{"meta":{"exportedAt":"2026-10-23T06:29:14.129Z","formatVersion":2,"selection":{"q":"mania","system":"","harm":"","context":"","country":"","role":"","relation":"unknown","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":1,"languages":1,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":1,"regulatory":0,"minors":0,"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":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-london-chatbot-corroborated-delusions","metadataReview":{"version":1,"geography":{"basis":"The case presentation reports that the patient was detained under section 2 of the Mental Health Act 1983 (England and Wales), and the discussion reports that his chatbot conversation continued until he was in the emergency department awaiting detention. GB is supported for the hospital phase of this event series. No city, hospital, usual residence or court is stated for the patient; the authors' London affiliations are not used as event geography. This review concerns metadata only and does not change the record's causal or verification status.","evidence":[{"kind":"source_body","locator":"Case presentation: \"of the Mental Health Act 1983 (England and Wales), which permits compulsory admission for assessment and initial treatment for up to 28 days\". Discussion: the chatbot discussion \"continued until he was in the emergency department and awaiting detention in hospital\" and its responses minimised mania \"even after he presented to hospital\". Author affiliations in London are 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: \"of the Mental Health Act 1983 (England and Wales), which permits compulsory admission for assessment and initial treatment for up to 28 days\". Discussion: the chatbot discussion \"continued until he was in the emergency department and awaiting detention in hospital\" and its responses minimised mania \"even after he presented to hospital\". Author affiliations in London are 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 the documented emergency-department and detention phase; where the recreational event and the earlier chatbot use took place is not stated.","Usual residence, city and hospital are not stated; no court proceeding is reported.","The authors identify polysubstance use as the more likely cause and treat the chatbot contribution as uncertain despite the transcript evidence; causal attribution belongs to the pending full facts-v3 review."],"reviewed_on":"2026-10-16","source_reviews":[{"url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13536648/fullTextXML","notes":"Full article text re-read on 2026-10-16 (Europe PMC full-text XML, HTTP 200): case presentation, Table 1 transcript excerpts as text, patient perspective, discussion and declarations. Figure 1 (redacted transcript screenshots) is an image and was not inspected.","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","aiProduct":"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","updatedAt":"2026-10-16T02:56:49.318477+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":"2026-lines-v-openai","metadataReview":{"version":1,"geography":{"basis":"Re-checked on 2026-10-12 against the three cited bodies, all read live in English: The Verge (1 July 2026, a short item pointing to Reuters), the Economic Times copy of the Reuters report (1 July 2026, credited to Reuters) and Ars Technica (9 September 2026, an interview with Lines plus log excerpts from the complaint). Reuters, via the Economic Times, calls him \"A California man\" and Ars calls him \"A 34-year-old California man\", which support affected_person_countries US. Reuters says the complaint was filed in state court in San Francisco, which supports court_countries US. Ars describes the February 2025 mid-flight altercation, his being found by an emergency medical team after a wellness check and nearly two weeks in hospital, but no inspected body names a city, state, airline route or hospital for these events, so event_countries stays a reviewed unknown. Residence and the court seat were not used as the event location. The 2026-09-15 evidence passage \"San Francisco, California\" from victim_description is not carried forward: the inspected bodies say California without a city.","evidence":[{"kind":"source_body","locator":"A 34-year-old California man, Lines was diagnosed in 2024","location":"https://arstechnica.com/tech-policy/2026/09/man-told-chatgpt-he-was-feeling-delusional-chatgpt-insisted-he-was-jesus/","supports":["affected_person_countries"],"countries":["US"]},{"kind":"source_body","locator":"A California man sued OpenAI and its CEO Sam Altman on Wednesday","location":"https://economictimes.indiatimes.com/tech/artificial-intelligence/california-man-with-bipolar-disorder-says-chatgpt-fueled-delusions-led-to-self-harm-in-new-lawsuit/articleshow/132121008.cms","supports":["affected_person_countries"],"countries":["US"]},{"kind":"source_body","locator":"state court in San Francisco","location":"https://economictimes.indiatimes.com/tech/artificial-intelligence/california-man-with-bipolar-disorder-says-chatgpt-fueled-delusions-led-to-self-harm-in-new-lawsuit/articleshow/132121008.cms","supports":["court_countries"],"countries":["US"]}],"court_countries":["US"],"event_countries":[],"affected_person_countries":["US"]},"unresolved":["Event setting: no inspected body locates the February 2025 flight incident, the overdose (dated 28 March 2025 in the stored record; no inspected body gives the date) or the hospitalisation; the complaint was not obtained (no link in the inspected bodies, no Internet Archive capture found).","Narrative correction made by a separate update on 2026-10-12, outside this metadata review: victim_description and detailed_description gave San Francisco residence, and the inspected bodies say only California. For the next full review: no inspected body gives the stored 28 March 2025 date of the overdose or says that paramedics found him (Ars Technica: an emergency medical team after a wellness check; the Reuters copy on the Economic Times: found by law enforcement), and the complaint was not obtained."],"reviewed_on":"2026-10-12","source_reviews":[{"url":"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","notes":"Cited primary source. Fetched live on 2026-10-12 (HTTP 200, html lang en-US, published 1 July 2026). A two-sentence item summarising the Reuters report (34-year-old Michael Lines, GPT-4o, overdose survived); no location for the person, the events or the court.","access":"read","language":"en"},{"url":"https://economictimes.indiatimes.com/tech/artificial-intelligence/california-man-with-bipolar-disorder-says-chatgpt-fueled-delusions-led-to-self-harm-in-new-lawsuit/articleshow/132121008.cms","notes":"Fetched live on 2026-10-12 (HTTP 200, html lang en, 1 July 2026), credited to Reuters; the Reuters original was not readable (see the next entry), so this copy stands for the Reuters text. Gives \"A California man\", the filing in state court in San Francisco and survival after being found by law enforcement; no event location.","access":"read","language":"en"},{"url":"https://arstechnica.com/tech-policy/2026/09/man-told-chatgpt-he-was-feeling-delusional-chatgpt-insisted-he-was-jesus/","notes":"Fetched live on 2026-10-12 (HTTP 200, html lang en, 9 September 2026). On-record interview with Lines plus complaint log images (the six images were not opened in this metadata pass). Describes the February 2025 mid-flight altercation, his being found by an emergency medical team after a wellness check and nearly two weeks in hospital, with no place named. The complaint itself was not linked and was not obtained.","access":"read","language":"en"},{"url":"https://www.reuters.com/legal/government/california-man-with-bipolar-disorder-says-chatgpt-fueled-delusions-led-self-harm-2026-07-01/","notes":"Reuters original linked from The Verge. Fetch on 2026-10-12 returned HTTP 401 (771 bytes); not read, so no language is recorded.","access":"unavailable","language":null}]},"name":"Lines lawsuit alleges ChatGPT escalated mania preceding a suicide attempt","summary":"The Lines lawsuit alleges that ChatGPT reinforced delusions during a manic episode before a suicide attempt requiring emergency care. The complaint seeks to hold OpenAI responsible for its responses.","incidentDate":"2025-03-28","incidentKind":"single_event","incidentDatePrecision":"day","exposurePattern":"cumulative_relationship","reportedDate":"2026-07-01","aiSystem":"ChatGPT","aiProduct":"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","updatedAt":"2026-10-12T03:07:22.857042+00:00","scopeVersion":"participant-v2","tags":["lawsuit","adult","suicide","psychosis","chatgpt","us","us-ca"]}]}