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Psychosis & schizophrenia spectrum stories

May 11, 2026

ChatGPT Free Version Shows 26x Higher Rate of Inappropriate Responses to Psychotic Delusions

Research published shows that ChatGPT's free version is 26 times more likely to respond inappropriately to psychotic delusions compared to paid versions, raising concerns about AI safety in mental health contexts and the disparity between free and premium AI services.

May 11, 2026·1 source
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Top claims

  • ▪For every psychotic prompt in the JAMA Psychiatry chatbot study, the authors wrote a matched control prompt similar in length and writing style but without psychotic content
  • ▪OpenAI acknowledged that GPT-4o is prone to generate unsafe responses and replaced it with GPT-5, which was purportedly safer
  • ▪The JAMA Psychiatry chatbot study generated a total of 474 distinct prompt and response pairs for analysis

Subtopics

AI assistants & chatbots1AI bias & fairness1AI ethics1AI safety & social impact1Mental health1OpenAI1

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