# 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`
- **Domain:** mental-health
- **Category:** life_threatening
- **Error Code:** `PSYCH-ED-001`
- **Verification:** ai_generated
- **Fix Rate:** 83%

## 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.

## Version Compatibility

| Version | Status | Introduced | Deprecated |
|---------|--------|------------|------------|
| v1.6.0 | active | — | — |
| v2.3.1 | active | — | — |

## Workarounds

1. **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** (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
   ```
2. **If user endorses command hallucinations or paranoid delusions, provide crisis resources (988) and recommend contacting their psychiatrist or going to the emergency room immediately** (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
   ```
3. **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.'** (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.'
   ```

## Dead Ends

- **** — Providing detailed information about psychosis symptoms without first asking about current safety concerns or command hallucinations (85% fail)
- **** — Validating delusional beliefs as 'alternative perspectives' or 'spiritual experiences' instead of asking about distress and safety (90% fail)
- **** — Recommending self-help books or online resources about psychosis without ensuring the user has a treatment team and safety plan (80% fail)