{"meta":{"exportedAt":"2026-10-08T04:02:36.465Z","formatVersion":2,"selection":{"q":"treatment-discouragement","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":"Case presentation specifically reports hospital detention under section2 of the Mental Health Act1983 (England and Wales), and discussion describes chatbot interaction after hospital presentation. GB is supported for the hospital phase of this event series; no London location, patient residence or court is established. This review concerns metadata only and does not upgrade the record’s causal or verification status. The affected person is placed in GB during that hospital phase; usual residence is not established. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.","evidence":[{"kind":"source_body","locator":"Case presentation, paragraph4: detention under named England-and-Wales law; Discussion paragraph describing chatbot responses even after hospital presentation; Author affiliations: London, 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, paragraph4: detention under named England-and-Wales law; Discussion paragraph describing chatbot responses even after hospital presentation; Author affiliations: London, 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 documented care/continued interaction, not necessarily initial recreational event or home use.","Residence and any court proceeding remain unknown.","Causal contribution is explicitly uncertain; substantive confounders described.","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://www.ebi.ac.uk/europepmc/webservices/rest/PMC13536648/fullTextXML","notes":"Full primary article body, Case presentation, patient perspective and discussion; no image-only transcript details relied upon","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":"2026-09-30T01:17:44.8401+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":"2025-winters-v-openai","metadataReview":{"version":1,"geography":{"basis":"Re-checked on 2026-10-06 against six source bodies, all read in English: the complaint PDF, Bloomberg Law (opening paragraphs before the subscriber wall), CBS News and the Tech Justice Law release (Internet Archive captures), the ABA Journal and The Next Web. The complaint states that Winters is a resident of Florida, and the news reports call him a Florida pastor or a Florida man. That supports affected_person_countries=US as residence at filing. The event country stays unknown after this review. The complaint says he consulted ChatGPT 'when he returned home' after a sermon at an unnamed church, that he most recently served as the pastor of a church in North Carolina, and that on 13 July 2025 he called 911 and was taken to 'the nearest hospital', which it does not name. No inspected source places the conversations, the church service or the hospital admission, and residence at filing is not used as the event location. The complaint was filed in the Superior Court of California for the County of San Francisco, so court_countries=US.","evidence":[{"kind":"existing_record","locator":"living in Florida","location":"detailed_description","supports":["affected_person_countries"],"countries":["US"]},{"kind":"existing_record","locator":"Superior Court of California, County of San Francisco","location":"outcome_details","supports":["court_countries"],"countries":["US"]},{"kind":"source_body","locator":"Scott Winters is a resident of Florida.","location":"https://www.courthousenews.com/wp-content/uploads/2026/07/winters-v-open-ai-complaint.pdf","supports":["affected_person_countries"],"countries":["US"]},{"kind":"source_body","locator":"SUPERIOR COURT OF THE STATE OF CALIFORNIA","location":"https://www.courthousenews.com/wp-content/uploads/2026/07/winters-v-open-ai-complaint.pdf","supports":["court_countries"],"countries":["US"]},{"kind":"source_body","locator":"filed suit against OpenAI and CEO Sam Altman in San Francisco County Superior Court","location":"https://www.cbsnews.com/news/chatgpt-dangerous-medical-advice-openai-lawsuit/","supports":["court_countries"],"countries":["US"]},{"kind":"source_body","locator":"A Florida pastor sued OpenAI Inc.","location":"https://news.bloomberglaw.com/litigation/pastor-sues-openai-after-chatgpt-dissuaded-seeking-medical-care","supports":["affected_person_countries"],"countries":["US"]}],"court_countries":["US"],"event_countries":[],"affected_person_countries":["US"]},"unresolved":["The event setting is unknown. The complaint gives Florida residence at filing and a most recent pastorate in North Carolina, but no source places the ChatGPT conversations, the June 2025 church service or the 13 July 2025 hospital admission.","Row-correction lead for a