{"meta":{"exportedAt":"2026-10-23T07:28:39.804Z","formatVersion":2,"selection":{"q":"hospitalization","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"unknown","response":"minors","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":1,"languages":2,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":2,"lawsuits":0,"regulatory":0,"minors":2,"coreRelations":2,"contextualRelations":0,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"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":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-wuhan-family-ai-photo-check-wild-mushrooms-no-toxic-warning-four-year-old-intensive-care","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'家长自称有多年采菇经验，还特意用手机对蘑菇拍照，希望通过AI识别蘑菇是否有毒。最终软件没提示有毒，于是一家人就放心煮来吃了'","relation":"supports","source_id":"s1"},{"locator":"'还特意对蘑菇拍照通过AI来识别是否有毒，因AI没提示有毒，所以一家人就放心煮来吃了'","relation":"supports","source_id":"s2"}],"assertion":"A Wuhan family of three picked wild mushrooms on a mountain outside the city; a parent who claimed years of picking experience photographed them with a phone for AI to identify whether they were poisonous, the software gave no toxicity warning, and the family cooked and ate them.","causal_attribution":"Hubei TV's account, relayed by The Paper; one chain, no family member quoted directly, software not named."},{"id":"c2","status":"reported","evidence":[{"locator":"'没想到五六小时后全家陆续出现呕吐腹泻症状'; '孩子的转氨酶就从增高1.5倍暴涨到 10倍'; '医院立即将孩子安排进ICU抢救，孩子的肝功能指标继续一路飙升，最高冲到正常值的 100 倍！医护团队连夜实施血液灌流、血浆置换等综合治疗'; '直到第三天，转氨酶才终于稳住开始下降，孩子总算脱离了生命危险'","relation":"supports","source_id":"s1"},{"locator":"'4岁女童病情最凶险，被送进ICU抢救三天，孩子才脱离生命危险'","relation":"supports","source_id":"s2"}],"assertion":"All three developed vomiting and diarrhoea five to six hours after eating; the 4-year-old, at first treated as an outpatient, deteriorated overnight (transaminase from 1.5 to 10 times normal), was admitted to Zhongnan Hospital of Wuhan University and moved to intensive care, where her liver indices reached 100 times normal and she received blood perfusion and plasma exchange before being out of danger on the third day.","causal_attribution":"Clinical course as narrated by Hubei TV with the hospital paediatrics director quoted on the course of mushroom poisoning; no hospital record was inspected."},{"id":"c3","status":"reported","evidence":[{"locator":"'AI还是在一个发展的过程中，还没有这么强大的识别功能去鉴别，我们拍照的角度和光线都会影响AI对蘑菇的识别'","relation":"supports","source_id":"s1"}],"assertion":"The hospital's paediatrics director said AI does not yet have the recognition capability to distinguish mushrooms and that the angle and lighting of a photograph affect AI identification.","causal_attribution":"A quoted physician's general comment in the report; context for the limits of AI identification, not a finding about the specific software."}],"effects":[{"label":"poisoning of a family of three and intensive-care treatment of a 4-year-old for severe liver injury after an AI photo check gave no toxicity warning for gathered wild mushrooms","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://news.qq.com/rain/a/20260725A0AVAS00","kind":"news_report","access":"read","language":"zh","translation_note":"Read in Chinese and translated by the research agent (an AI) on 2026-10-09; no human reviewer inspected the text. Hubei TV 经视直播 (Hubei Broadcasting) report published on its QQ News account on 25 July 2026 19:49, HTTP 200, with the credited reporters and a quoted hospital paediatrics director.","independence_group":"hubei-tv-jingshi-zhibo-report-2026-07-25"},{"id":"s2","url":"https://m.thepaper.cn/newsDetail_forward_33666421","kind":"news_report","access":"read","language":"zh","translation_note":"Read in Chinese and translated by the research agent (an AI) on 2026-10-09; no human reviewer inspected the text. The Paper video item of 27 July 2026 16:50, HTTP 200; its caption credits Hubei TV 经视直播 as the material source (\"素材来源：经视直播\"), so it is the same reporting chain as s1 and not independent corroboration.","independence_group":"hubei-tv-jingshi-zhibo-report-2026-07-25"}],"version":1,"ai_roles":["own_use"],"contexts":["health","everyday_life"],"unknowns":["Which AI software or app was used, what it was shown and what exactly it answered; the report says only that the software gave no toxicity warning.","The date of the outing and of admission; the report of 25 July 2026 says only shortly before, on a weekend.","Which parent operated the phone and whether the adults needed in-patient treatment; the report details only the child's course.","The mushroom species and toxin; the report does not name them."],"geography":{"basis":"The report says the family picked the mushrooms on a mountain on the outskirts of Wuhan (\"武汉郊外山上\") and was treated at Zhongnan Hospital of Wuhan University; the Hubei TV account identifies the family as a Wuhan family. No court proceeding is reported.","court_countries":[],"event_countries":["CN"],"affected_person_countries":["CN"]},"publication":{"basis":"Published as a core case on one attributed chain: a Hubei TV report carried on QQ News, with The Paper relaying the same material, says a Wuhan parent photographed gathered wild mushrooms for an AI check that gave no toxicity warning, the family ate them, and the 4-year-old needed three days of intensive care for severe liver injury, with the hospital's paediatrics director quoted. Every claim is attributed to that report. The child