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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

#282

Earlier quoted context omitted.

> Is that a debate worth having though? Yes. Otherwise we're accepting "OpenAI wants to do this so we should quietly get out of the way". If ChatGPT has "PhD-level intelligence" [1] then identifying people using ChatGPT for therapy should be straightforward, more so users with explicit suicidal intentions. As for what to do, here's a simple suggestion: make it a three-strikes system. "We detected you're using ChatGPT…

Are people using ChatGPT for therapy more vulnerable than people using it for medical or legal advice? From my experience talking about your problems to the unaccountable bullshit machine is not very different then the "real" therapy.

> Are people using ChatGPT for therapy more vulnerable than people using it for medical or legal advice?

Probably. If you are in therapy because you’re feeling mentally unstable, by definition you’re not as capable of separating bad advice from good.

But your question is a false dichotomy, anyway. You shouldn’t be asking ChatGPT for either type of advice. Unless you enjoy giving yourself psychiatric disorders.

https://archive.ph/2025.08.08-145022/https://www.404media.co...

> From my experience talking about your problems to the unaccountable bullshit machine is not very different then the "real" therapy.

From the experience of the people (and their families) who used the machine and killed themselves, the difference is massive.

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

#283
Rereading the thread and trying to generalise: LLMs are good at noisily suggesting solutions. That is, if you ask LLMs for some solutions to your problems, there's a high probability that one of the solutions will be good.

But it may be that the individual options are bad (maybe even catastrophic - glue on pizza anyone?), and that the right option isn't in the list. The user has to be able to make these calls.

It is like this with software - we have probably all been there. It can be like that with legal advice. And I guess it is like that with (mental) health.

What binds these is that if you cannot judge whether the suggestions are good, then you shouldn't follow them. As it stands, SEs can ask LLMs for code, look at it, 80+% of the time it is good, and you saved yourself some time. Else you reconsider/reprompt/write it yourself. If you cannot make the judgment yourself, then don't use it.

I suppose health is another such example. Maybe the LLM suggests to you some ideas as to what your symptoms could mean, you Google that, and find an authoritative source that confirms the guess (and probably tells you to go see a doctor anyway). But the advice may well be wrong, and if you cannot tell, then don't rely on it.

Mental health is even worse, because if you need advice in this area, your cognitive ability is probably impacted as well and you are even less able to decide on these things.

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

#284

Earlier quoted context omitted.

Supposing that the advice it provides does more good than harm, why? What's the objective reason? If it can save lives, who cares if the advice is based on intelligence and understanding or on regurgitating internet content?

> Supposing that the advice it provides does more good than harm, why? Because a human, esp. a confused and depressive human being is a complex thing. Much more complex than a stable, healthy human. Words encouraging a healthy person can break a depressed person further. Statistically positive words can deepen wounds, and push people more to the edge. Dark corners of human nature is twisted, hard to navigate and full…

I agree with your concerns, but I think you're overestimating the value of a human intervening in these scenarios.

A human can also say the wrong things to push someone in a certain direction. A psychologist, or anyone else for that matter, can't stop someone from committing suicide if they've already made up their mind about it. They're educated on human psychology, but they're not miracle workers. The best they can do is raise a flag if they suspect self-harm, but then again, so could a machine.

As you say, humans are complex. But I agree with GP: whether the words are generated by a machine or coming from a human, there is no way to blame the source for any specific outcome. There are probably many other cases where the machine has helped someone with personal issues, yet we'll never hear about it. I'm not saying we should rely on these tools as if we would on a human, but the technology can be used for good or bad.

If anything, I would place blame on the person who decides to blindly follow anything the machine generates in the first place. AI companies are partly responsible for promoting these tools as something more than statistical models, but ultimately the decision to treat them as reliable sources of information is on the user. I would say that as long as the person has an understanding of what these tools are, interacting with them can be healthy and helpful.

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

#285

Earlier quoted context omitted.

A word generator with no intelligence or understanding based on the contents of the internet should not be allowed near suicidal teens, nor should it attempt to offer advice of any kind. This is basic common sense. Add in the commercial incentives of 'Open'AI to promote usage for anything and everything and you have a toxic mix.

Supposing that the advice it provides does more good than harm, why? What's the objective reason? If it can save lives, who cares if the advice is based on intelligence and understanding or on regurgitating internet content?

This is not so much "more good than harm" like a counsellor that isn't very good.

This is more "sometimes it will seemingly actively encourage them to kill themselves and it's basically a roll of the dice what words come out at any one time".

If a counsellor does that they can be prosecuted and jailed for it, no matter how many other patients they help.

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

#286
post #284

Earlier quoted context omitted.