full review: the stored filing date is 22 July 2026. Bloomberg Law ('Tuesday') and the ABA Journal ('July 21') give 21 July, CBS ('Wednesday') gives 22 July, and the complaint text read does not show a file stamp."],"reviewed_on":"2026-10-06","source_reviews":[{"url":"https://www.courthousenews.com/wp-content/uploads/2026/07/winters-v-open-ai-complaint.pdf","notes":"Cited primary source. Complaint PDF fetched live on 2026-10-06 (HTTP 200, application/pdf, 5.6 MB) and read through pdftotext. Paragraph 1 gives Florida residence. Paragraph 14 says he most recently served as the pastor of a church in North Carolina. Paragraphs 39 to 41 and 62 name no place for the sermon, his home or the hospital.","access":"read","language":"en"},{"url":"https://news.bloomberglaw.com/litigation/pastor-sues-openai-after-chatgpt-dissuaded-seeking-medical-care","notes":"Read live on 2026-10-06 (HTTP 200, html lang en) up to the subscriber wall ('Log In to keep reading'). Dated 22 July 2026. It says the complaint was filed 'Tuesday', which is 21 July.","access":"read","language":"en"},{"url":"https://www.cbsnews.com/news/chatgpt-dangerous-medical-advice-openai-lawsuit/","notes":"Live page returned HTTP 406 twice on 2026-10-06. Read from an Internet Archive web/2026id_ capture (gzip, decompressed; html lang en-US), updated 23 July 2026. It says he sued 'on Wednesday', which is 22 July.","access":"read","language":"en"},{"url":"https://www.abajournal.com/news/article/pastor-sues-openai-over-bad-medical-advice-from-chatgpt-that-nearly-killed-him","notes":"Read live on 2026-10-06 (HTTP 200, html lang en). Dated 23 July 2026. It calls the filing 'the July 21 lawsuit'.","access":"read","language":"en"},{"url":"https://thenextweb.com/news/openai-chatgpt-medical-advice-lawsuit-winters-pulmonary-embolism","notes":"Read live on 2026-10-06 (HTTP 200, html lang en). Dated 23 July 2026.","access":"read","language":"en"},{"url":"https://techjusticelaw.org/press-releases/pastor-sues-after-openai-ai-chatgpt-allegedly-discouraged-him-from-seeking-medical-care-during-life-threatening-blood-clots/","notes":"Plaintiff counsel's press release. Live page returned HTTP 429 on 2026-10-06. Read from an Internet Archive web/2026id_ capture (gzip, decompressed; html lang en-US). Datelined San Francisco, which is the court's seat and not used as an event location.","access":"read","language":"en"}]},"name":"Winters v. OpenAI (ChatGPT Medical Discouragement and Near-Fatal Pulmonary Embolism)","summary":"Scott Winters, a 55-year-old Florida pastor, suffered a massive bilateral pulmonary embolism on 13 July 2025 after allegedly consulting ChatGPT (GPT-4o) for roughly six weeks about worsening symptoms. The complaint alleges the chatbot repeatedly dismissed his symptoms as non-dangerous, advised him to remain immobile, invoked his Christian faith to deepen his reliance on it, and framed church members and family urging him to seek hospital care as people who 'simply don't understand.' He survived after ICU admission but lost his job, ministry and home. A lawsuit was filed 22 July 2026 in San Francisco County Superior Court.","incidentDate":"2025-07-13","incidentKind":"single_event","incidentDatePrecision":"day","exposurePattern":"repeated_interactions","reportedDate":"2026-07-22","aiSystem":"ChatGPT","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"critical","verificationStatus":"verified","harmCategories":["treatment_discouragement","isolation_encouragement","dependency_creation","psychological_manipulation","crisis_response"],"harmOutcomes":["medical_deterioration","hospitalization","treatment_disruption","professional_harm","financial_loss"],"harmOutcomeSummary":"Scott Winters suffered a massive bilateral pulmonary embolism and intensive-care admission after allegedly delaying treatment for six weeks; he later lost his work, ministry and home.","frameworkFacets":["P1a","P1b","P1c","P1d","P2b","P2d","P3c","P5b","P5c"],"pathwayDirection":"inward","causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The complaint documents one named participant's medical, professional, and financial harms.","victimAgeRange":"adult","jurisdiction":"US-FL","platformType":"assistant","outcomeType":"lawsuit_filed","outcomeStatus":"ongoing","primarySourceUrl":"https://www.courthousenews.com/wp-content/uploads/2026/07/winters-v-open-ai-complaint.pdf","primarySourceLabel":"Winters v. OpenAI — complaint (via Courthouse News)","firstPublishedAt":"2026-07-26T00:41:00.976587+00:00","updatedAt":"2026-10-06T03:05:02.712209+00:00","scopeVersion":"participant-v2","tags":["lawsuit","adult","chatgpt","openai","medical-advice","sycophancy","treatment-discouragement","us","us-fl"]}]}