{"meta":{"exportedAt":"2026-10-23T07:22:17.092Z","formatVersion":2,"selection":{"q":"mania","system":"","harm":"","context":"","country":"","role":"","relation":"unknown","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":1,"languages":1,"unknownLocation":0,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":0,"contextualRelations":0,"mixedRelations":0,"unknownRelations":1,"relationPending":1,"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"]}]}