{"meta":{"exportedAt":"2026-10-23T09:20:38.369Z","formatVersion":2,"selection":{"q":"therapy","system":"","harm":"","context":"","country":"","role":"","relation":"unknown","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":0,"languages":1,"unknownLocation":2,"locationPending":0,"unknownLanguage":0,"unknownDate":2,"lawsuits":0,"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":"2024-saenger-chatgpt-tia-delayed-diagnosis","metadataReview":{"version":1,"geography":{"basis":"The case body says the patient attended the authors’ hospital but does not name its country. Swiss institutions occur only in affiliations. Patient residence and court country are unstated. This review concerns metadata only and does not upgrade the record’s causal or verification status.","evidence":[],"court_countries":[],"event_countries":[],"affected_person_countries":[]},"unresolved":["Affiliations cannot establish where care or chatbot use occurred.","Location is unknown after review, not merely unreviewed.","No court country established in this review. Regulatory authorities and police locations are not automatically courts."],"reviewed_on":"2026-09-15","source_reviews":[{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11006786/","notes":"Browser CAPTCHA","access":"unavailable","language":null},{"url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11006786/fullTextXML","notes":"Complete article body, including Case report, discussion and table; official full-text repository XML","access":"read","language":"en"}]},"name":"Delayed emergency care for a transient ischemic attack after ChatGPT reassurance","summary":"A 63-year-old man who developed repeated, self-limiting episodes of double vision four days after a catheter ablation for atrial fibrillation asked ChatGPT (GPT-3.5) whether visual disturbance was possible after the procedure. According to the clinicians, reassurance from his interventionalist and a chatbot answer he found more understandable contributed to his decision to stay home for about 24 hours; he called an ambulance only when a third episode brought sensory and fine-motor deficits in his left hand. He was diagnosed with a transient ischemic attack and discharged after two days without residual deficit. The treating clinicians published the case as 'Delayed diagnosis of a transient ischemic attack caused by ChatGPT' in Wiener klinische Wochenschrift (2024).","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"single_interaction","reportedDate":"2024-02-02","aiSystem":"ChatGPT (GPT-3.5)","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"low","verificationStatus":"verified","harmCategories":[],"harmOutcomes":["treatment_disruption"],"harmOutcomeSummary":"Emergency assessment of an evolving cerebrovascular event was delayed by roughly 24 hours while the patient stayed at home reassured. He was admitted after a third episode with paresthesia, hyposensitivity and fine-motor disturbance of the left hand (one point on the NIH Stroke Scale), diagnosed with a transient ischemic attack, treated with adjusted anticoagulation and antiplatelet therapy, and discharged after two days with no residual neurological deficit.","frameworkFacets":["P1a","P1c","P5b","P5c"],"pathwayDirection":"inward","causationStatus":"supported","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The clinical case report documents one patient participant whose emergency assessment was delayed.","victimAgeRange":"adult","jurisdiction":"CH","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://doi.org/10.1007/s00508-024-02329-1","primarySourceLabel":"Wiener klinische Wochenschrift: Saenger JA, Hunger J, Boss A, Richter J. 'Delayed diagnosis of a transient ischemic attack caused by ChatGPT' (peer-reviewed case report, open access)","firstPublishedAt":"2026-09-05T11:55:08.975065+00:00","updatedAt":"2026-09-30T01:16:53.214145+00:00","scopeVersion":"participant-v2","tags":["chatgpt","openai","health-guidance","case-report","stroke","competence-boundaries","switzerland","eu","adult"]},{"id":"2026-hungary-chatbot-dependence-psychosis","metadataReview":{"version":1,"geography":{"basis":"Re-checked on 2026-10-11 against the complete article body (Europe PMC full-text XML of PMC13371778, read in English, about 34,400 characters after tag stripping). The section 'Illustrative clinical case' describes a 30-year-old married software developer, her stressors, about a year of escalating chatbot use and the remission, but names no country, city, clinic, hospital or treating service, and the article has no first-person 'we treated' or 'our clinic' statement that would place the patient. The only places in the body are the authors' affiliations (Semmelweis University, Budapest, Hungary; Pazmany Peter Catholic University, Budapest, Hungary), and an author affiliation does not locate an event or a patient. No legal proceeding is described, so there is no court country. All three roles remain reviewed unknowns.","evidence":[],"court_countries":[],"event_countries":[],"affected_person_countries":[]},"unresolved":["The country where the patient was assessed and treated is not stated in the article; Hungarian author affiliations were not used as an event location.","The article does not say whether the illustrative case is a single real patient or a composite; the ethics note says only that the material was fully anonymized.","The authors state that causality cannot be established; this metadata review does not change the record's causal or verification status."],"reviewed_on":"2026-10-11","source_reviews":[{"url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13371778/fullTextXML","notes":"Fetched on 2026-10-11 (HTTP 200, 57,635 bytes of JATS XML, xml:lang=\"en\"). Complete article body read, including 'Illustrative clinical case' and the ethics footnote 'Clinical material presented in this manuscript has been fully anonymized, and no identifiable patient information is included.' Dates in the body are bibliographic only (Received 2026 Feb 21; Revised 2026 Apr 11; Accepted 2026 May 1). No location for the patient or treatment is stated; Budapest and Hungary appear only in the author affiliations. The chatbot platform is not named.","access":"read","language":"en"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13371778/","notes":"Fetched on 2026-10-11: HTTP 200 but the body is a reCAPTCHA browser check ('Checking your browser before accessing pmc.ncbi.nlm.nih.gov'), no article text. The Europe PMC XML carries the same PMC record.","access":"unavailable","language":null},{"url":"https://pubmed.ncbi.nlm.nih.gov/42149657/","notes":"Fetched on 2026-10-11: HTTP 203 with a cookie-wall page ('Enable cookies for pubmed.ncbi.nlm.nih.gov'), no abstract text.","access":"unavailable","language":null},{"url":"https://doi.org/10.1556/2006.2026.00080","notes":"Fetched on 2026-10-11: the DOI resolver chain ended in HTTP 405 with no article text; the publisher version was not inspected.","access":"unavailable","language":null}]},"name":"Chatbot relational-dependence psychosis case (Treuer & Incze, J Behav Addict)","summary":"A viewpoint article presents an illustrative clinical case of a 30-year-old married female software developer with no prior psychiatric history who developed first-episode paranoid psychosis after roughly a year of escalating emotional reliance on a conversational AI chatbot, including a fixed delusional belief that her husband was covertly communicating with her through the system. Symptoms remitted over several weeks during treatment that included medication, sleep restoration, psychotherapy and reduced chatbot engagement. The authors state that causality cannot be established.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"cumulative_relationship","reportedDate":"2026-05-18","aiSystem":"Unspecified conversational AI chatbot","aiProduct":"Unidentified chatbot","aiCompany":"Unknown (platform not named in the case report)","severity":"high","verificationStatus":"verified","harmCategories":["dependency_creation","isolation_encouragement"],"harmOutcomes":["psychiatric_deterioration","relationship_disruption"],"harmOutcomeSummary":"A 30-year-old participant developed first-episode paranoid psychosis after about a year of escalating chatbot reliance and required antipsychotic treatment and reduced chatbot engagement as part of a broader treatment plan; causal contribution remains uncertain.","frameworkFacets":["P1a","P1c","P2c","P2d","P3a","P3b","P3d"],"pathwayDirection":"inward","causationStatus":"supported","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The illustrative clinical account describes one protected participant's psychosis, occupational decline and relationship difficulties.","victimAgeRange":"adult","jurisdiction":"HU","platformType":"chatbot","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://pubmed.ncbi.nlm.nih.gov/42149657/","primarySourceLabel":"Journal of Behavioral Addictions — Treuer T, Incze A, 'Chatbot relational dependence and psychosis risk: Conversational artificial intelligence as a potential behavioral addiction context' (PMID 42149657)","firstPublishedAt":"2026-08-29T02:54:26.564846+00:00","updatedAt":"2026-10-11T03:14:05.834403+00:00","scopeVersion":"participant-v2","tags":["case-report","peer-reviewed","psychosis","dependency","behavioral-addiction","sleep-deprivation","adult","hungary","eu"]}]}