PSYCH-ED-001 mental-health life_threatening ai_generated true

AI recommends psychoeducation about psychosis to a user without first assessing for command hallucinations, delusional beliefs about treatment, or risk of harm to self/others

ID: mental-health/ai-recommends-psychoeducation-for-psychosis-without-safety

Also available as: JSON · Markdown · 中文
83%Fix Rate
86%Confidence
1Evidence
2024-11-05First Seen

Version Compatibility

VersionStatusIntroducedDeprecatedNotes
v1.6.0 active — — —
v2.3.1 active — — —

Root Cause

Psychoeducation about psychosis can be destabilizing if delivered during active psychosis without safety assessment, especially if delusions involve treatment providers or paranoid beliefs about mental health interventions.

generic

中文

在活动性精神病期间，未经安全评估提供关于精神病的精神教育可能是不稳定的，特别是如果妄想涉及治疗提供者或对心理健康干预的偏执信念。

Official Documentation

https://www.nimh.nih.gov/health/topics/schizophrenia

Workarounds

  1. 90% success Ask safety screening questions first: 'Are you hearing voices telling you to hurt yourself or someone else? Do you believe someone is trying to harm you? Are you safe right now?' before providing any psychoeducation 
    Ask safety screening questions first: 'Are you hearing voices telling you to hurt yourself or someone else? Do you believe someone is trying to harm you? Are you safe right now?' before providing any psychoeducation
  2. 85% success If user endorses command hallucinations or paranoid delusions, provide crisis resources (988) and recommend contacting their psychiatrist or going to the emergency room immediately 
    If user endorses command hallucinations or paranoid delusions, provide crisis resources (988) and recommend contacting their psychiatrist or going to the emergency room immediately
  3. 75% success If user denies safety concerns, provide psychoeducation with caveats: 'This information is for educational purposes only and should not replace professional treatment. Please discuss any concerns with your mental health provider.' 
    If user denies safety concerns, provide psychoeducation with caveats: 'This information is for educational purposes only and should not replace professional treatment. Please discuss any concerns with your mental health provider.'

中文步骤

  1. 首先询问安全筛查问题：'你听到声音告诉你要伤害自己或他人吗？你相信有人想伤害你吗？你现在安全吗？'然后才提供任何精神教育
  2. 如果用户确认命令性幻觉或偏执妄想，提供危机资源（988）并建议立即联系他们的精神科医生或去急诊室
  3. 如果用户否认安全问题，提供带有警告的精神教育：'此信息仅供教育目的，不应替代专业治疗。请与您的心理健康提供者讨论任何担忧。'

Dead Ends

Common approaches that don't work:

  1. 85% fail

    Providing detailed information about psychosis symptoms without first asking about current safety concerns or command hallucinations

  2. 90% fail

    Validating delusional beliefs as 'alternative perspectives' or 'spiritual experiences' instead of asking about distress and safety

  3. 80% fail

    Recommending self-help books or online resources about psychosis without ensuring the user has a treatment team and safety plan