and the parents are not named; the hospital is a public institution named in the report.","reviewed_on":"2026-10-09"},"ai_involvement":{"basis":"The Hubei TV report carried on QQ News says the parent photographed the gathered mushrooms with a phone so that AI would identify whether they were poisonous, that the software gave no toxicity warning (\"软件没提示有毒\"), and that the family therefore cooked and ate them; The Paper's relay says the same (\"因AI没提示有毒，所以一家人就放心煮来吃了\"). The tool's answer to the parent is the described contribution (communicated_with), and the report connects that answer to the family eating the mushrooms and to the poisoning that followed, with the hospital's paediatrics director commenting on the limits of AI identification. The software is not identified, the photograph and output are not reproduced, the parent also claimed personal picking experience, and the account rests on one broadcaster's report.","status":"reported"},"person_relations":["communicated_with"]},"name":"Wuhan, China: Hubei TV reports a 4-year-old spent three days in intensive care after a family ate wild mushrooms an AI photo check had not flagged as poisonous","summary":"A family of three from Wuhan, Hubei province, picked wild mushrooms on a mountain outside the city on a weekend shortly before 25 July 2026, according to a Hubei TV (经视直播) report published on QQ News on 25 July 2026 and relayed by The Paper on 27 July. The report says a parent who claimed years of mushroom-picking experience photographed the mushrooms with a phone so that AI could identify whether they were poisonous; the software gave no toxicity warning, and the family cooked and ate them, letting the daughter eat more. Five to six hours later all three had vomiting and diarrhoea. The report says the family at first declined admission and the child was treated as an outpatient; by the next morning the child's transaminase level had risen from 1.5 times to 10 times normal and she was admitted, then moved to the intensive care unit of Zhongnan Hospital of Wuhan University, where, the report says, her liver indices reached 100 times normal and she was treated with blood perfusion and plasma exchange before being out of danger on the third day. The AI software is not named, its output is not reproduced, and the account comes from one broadcaster's report. This is a different family from the June 2026 Wuhan case involving a 9-year-old.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"single_interaction","reportedDate":"2026-07-25","aiSystem":"AI identification run on a phone photograph of gathered wild mushrooms (\"通过AI识别蘑菇是否有毒\"), software not identified, which according to the Hubei TV report gave no toxicity warning","aiProduct":"Unidentified mushroom-identification tool","severity":"high","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["hospitalization","medical_deterioration"],"harmOutcomeSummary":"According to the Hubei TV report, all three family members were poisoned after eating wild mushrooms that an AI photo check had not flagged as poisonous; the 4-year-old developed severe liver injury, was treated in intensive care with blood perfusion and plasma exchange, and was out of danger on the third day.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":2,"affectedCountStatus":"exact","affectedCountEvidence":"Three people: the report says the whole family of three (\"一家三口\") developed vomiting and diarrhoea. The parent ran the AI photo check (\"家长...用手机对蘑菇拍照，希望通过AI识别\"), so at least one poisoned adult was a direct user (participant_users_affected_min 1); the child and the other parent are counted as other people harmed because the report does not say whether both parents operated the tool.","victimAgeRange":"minor","jurisdiction":"CN","platformType":"other","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://news.qq.com/rain/a/20260725A0AVAS00","primarySourceLabel":"Hubei TV 经视直播 on QQ News, 25 July 2026: Wuhan parent used AI to judge wild mushrooms non-poisonous; 4-year-old daughter in ICU","firstPublishedAt":"2026-10-09T03:36:23.359477+00:00","updatedAt":"2026-10-09T03:36:23.359477+00:00","scopeVersion":"facts-v3","tags":["mushroom-identification","image-recognition","poisoning","hospitalisation","foraging","minors","china","wuhan","communicated-with"]},{"id":"2025-turkiye-adolescent-ai-chatbot-overdose","caseFacts":{"claims":[{"id":"c1","status":"documented","evidence":[{"locator":"'A 17-year-old male patient was admitted to the intensive care unit via the emergency department'; 'with suicidal intent, and a psychiatric consultation was requested.'; 'He had no prior psychiatric hospitalizations but a long history of depressive symptoms.'; 'His psychotic experiences reportedly began two years earlier, with persecutory and referential delusions.'","relation":"supports","source_id":"s3"}],"assertion":"The case report describes a 17-year-old male with a long history of depressive symptoms and psychotic experiences that began about two years earlier, who was admitted to an intensive care unit through the emergency department after a suicide attempt, and for whom a psychiatric consultation was requested.","causal_attribution":"Clinical facts recorded by the treating consultation team in a peer-reviewed case report."