
      "participantUsersAffectedMin": 1,
      "otherPeopleHarmedMin": 0,
      "affectedCountStatus": "exact",
      "affectedCountEvidence": "The clinical case report documents one protected minor participant's overdose and intensive-care admission.",
      "victimAgeRange": "minor",
      "jurisdiction": "TR",
      "platformType": "assistant",
      "outcomeType": "media_coverage",
      "outcomeStatus": "resolved",
      "primarySourceUrl": "https://dergipark.org.tr/en/pub/dtfd/article/1825194",
      "primarySourceLabel": "Şahin B, Çobanoğlu Osmanlı C, Kılınç A. 'Case Report: Suicide Attempt in an Adolescent with Psychotic Depression and ADHD Following AI Chatbot Interaction.' Duzce Med J. 2026;28(1):103-107",
      "firstPublishedAt": "2026-08-18T02:56:07.455248+00:00",
      "scopeVersion": "participant-v2",
      "tags": [
        "case-report",
        "minor",
        "suicide-attempt",
        "psychosis",
        "adhd",
        "turkey",
        "hospitalization",
        "crisis-response",
        "peer-reviewed"
      ]
    },
    {
      "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"
      ]
    }
  ]
}