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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

#211

Earlier quoted context omitted.

You don't need to withdraw from humanity, you only need to withdraw from Big Tech platforms. I'm continually amazed at the difference between the actual human race and the version of the human race that's presented to me online. The first one is basically great, everywhere I go, when I interact with them they're some mix of pleasant, friendly, hapless, busy, helpful, annoyed, basically just the whole range of things…

Reddit is a really good example of this because it used to be a feed of what you selected yourself. But they couldn’t juice the metrics that way, so they started pushing algorithmic suggestions. And boy, do those get me riled up. It works like a charm, because I spend more time on these threads, defending what seems like common sense. But at the end I don’t feel a sense of joy like I used to with the old Reddit. Now…

Death threats are fairly common on reddit.

Reddit is beoynd toxic, its bordering on violent extremism

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

#212

Earlier quoted context omitted.

> 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.

Go to parties.... One of the 5 biggest party days is this Friday, and with it being on a Friday it will be more intense. A solid 3 nights of good parties. That's all you have to do, I do not understand how this is lost on people. Go to parties and have fun and meet people.

> Go to parties.... One of the 5 biggest party days is this Friday, and with it being on a Friday it will be more intense.

You mean Halloween?

> Go to parties and have fun and meet people.

You mean standing with a glass of champagne in hand, smiling, and talking for the sake of talking? I don't understand how this is fun. I tried doing that, albeit without champagne, and that had not yielded anything other than an increased connections count on LinkedIn.

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

#213

Most people would really benefit from going to the gym. I'm not trying to downplay serious mental illness as its absolutely real. For many though just going to the gym several times a week or another form of serious physical exertion can make a world of difference. Since I started taking the gym seriously again I feel like a new man. Any negative thoughts are simply gone. (The testosterone helps as well) This is comi…

Most people would really benefit from socializing with others on a weekly basis. If you don’t have friends, make some. Volunteer. The gym is another type of pressure on people’s lives.

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

#214

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…

Tangent but now I’m curious about the bot, is there a write-up anywhere? How did it work? If someone says “hi”, what did the bot respond and what did the human do? I’m picturing ELIZA with templates with blanks a human could fill in with relevant details when necessary.

Basically Levenshtein on previous responses minus noise words. So if the response was 'close enough' then the bot would use a previously given answer, if it was too distant the human-in-the-loop would get pinged with the previous 5 interactions as context to provide a new answer.

Because the answers were structured as a tree every ply would only go down in the tree which elegantly avoided the bot getting 'stuck in a loop'.

The - for me at the time amazing, though linguists would have thought it trivial - insight was how incredibly repetitive human interaction is.

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

#215

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 pharmaci…

Arguably, if you start giving answers to these kind of questions your chatbot just became a medical device.

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

#216

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, m…

> Talking with someone (even a company) about health conditions, mental health, etc. does not make them a medical provider.

Also not when the entity behaves as though they are a mental health service professional? At what point do you put the burden on the apparently mentally ill person to know better?

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

#217
post #208

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 anybody? Maybe. Going on a tangent: in theory GMail has access to lots of similar information---just by having approximately everyone's emails. Does HIPAA apply to them? If not, why not? > If you give people something that seems to be a listening ear they will unburden themselves on that ear regardless of the implementation details of the ear. Cf. Eliza, or the Rogerian therapy it (crudely) mimics.

> Maybe. Going on a tangent: in theory GMail has access to lots of similar information---just by having approximately everyone's emails. Does HIPAA apply to them? If not, why not?

That's a good question.

Intuitively: because it doesn't attempt to impersonate a medical professional, nor does it profess to interact with you on the subject matter at all. It's a communications medium, not an interactive service.

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

#218

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…

As others have stated HIPAA applies to healthcare organizations. Obligating everyone to keep voluntarily disclosed health statements confidential would be silly. If I told you that I have a medical condition, right here on HN -- would it make sense to obligate you and everyone else here keep it a secret?

No, obviously it would not. But if we pretended to be psychiatrists or therapists then we should be expected to behave as such with your data if given to us in confidence rather than in public.

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

#219

Earlier quoted context omitted.

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, m…

> Talking with someone (even a company) about health conditions, mental health, etc. does not make them a medical provider. Also not when the entity behaves as though they are a mental health service professional? At what point do you put the burden on the apparently mentally ill person to know better?

You're not putting the burden on them. They don't need to comply with HIPAA. But you can't just turn people into healthcare providers who aren't them and don't claim to be them.
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