> Supposing that the advice it provides does more good than harm, why? Because a human, esp. a confused and depressive human being is a complex thing. Much more complex than a stable, healthy human. Words encouraging a healthy person can break a depressed person further. Statistically positive words can deepen wounds, and push people more to the edge. Dark corners of human nature is twisted, hard to navigate and full…

I agree with your concerns, but I think you're overestimating the value of a human intervening in these scenarios. A human can also say the wrong things to push someone in a certain direction. A psychologist, or anyone else for that matter, can't stop someone from committing suicide if they've already made up their mind about it. They're educated on human psychology, but they're not miracle workers. The best they can…

> A human can also say the wrong things to push someone in a certain direction. A psychologist, or anyone else for that matter, can't stop someone from committing suicide if they've already made up their mind about it. They're educated on human psychology, but they're not miracle workers. The best they can do is raise a flag if they suspect self-harm, but then again, so could a machine.

ChatGPT essentially encouraged a kid not to take a cry-for-help step that might have saved their lives. This is not a question of a bad psychologist; it's a question of a sociopathic one that may randomly encourage harm.

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

#287
post #274

Earlier quoted context omitted.

While I agree with most of your comment, I'd like to dispute the story about GPT-2. Yes, they did claim that they wouldn't release GPT-2 due to unforeseen risks, but... a. they did end up releasing it, b. they explicitly stated that they wouldn't release GPT-3[1] for marketing/financial reasons, and c. it being dangerous didn't stop them from offering the service for a profit. I think the quotes around "open" are wel…

> they did end up releasing it, After studying it extensively with real-world feedback. From everything I've seen, the statement wasn't "will never release", it was vaguer than that. > they explicitly stated that they wouldn't release GPT-3 for marketing/financial reasons Not seen this, can you give a link? > it being dangerous didn't stop them from offering the service for a profit. Please do be cynical about how ho…

> Not seen this, can you give a link?

I was confusing GPT3 with GPT4. Here's the quote from the paper (emphasis mine) [1]:

> Given both THE COMPETITIVE LANDSCAPE and the safety implications of large-scale models like GPT-4, this report contains no further details about the architecture (including model size), hardware, training compute, dataset construction, training method, or similar.

[1] https://cdn.openai.com/papers/gpt-4.pdf

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

#288

It becomes a problem when people cannot distinguish real from fake. As long as people realize they are talking to a piece of software and not a real person, "suicidal people shouldn't be allowed to use LLMs" is almost on par with "suicidal people shouldn't be allowed to read books", or "operate a dvd player", or "listen to alt-rock from the 90s". The real problem is of course grossly deficient mental health care and…

> As long as people realize they are talking to a piece of software and not a real person

That has nothing to do with the issue. Most people do realise LLMs aren’t people, the problem is that they trust them as if they were better than another human being.

We know people aren’t using LLMs carefully. Your hypothetical is irrelevant because we already know it isn’t true.

https://archive.is/2025.05.04-230929/https://www.rollingston...

> "talking to an LLM about suicide" is not that much different from "reading a book/watching a movie about suicide"

It is a world of difference. Books don’t talk back to you. Books don’t rationalise your thoughts and give you rebuttals and manipulate you in context.

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

#289

Earlier quoted context omitted.

We would need the big picture, though... maybe it caused that death (which is awful) but it's also saving lives? If there are that many people confiding in it, I wouldn't be surprised if it actually prevents some suicides with encouraging comments, and that's not going to make the news. Before declaring that it shouldn't be near anyone with psychological issues, someone in the relevant field should study whether the…

A word generator with no intelligence or understanding based on the contents of the internet should not be allowed near suicidal teens, nor should it attempt to offer advice of any kind. This is basic common sense. Add in the commercial incentives of 'Open'AI to promote usage for anything and everything and you have a toxic mix.

Replace 'word generator with no intelligence or understanding based on the contents of the internet' with 'for-profit health care system'.

In retrospect, from experience, I'd take the LLM.

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

#290
post #275

Earlier quoted context omitted.

Supposing that the advice it provides does more good than harm, why? What's the objective reason? If it can save lives, who cares if the advice is based on intelligence and understanding or on regurgitating internet content?

> Supposing that the advice it provides does more good than harm That unsubstantiated supposition is doing a lot of heavy lifting and that’s a dangerous and unproductive way to frame the argument. I’ll make a purposefully exaggerated example. Say a school wants to add cyanide to every meal and defends the decision with “supposing it helps students concentrate and be quieter in the classroom, why not?”. See the proble…

The key difference in your example and the comment you are replying to is that the commenter is not "defending the decision" via a logical implication. Obviously the implication can be voided by showing the assumption false.
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