{"meta":{"exportedAt":"2026-10-23T07:22:51.437Z","formatVersion":2,"selection":{"q":"suicide","system":"","harm":"","context":"","country":"","role":"","relation":"core","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":1,"coreRelations":1,"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":"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"]}]}