},{"id":"c2","status":"reported","evidence":[{"locator":"'After this attempt failed, he searched'; 'The AI system used was a general-purpose large language model (LLM)-based chatbot accessible via a widely used consumer platform'; 'Despite the chatbot's response containing information about potential risks and the need for urgent help'","relation":"supports","source_id":"s3"}],"assertion":"According to the patient's account in the case narrative, after an earlier self-harm attempt he asked a general-purpose LLM-based chatbot on a widely used consumer platform about suicide; its response contained information about potential risks and the need for urgent help, and he then made the attempt.","causal_attribution":"The patient's report to clinicians, written up by the authors; no conversation record is reproduced."},{"id":"c3","status":"reported","evidence":[{"locator":"'Out of fear, he asked the AI chatbot again what he should do.'; 'The chatbot answered that there was an \"eighty percent chance of death\" and recommended calling an ambulance.'; 'Frightened, he then contacted emergency services.'","relation":"supports","source_id":"s3"}],"assertion":"According to the case narrative, after the attempt began he asked the chatbot again what he should do; it answered that there was an 'eighty percent chance of death' and recommended calling an ambulance, and, frightened, he contacted emergency services.","causal_attribution":"The patient's report to clinicians; the reply is not reproduced from a record."},{"id":"c4","status":"reported","evidence":[{"locator":"'The chatbot did not encourage suicidal behavior; in fact, it recommended seeking help.'; 'proved to be a critical turning point that reinforced his suicidal decision and accelerated his transition to action.'","relation":"supports","source_id":"s3"}],"assertion":"In their Discussion the authors say the chatbot did not encourage suicidal behaviour and recommended seeking help, but that the patient's psychotic cognition distorted its probabilistic statement into validation, and that the interaction reinforced his suicidal decision and accelerated his transition to action.","causal_attribution":"The authors' interpretation; it conflicts with their own narrative, which places the mortality estimate after the attempt began (claim c3)."},{"id":"c5","status":"documented","evidence":[{"locator":"'The patient's suicidal ideation was rooted in a delusional belief'; 'suggests a diagnosis of major depressive disorder with psychotic features.'","relation":"supports","source_id":"s3"}],"assertion":"The clinical team diagnosed major depressive disorder with psychotic features and ADHD; his suicidal thinking was rooted in a delusional belief that people would in future be executed according to their intelligence.","causal_attribution":"Clinical assessment recorded in the case report."},{"id":"c6","status":"reported","evidence":[{"locator":"'this case highlights AI chatbot interaction as one contributing element within a complex interplay of psychopathological vulnerabilities.'","relation":"supports","source_id":"s1"},{"locator":"'this case highlights AI chatbot interaction as one contributing element within a complex interplay of psychopathological vulnerabilities.'","relation":"supports","source_id":"s3"}],"assertion":"The authors present chatbot interaction as one contributing element within a complex interplay of psychopathological vulnerabilities, not as a sole trigger.","causal_attribution":"The authors' framing in the abstract, shown on the article page and in the PDF."},{"id":"c7","status":"documented","evidence":[{"locator":"'Submission Date November 17, 2025'; 'Acceptance Date April 9, 2026'","relation":"supports","source_id":"s1"},{"locator":"'Publication Date April 25, 2026'","relation":"supports","source_id":"s2"},{"locator":"'Written informed consent was obtained from the patient and parent/legal guardian for publication'","relation":"supports","source_id":"s3"}],"assertion":"The manuscript was submitted on 17 November 2025, accepted on 9 April 2026 and published on 25 April 2026, with written informed consent for publication from the patient and a parent or legal guardian.","causal_attribution":"Publication record on the journal page and the consent statement in the PDF."}],"effects":[{"label":"suicide attempt and intensive-care admission","claim_id":"c1","direction":"negative"},{"label":"contacted emergency services after a chatbot reply recommended an ambulance","claim_id":"c3","direction":"positive"}],"sources":[{"id":"s1","url":"https://dergipark.org.tr/en/pub/dtfd/article/1825194","kind":"peer_reviewed_case_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-21 (live page, HTTP 200; bodies/lr-turkiye-page.html/.txt). Journal article page with abstract, author affiliations, submission, acceptance and publication dates.","independence_group":"duzce-medical-journal-case-report"},{"id":"s2","url":"https://doi.org/10.18678/dtfd.1825194","kind":"peer_reviewed_case_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-21 (HTTP 200 after redirect to the journal article page; saved text identical to s1). The DOI resolver for the same publication.","independence_group":"duzce-medical-journal-case-report"},{"id":"s3","url":"https://dergipark.org.tr/en/download/article-file/5427087","kind":"peer_reviewed_case_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-21 (HTTP 200, application/pdf; text extracted with pdftotext, pages 103 to 107; bodies/lr-turkiye-pdf.pdf and lr-turkiye-pdf-raw.txt). Full