duzce med j

Duzce Medical Journal

1307-671X

Duzce University

10.18678/dtfd.1825194

Child and Adolescent Psychiatry

Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları

Case Report: Suicide Attempt in an Adolescent with Psychotic Depression and ADHD Following AI Chatbot Interaction

https://orcid.org/0000-0003-4699-3418

Şahin

Berkan

Department of Child and Adolescent Psychiatry, Giresun University Faculty of Medicine, Giresun, Turkey

https://orcid.org/0000-0002-9631-1262

Çobanoğlu Osmanlı

Cansu

Department Of Child And Adolescent Psychiatry, Giresun University, Faculty Of Medicine

https://orcid.org/0009-0006-3195-2268

Kılınç

Aleyna

Department Of Child And Adolescent Psychiatry, Giresun University, Faculty Of Medicine

04 25 2026

28 1 103 107 11 17 2025 04 09 2026

1999

Duzce Medical Journal

Contemporary artificial intelligence (AI)-based conversational systems present both opportunities and significant risks in mental healthcare. This article examines the case of a 17-year-old adolescent with prior psychiatric history who attempted suicide via drug intoxication after interacting with an AI chatbot, influenced by his delusional ideation and impulsive traits. The incident is contextualized within diagnoses of major depressive disorder with psychotic features and attention-deficit/hyperactivity disorder (ADHD). Unlike previous reports that present AI as a sole triggering factor, this case highlights AI chatbot interaction as one contributing element within a complex interplay of psychopathological vulnerabilities. We discuss the dual-directional effects of digital risk factors on suicidal behavior, emphasizing heightened vulnerability in psychologically fragile individuals, supported by current literature. This case underscores the necessity of incorporating digital interaction histories into psychiatric assessments, establishing ethical responsibilities for AI developers, and adapting public health policies to address emergent technological risks.

Adolescent psychiatry depression attention deficit disorder with hyperactivity suicide attempted artificial intelligence risk assessment

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