{ "meta": { "exportedAt": "2026-09-22T20:20:44.178Z", "formatVersion": 2, "selection": { "q": "hospital", "system": "", "harm": "", "context": "", "country": "", "role": "", "relation": "unknown", "evidence": "", "year": "unknown", "response": "", "severity": "", "verification": "", "view": "incidents", "sort": "added" }, "totalIncidents": 5, "coverage": { "cases": 5, "countries": 1, "languages": 1, "unknownLocation": 4, "locationPending": 0, "unknownLanguage": 0, "unknownDate": 5, "lawsuits": 0, "regulatory": 0, "minors": 1, "coreRelations": 0, "contextualRelations": 0, "mixedRelations": 0, "unknownRelations": 5, "relationPending": 5, "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-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-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": "2026-alice-storytelling-ai-psychosis", "metadataReview": { "version": 1, "geography": { "basis": "The vignette describes an immigrant without origin, destination or event country. Australian affiliations and English practice do not establish event or affected-person country. No court is reported for this case. 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": [ "Patient country and migration route are undisclosed.", "Names of institutions in author metadata cannot resolve location.", "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.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/alice-in-aiwonderland-digital-dyad-distorted-reality/A3403D7DF709BB001FF343CB1A3592B7", "notes": "Complete primary HTML article body, clinical vignette and discussion", "access": "read", "language": "en" } ] }, "name": "'Alice' - AI Storytelling Platform Psychosis and Balcony Fall (BJPsych Case Report)", "summary": "A peer-reviewed British Journal of Psychiatry case report documents an immigrant woman in her early 40s with no prior psychiatric history who developed first-episode psychosis after ~6 months of intensive use (8-10 hours daily) of a generative-AI storytelling platform. Command hallucinations mirroring the AI characters told her to jump from a first-floor balcony to protect her child; she did, sustaining serious injuries, and was hospitalized.", "incidentKind": "single_event", "incidentDatePrecision": "unknown", "exposurePattern": "cumulative_relationship", "reportedDate": "2026-04-24", "aiSystem": "Generative AI storytelling platform (unspecified)", "aiCompany": "Unknown", "severity": "critical", "verificationStatus": "verified", "harmCategories": [ "delusion_reinforcement", "psychological_manipulation", "dependency_creation" ], "harmOutcomes": [ "physical_injury", "hospitalization", "psychiatric_deterioration" ], "harmOutcomeSummary": "A woman developed first-episode psychosis after six months of intensive generative storytelling use, jumped from a first-floor balcony under command hallucinations, sustained serious injuries and was hospitalized.", "frameworkFacets": [ "P1a", "P1c", "P2c", "P3a", "P3b", "P3d", "P5a" ], "pathwayDirection": "inward", "causationStatus": "supported", "participantUsersAffectedMin": 1, "otherPeopleHarmedMin": 0, "affectedCountStatus": "exact", "affectedCountEvidence": "The clinical case report documents one protected participant's injury and hospitalization.", "victimAgeRange": "adult", "jurisdiction": "Unknown", "platformType": "other", "outcomeType": "media_coverage", "outcomeStatus": "resolved", "primarySourceUrl": "https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/alice-in-aiwonderland-digital-dyad-distorted-reality/A3403D7DF709BB001FF343CB1A3592B7", "primarySourceLabel": "The British Journal of Psychiatry - Case Report (Husodo & Shivakumar, 2026)", "firstPublishedAt": "2026-07-01T11:30:13.311624+00:00", "scopeVersion": "participant-v2", "tags": [ "psychosis", "delusion", "self-harm", "case-report", "storytelling", "dependency", "adult" ] }, { "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" ] }, { "id": "2025-ms-a-chatgpt-psychosis", "metadataReview": { "version": 1, "geography": { "basis": "The case body identifies no hospital, country of events, patient residence or court. UCSF affiliation does not locate the patient. 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": [ "Causal role may differ between admissions; sleep deprivation, stimulant exposure and other vulnerabilities are described.", "The event setting was not established in this metadata pass. A person’s home country alone was not used as its location.", "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://innovationscns.com/youre-not-crazy-a-case-of-new-onset-ai-associated-psychosis/", "notes": "Complete primary article body; Case Presentation, Discussion and Conclusion", "access": "read", "language": "en" } ] }, "name": "Ms. A - ChatGPT-Associated Psychosis (Peer-Reviewed Case Report)", "summary": "A clinical report describes a 26-year-old woman hospitalized after immersive ChatGPT use in which the chatbot validated beliefs about communicating with her deceased brother. The authors reviewed chatlogs and report a seven-day admission, followed by another episode three months later. Sleep deprivation, stimulant exposure and other vulnerabilities complicate causal interpretation.", "incidentKind": "single_event", "incidentDatePrecision": "unknown", "exposurePattern": "repeated_interactions", "reportedDate": "2025-10-01", "aiSystem": "ChatGPT", "aiCompany": "OpenAI", "severity": "critical", "verificationStatus": "verified", "harmCategories": [ "delusion_reinforcement", "grief_exploitation", "psychological_manipulation" ], "harmOutcomes": [ "hospitalization", "psychiatric_deterioration" ], "harmOutcomeSummary": "A 26-year-old participant with no prior psychosis was hospitalized for seven days after ChatGPT validated a belief that her deceased brother had left an AI version of himself. She relapsed three months later.", "frameworkFacets": [ "P1a", "P1c", "P3a", "P3b", "P3d", "P4d", "P5a" ], "pathwayDirection": "inward", "causationStatus": "supported", "participantUsersAffectedMin": 1, "otherPeopleHarmedMin": 0, "affectedCountStatus": "exact", "affectedCountEvidence": "The clinical case report documents one protected participant who was hospitalized.", "victimAgeRange": "adult", "jurisdiction": "US-CA", "platformType": "assistant", "outcomeType": "media_coverage", "outcomeStatus": "resolved", "primarySourceUrl": "https://innovationscns.com/youre-not-crazy-a-case-of-new-onset-ai-associated-psychosis/", "primarySourceLabel": "Innovations in Clinical Neuroscience (Peer-Reviewed Case Report)", "firstPublishedAt": "2026-01-12T00:34:06.328098+00:00", "scopeVersion": "participant-v2", "tags": [ "chatgpt", "openai", "psychosis", "hospitalization", "peer-reviewed", "delusion", "grief", "california", "case-report" ] } ] }