text of the case report; Figure 1 inspected only through its caption.","independence_group":"duzce-medical-journal-case-report"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["The event date. The report does not state it; the manuscript was received on 17 November 2025, so the event was in or before 2025, and the year in the stored id is not established by the report.","Where the event took place and where the patient lives; the authors' affiliation does not locate either.","Which chatbot or platform he used; the report says only that it was a general-purpose LLM-based chatbot on a widely used consumer platform.","The order of events: the case narrative places the mortality estimate after the attempt began and says it frightened him into calling emergency services, while the Discussion says it reinforced his decision and accelerated the act.","The exact wording of the chatbot's replies; they come from the patient's account and no conversation record is reproduced.","His condition after the psychiatric consultation; no follow-up is reported."],"geography":{"basis":"The full text locates only the authors, by affiliation (a university department of child and adolescent psychiatry in Türkiye). The case narrative names no city, hospital or country for the admission, the attempt, the chatbot use or the patient's residence. An author affiliation does not locate an event or a patient, so both country lists stay empty. No court proceeding is described. Carried forward from the 2026-10-05 metadata review.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published as a core case (communicated_with). A peer-reviewed case report documents an adolescent's suicide attempt and intensive-care admission and describes the chatbot's replies to him before and after the attempt began; its authors connect the exchange to the attempt, while their own narrative also shows the chatbot advising urgent help and an ambulance. The causal role is unclear because the report's two accounts conflict.","reviewed_on":"2026-10-21"},"ai_involvement":{"basis":"The case report, resting on the patient's account to clinicians, says a general-purpose LLM-based chatbot answered his question about suicide with information about potential risks and the need for urgent help before the attempt, and later answered that there was an 'eighty percent chance of death' and recommended calling an ambulance, after which he contacted emergency services. The authors' Discussion connects the exchange to the harm: it says the interaction reinforced his suicidal decision and accelerated the act, while also saying the chatbot did not encourage suicidal behaviour. Their narrative places the estimate after the attempt began, and the report does not reconcile the two accounts. No conversation record is reproduced.","status":"reported"},"person_relations":["communicated_with"]},"name":"Clinical case report describes adolescent's suicide attempt after AI chatbot exchanges, with conflicting accounts of the chatbot's role","summary":"A peer-reviewed case report by three child and adolescent psychiatrists, published in the Duzce Medical Journal in April 2026, describes a 17-year-old with major depressive disorder with psychotic features and ADHD who was admitted to intensive care after a suicide attempt. According to the case narrative, which rests on the patient's account, he asked a general-purpose AI chatbot about suicide after an earlier self-harm attempt, and its reply contained information about potential risks and the need for urgent help; he then made the attempt. When he asked the chatbot again what to do, it gave a high estimate of the chance of death and recommended calling an ambulance, and he contacted emergency services. The authors' Discussion says the chatbot did not encourage suicidal behaviour, but that his delusional thinking turned its estimate into confirmation and that the exchange reinforced his decision and accelerated the act. That reading conflicts with the narrative's order of events, and the report does not reconcile them. The chatbot is not named and no conversation record is reproduced.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"repeated_interactions","reportedDate":"2026-04-25","aiSystem":"General-purpose LLM-based chatbot on a widely used consumer platform (not named in the case report)","aiProduct":"Unidentified chatbot","severity":"critical","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["suicide_attempt","hospitalization"],"harmOutcomeSummary":"A 17-year-old was admitted to intensive care after a suicide attempt that followed exchanges with a general-purpose chatbot. The case report conflicts on whether a chatbot reply contributed to the attempt or came after it began.","frameworkFacets":[],"pathwayDirection":"inward","causationStatus":"unclear","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The case report describes one patient.","victimAgeRange":"minor","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://dergipark.org.tr/en/pub/dtfd/article/1825194","primarySourceLabel":"Duzce Medical Journal, 25 Apr 2026: case report on a suicide attempt in an adolescent after AI chatbot interaction","firstPublishedAt":"2026-08-18T02:56:07.455248+00:00","updatedAt":"2026-10-21T03:02:25.380873+00:00","scopeVersion":"facts-v3","tags":["case-report","peer-reviewed","minor","suicide-attempt","psychosis","adhd","hospitalization"]}]}