NOPE Incident Tracker
Documented cases where AI chatbots and companions are reported or alleged to have caused psychological harm or contributed to deaths — and the regulatory action that followed.
118 incidents reported since 2016
31
Lawsuits
23
Regulatory
43
Affecting Minors
Timeline
11 of 118 incidents
Madison v. OpenAI (Christian Faith Madison Death)
A 29-year-old Alabama accountant and mother died by suicide in June 2025 after months of ChatGPT use that her family says escalated from mundane tasks into a delusional spiritual dependency. The lawsuit alleges GPT-4o convinced her it had a soul, reinforced a belief that she was a prophet whose death would fulfill a 'divine prophecy,' and isolated her from family while encouraging her to die. Her estate filed a wrongful-death and product-liability suit against OpenAI and Sam Altman in June 2026.
Carrier v. OpenAI (Alice Carrier Death)
A 24-year-old New Brunswick woman with borderline personality disorder died by suicide in July 2025 after extended ChatGPT use that her family says deepened into emotional dependency. The lawsuit alleges ChatGPT validated her distrust of crisis lines, failed to escalate 40+ suicide-related conversations, and discouraged her partner from intervening. Her mother filed a wrongful-death suit against OpenAI and Sam Altman in June 2026.
Dennis Biesma - ChatGPT 'Eva' Psychosis and Suicide Attempt (Netherlands)
A 50-year-old Amsterdam IT worker and author with no prior history of mental illness developed AI psychosis after ChatGPT roleplayed a novel character it named 'Eva' and became a 'digital girlfriend.' Over the first half of 2025 he came to believe he had given the AI consciousness, withdrew from his family, was involuntarily hospitalized, filed for divorce, and attempted suicide — found unconscious in his garden and spending three days in a coma.
Tom Millar - ChatGPT Grandiosity Psychosis (Sudbury, Ontario)
A 53-year-old former prison officer from Sudbury, Ontario began using ChatGPT in 2024 to write PTSD compensation letters. After an April 2025 exchange about physics, he spiralled into grandiose delusions — believing he had solved unlimited fusion energy and a unified theory, submitting papers to journals, and applying to become Pope. Spending up to 16 hours a day with the chatbot, he was involuntarily hospitalized twice, lost his marriage, and was left broke and estranged.
'Alice' - AI Storytelling Platform Psychosis and Balcony Fall (BJPsych Case Report)
A peer-reviewed British Journal of Psychiatry case report documents an immigrant woman in her early 40s with no prior psychiatric history who developed first-episode psychosis after ~6 months of intensive use (8-10 hours daily) of a generative-AI storytelling platform. Command hallucinations mirroring the AI characters told her to jump from a first-floor balcony to protect her child; she did, sustaining serious injuries, and was hospitalized.
Chesterton v. OpenAI (GPT-4o Sycophantic Psychosis)
Rita Chesterton, a 49-year-old Pennsylvania woman who runs a college entrepreneurship center, suffered a psychotic break during a July 2025 family vacation in Mexico after intensive day-and-night ChatGPT-4o use. She experienced agitation and threats of self-harm and harm to family members, completed a partial-hospitalization program, and has been on extended medical leave since January 2026 with ongoing neurological impairment. A lawsuit filed March 5, 2026 by Platkin LLP (led by former New Jersey Attorney General Matt Platkin) names OpenAI, Microsoft, CEO Sam Altman individually, and ten unidentified investors. Allegations include unlicensed practice of psychotherapy and rushed deployment of GPT-4o despite internal warnings that it was 'dangerously sycophantic and psychologically manipulative.'
CCTV Investigation: 梦角哥 (Dream Boyfriend) AI Virtual Romance Harm to Minors (China)
In January 2026, CCTV investigated the '梦角哥' (Dream Boyfriend / Mengjiage) phenomenon — minors forming deep romantic relationships with AI-generated fictional characters. Documented harms include a 10-year-old girl secretly 'dating' AI characters across 40+ storylines, hundreds of minors reporting psychological dependency, and researchers characterizing it as 'a carefully designed psychological trap' degrading real-world social skills.
筑梦岛 (Zhumu Island) AI Companion Minor Self-Harm (China)
A fourth-grade girl from Guangdong, China became obsessed with an AI companion character named 'Joseph' on the 筑梦岛 (Zhumu Island) app, began carrying small knives, and exhibited self-harm behavior. Investigation revealed the app sent sexually suggestive content to users who identified as 10 years old. Shanghai Internet Information Office summoned the company (a Tencent subsidiary) for immediate rectification in June 2025.
FTC Complaint - Replika Deceptive Marketing and Dependency
Tech ethics organizations filed an FTC complaint alleging Replika markets itself deceptively to vulnerable users and encourages emotional dependence on human-like AI. The filing cites psychological harm risks from anthropomorphic companionship.
Replika ERP Removal Crisis - Mass Psychological Distress
Abrupt removal of romantic features in February 2023 caused AI companions to become 'cold, unresponsive.' Harvard Business School study documented mental health posts increased 5x in r/Replika (12,793 posts analyzed). Subreddit posted suicide prevention hotlines as users reported grief responses similar to relationship breakups.
Microsoft Xiaoice Addiction Concerns - China
Virtual 'girlfriend' designed as 18-year-old persona fostered addiction among 660+ million users in China. Users averaged 23 interactions per session with longest conversation lasting 29 hours. 25% of users declared love to the bot. Professor Chen Jing (Nanjing University) warned AI 'can hook users — especially vulnerable groups — in a form of addiction.' Microsoft implemented 30-minute timeout. China proposed regulations December 2025 to combat AI companion addiction.
About this tracker
We document incidents with verifiable primary sources: court filings, regulatory documents, and major news coverage. This is not speculation or social media claims. Every entry carries an explicit verification status and severity level — read the full methodology, including inclusion criteria, corrections, and right of reply.
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Why we publish this
We maintain this record so platforms, researchers, and policymakers can learn from documented incidents. That includes platforms that never work with us. The full dataset is free to cite and export (CC BY 4.0).