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OpenAI says over a million people talk to ChatGPT about suicide weekly

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Re: OpenAI says over a million people talk to ChatGPT about suicide weekly

#191

Earlier quoted context omitted.

i seen similar reports on social media, all of them had in common was presence of some keywords.

Presumably ‘commit’ would have a high association with either git or self harm.

I didn't think marriage was that bad but point taken!

Re: OpenAI says over a million people talk to ChatGPT about suicide weekly

#192

HIPAA anybody? (1) they probably shouldn't even have that data (2) they shouldn't have it lying around in a way that it an be attributed to particular individuals (3) imagine that it leaks to the wrong party, it would make the hack of that Finnish institution look like child's play (4) if people try to engage it in such conversations the bot should immediately back out because it isn't qualified to have these convers…

HIPAA only applies to covered healthcare entitites. If you walk into a McDonalds' and talk about your suicidal ideation with the cashier, that's not HIPAA covered.

To become a covered entity, the business has either work with a healhcare provider, health data trasmiter, or do business as one.

Notably, even in the above case, HIPAA only applies to the healthcare part of the entity. So if McDonald's collocated pharmacies in their restaurants, HIPAA would only apply to the pharmacists, not the cashiers.

That's why you'll see in connivence stores with pharmacies, the registers are separated so healthcare data doesn't go to someone who isn't covered by HIPAA.

**

As for how ChatGPT gets these stats... when you talk about a sensitive or banned topic like suicide, their backend logs it.

Originally, they used that to cut off your access so you wouldn't find a way to cause a PR failure.

Re: OpenAI says over a million people talk to ChatGPT about suicide weekly

#193

HIPAA anybody? (1) they probably shouldn't even have that data (2) they shouldn't have it lying around in a way that it an be attributed to particular individuals (3) imagine that it leaks to the wrong party, it would make the hack of that Finnish institution look like child's play (4) if people try to engage it in such conversations the bot should immediately back out because it isn't qualified to have these convers…

Privacy is vital, but this isn't covered under HIPAA. As they are not a covered entity nor handling medical records, they're beholden to the same privacy laws as any other company.

HIPAA's scope is actually basically nonexistent once you get away from healthcare providers, insurance companies, and the people that handle their data/they do business with. Talking with someone (even a company) about health conditions, mental health, etc. does not make them a medical provider.

Re: OpenAI says over a million people talk to ChatGPT about suicide weekly

#194

Earlier quoted context omitted.

Some of those men could meet someone if they quit Tinder or whatever crap online platform they might be using for dating, and start meeting people in real life. Worked for me at least. There's simply less competition and more space for genuine social interaction.

> and start meeting people in real life Do you have real life hobbies or something? I don't understand how this is supposed to work. I only ever go outside for groceries or gym, etc.

I'm not going to say it's 'simple' to have hobbies or find people, but realistically if you don't regularly meet strangers in real life, you'll never date strangers so it's a catch 22.

Unless we all want to set ourselves up for arranged marriages in the future, we need to confront this reality.

Re: OpenAI says over a million people talk to ChatGPT about suicide weekly

#195

Earlier quoted context omitted.

Some of those men could meet someone if they quit Tinder or whatever crap online platform they might be using for dating, and start meeting people in real life. Worked for me at least. There's simply less competition and more space for genuine social interaction.

> and start meeting people in real life Do you have real life hobbies or something? I don't understand how this is supposed to work. I only ever go outside for groceries or gym, etc.

Real life hobbies, voluntary work, religious organizations if you're into that stuff. Any of these could work, as long as you find some genuine interest in it, and there are enough people that meet your dating profile around.

Of course there's also the possibility of meeting people in online communities centered around some shared interest. IMO that's also probably more effective than dating apps, especially if it leads to meeting in real life later on.

Re: OpenAI says over a million people talk to ChatGPT about suicide weekly

#196
post #165

Earlier quoted context omitted.

All of this only goes to show how far we've come on our journey to profit optimization. We could optimize away those pesky humans completely if it weren't for the annoying fact that they are the source of all those profits.

Oh, but humans are actually not the source of all profit! This is where phenomena like click fraud become interesting. Some estimates for 2025: around 20-30% of all ad clicks were bots. Around $200B in ad spend annually lost to click fraud. So this is where it gets really interesting right, the platforms are filled with bots, maybe a quarter? of the monetizable action occurring on them IS NOT HUMAN but lots of it get…

> Some estimates for 2025: around 20-30% of all ad clicks were bots. Around $200B in ad spend annually lost to click fraud.

I think this is the wrong way to look at it.

Bots lower the cost per click so they should have net zero impact on overall ad spend.

Imagine if the same number of humans were clicking on ads but the numbers of bots increased tenfold. Would total ad spend increase accordingly? No, it would remain the same because budgets don't magically increase. The average value of a click would just go down.

Re: OpenAI says over a million people talk to ChatGPT about suicide weekly

#197
post #157

Contrarian opinion. OpenAI gets a lot of hate these days, but on this subject it's quite possible that ChatGPT helped a lot of people choose a less drastic path. There could have been unfortunate incidents, but the number of people who were convinced to not take extreme steps would have been of a few orders of magnitude more (guessing). I use it to help improve mental health, and with good prompting skills it's not b…

I agree with you in the sense that I find it helpful for personal topics. I found it very helpful to figure out how to deal with some difficult personal situation I was in. The thing actually helped me reassess the situation when I asked it to provide alternative viewpoints.

You can't just blindly type in your problem though, you still have to do the actual thinking yourself. Good prompting skills is the ability to steer with your mind. It's no different from using Google, where some people never figured out that you're actually typing in the solution you expect to find rather than the question you have. It's the same with these tools it seems

Re: OpenAI says over a million people talk to ChatGPT about suicide weekly

#198
post #191

Earlier quoted context omitted.

Presumably ‘commit’ would have a high association with either git or self harm.

I didn't think marriage was that bad but point taken!

I think GP meant that "commit" is often used in the phrase "commit suicide". That wasn't a comment about relationship commitment.

Re: OpenAI says over a million people talk to ChatGPT about suicide weekly

#199

Surprised it's so low. There are 800 million users and the typical developed country has around 5±3% of the population[1] reporting at least one notable instance of suicidal feelings per year. . [1] Anybody concerned by such figures (as one justifiably should be without further context) should note that suicidality in the population is typically the result of their best approximation of the rational mind attempting t…

That's 1 million people per week, not in general. It could be 1 million different people every week. (Probably not, but you get where I'm going with that.)

Re: OpenAI says over a million people talk to ChatGPT about suicide weekly

#200
post #48

Earlier quoted context omitted.

The general rule of thumb is this. When given the right prompts, LLMs can be very effective at therapy. Certainly my wife gets a lot of mileage out of having ChatGPT help her reframe things in a better way. However "the right prompts" are not the ones that most mentally ill people would choose for themselves. And it is very easy for ChatGPT to become part of a person's delusion spiral, rather then be a helpful part o…

Is it better or worse than alternatives? Where else would a suicidal person turn, a forum with other suicidal people? Dry Wikipedia stats on suicide? Perhaps friends? Knowing how ChatGPT replies to me, I’d have a lot of trouble getting negativity influenced by it, any more than by yellow pages. Yeah, it used to try more to be your friend but GPT5 seems pretty neutral and distant.

The article links to the case of Adam Raine, a depressed teenager who confided in ChatGPT for months and committed suicide. The parents blame ChatGPT. Some of the quotes definitely sound like encouraging suicide to me. It’s tough to evaluate the counterfactual though. Article with more detail: https://www.npr.org/sections/shots-health-news/2025/09/19/nx...
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