{"meta":{"exportedAt":"2026-10-02T17:24:06.952Z","formatVersion":2,"selection":{"q":"relapse","system":"","harm":"","context":"","country":"","role":"","relation":"unknown","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":0,"languages":1,"unknownLocation":1,"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":"2025-ms-a-chatgpt-psychosis","metadataReview":{"version":1,"geography":{"basis":"Re-checked on 2026-09-28 against the full case report and the PsyPost write-up. The report names no hospital, city, country or patient residence. The authors' affiliation ('All authors are with the University of California, San Francisco in San Francisco, California') describes the authors, and the report says it details 'a case from clinical practice' without saying whose practice or where; neither locates the patient or the events. The relapse followed 'air travel' with no place given. The event setting and the affected person's location therefore remain reviewed unknowns. No legal proceeding is reported.","evidence":[],"court_countries":[],"event_countries":[],"affected_person_countries":[]},"unresolved":["The event setting was not established: the case report does not say where she was hospitalized or lived, and the authors' UCSF affiliation is not used as the patient's location.","No court or regulatory proceeding is reported, so court_countries stays empty.","Causal role differs between admissions: the authors say the chatbot played a facilitating or mediating role in forming the first episode's delusions, describe the second admission's delusions as arising largely without ChatGPT encouragement, and list pre-existing mood disorder, prescription stimulant use, sleep deprivation and a self-described propensity for magical thinking as contributing or confounding factors. This metadata review does not upgrade causation."],"reviewed_on":"2026-09-28","source_reviews":[{"url":"https://innovationscns.com/youre-not-crazy-a-case-of-new-onset-ai-associated-psychosis/","notes":"Read live on 2026-09-28 (HTTP 200; html lang=en-US). Full case report (Pierre, Gaeta, Raghavan, Sarma; Innov Clin Neurosci 2025;22(10-12)): abstract, case presentation and discussion. No location of the patient, hospital or events; the only place named is the authors' affiliation.","access":"read","language":"en"},{"url":"https://www.psypost.org/harrowing-case-report-details-a-psychotic-resurrection-delusion-fueled-by-a-sycophantic-ai/","notes":"Read live on 2026-09-28 (HTTP 200; html lang=en-US). PsyPost write-up of the report, dependent on it. Names the UCSF affiliation of the authors and gives no patient or event location; the relapse followed 'travel' with no place.","access":"read","language":"en"},{"url":"https://pubmed.ncbi.nlm.nih.gov/41635747/","notes":"Fetched on 2026-09-28: PubMed returned a reCAPTCHA browser check (HTTP 200 with no record body). The Europe PMC REST record for PMID 41635747 (PMC12863933) was read instead and gives the article language as eng; it adds no location.","access":"unavailable","language":null}]},"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","aiProduct":"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","updatedAt":"2026-09-30T01:17:10.764605+00:00","scopeVersion":"participant-v2","tags":["chatgpt","openai","psychosis","hospitalization","peer-reviewed","delusion","grief","california","case-report"]}]}