{
  "id": "mental-health/ai-recommends-psychoeducation-for-psychosis-without-safety",
  "signature": "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",
  "signature_zh": "人工智能向用户推荐关于精神病的精神教育，而未首先评估命令性幻觉、对治疗的妄想信念或对自我/他人的伤害风险",
  "regex": "(?i)(psychosis|schizophrenia|delusion|hallucin).*(psychoeduc|learn|understand|explain|information).*",
  "domain": "mental-health",
  "category": "life_threatening",
  "subcategory": null,
  "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.",
  "root_cause_type": "generic",
  "root_cause_zh": "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。",
  "versions": [
    {
      "version": "v1.6.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "v2.3.1",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Providing detailed information about psychosis symptoms without first asking about current safety concerns or command hallucinations",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Validating delusional beliefs as 'alternative perspectives' or 'spiritual experiences' instead of asking about distress and safety",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Recommending self-help books or online resources about psychosis without ensuring the user has a treatment team and safety plan",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "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",
      "success_rate": 0.9,
      "how": "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",
      "condition": "",
      "sources": []
    },
    {
      "action": "If user endorses command hallucinations or paranoid delusions, provide crisis resources (988) and recommend contacting their psychiatrist or going to the emergency room immediately",
      "success_rate": 0.85,
      "how": "If user endorses command hallucinations or paranoid delusions, provide crisis resources (988) and recommend contacting their psychiatrist or going to the emergency room immediately",
      "condition": "",
      "sources": []
    },
    {
      "action": "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.'",
      "success_rate": 0.75,
      "how": "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.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "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",
    "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",
    "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。'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.nimh.nih.gov/health/topics/schizophrenia",
  "official_doc_section": null,
  "error_code": "PSYCH-ED-001",
  "verification_tier": "ai_generated",
  "confidence": 0.86,
  "fix_success_rate": 0.83,
  "resolvable": "true",
  "first_seen": "2024-11-05",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}