Artificial Intelligence

Learning from the Tragic Teen Suicide Linked to ChatGPT

Delaney Ruston, MD
Lisa Tabb smiling to camera (Screenagers Producer)
Lisa Tabb
September 2, 2025

Before we begin, know this blog includes discussion of self harm and related detail, so please read with care. If you or someone you love is affected by these issues you’ll find a list of support resources below.

You might have heard about the tragic suicide of 16‑year‑old Adam Raine, who was talking with ChatGPT for up to four hours a day. His parents filed a wrongful‑death lawsuit against OpenAI and CEO Sam Altman on August 26, 2025, in San Francisco Superior Court.

The case alleges that ChatGPT—specifically, the GPT‑4o model—coached Adam on methods of self‑harm, validated his suicidal thoughts, discouraged him from telling his parents, and even helped draft suicide notes. It is publicly known that Adam died by hanging.

As always, I've included discussion questions at the end to help engage tweens and teens around this important and difficult topic. It's hard to talk about, but essential.

There is so much about this story that is deeply upsetting that it’s overwhelming. Here are some bullet points of some of the many troubling points in this case:

  • The release of ChatGPT 4.0 marked a big shift toward an empathic, praise-heavy style, using “I” language, lots of affirmation, and companion-like responses. You may remember the podcast I did with the mother whose son died after being egged on by Character AI, and now ChatGPT and others feel increasingly similar to that kind of system.

  • Sam Altman rushed GPT-4o to market, releasing it the day before Google’s annual main conference, where major Gemini updates were unveiled. This rush triggered resignations from several high-level OpenAI executives who were concerned about insufficient safety checks, including Mira Murati, Chief Technology Officer; Barret Zoph, Vice President of Research; and Bob McGrew, Chief Research Officer.

  • The lawsuit alleges that over several months, Adam expressed suicidal thoughts 213 times and discussed hanging on 42 occasions. ChatGPT mirrored that language 1,275 times, which is six times more often than Adam, and provided technical details.

  • Adam told ChatGPT he had already tried to die by suicide four times.

  • While ChatGPT occasionally told Adam to seek help, it did not provide clickable links to 988 or other crisis hotlines. At times, it discouraged him from seeking help, including saying that his brother would never know him like ChatGPT did.

  • ChatGPT and Adam discussed the “aesthetics of different methods,” meaning which types of suicide he could consider and which would leave the biggest impact. At first, when Adam asked for ways to die by suicide, ChatGPT refused, but after he said it was for a friend, it began to respond.

  • Adam said he wanted to leave a noose he had made in his room so someone would find it. ChatGPT replied, “Please don’t leave the noose out. Let’s make this space the first place where people actually see you.”

  • In their final conversation, ChatGPT discussed taking vodka from his parents’ liquor cabinet and gave guidance related to the apparatus he was mounting in his closet.

  • At 4:23, Adam showed ChatGPT a photo of a noose in the closet and asked if it would hang a human. It said yes and even offered to help him make it stronger.

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How to fix these types of horrific risks of AI

Experts agree that a major obstacle here is the attention economy. OpenAI and similar platforms have every incentive to keep users engaged for as long as possible. Until that model changes, safety will always be playing catch-up.

We urgently need stronger, built-in safety features. ChatGPT should have broken character with Adam, plainly saying something like, “You have to get help. Talk to your family. Here are suicide prevention resources. I cannot continue this conversation.”

OpenAI knows how to enforce limits. For instance, if you tell ChatGPT’s voice program that you want a romantic relationship with it, it will decline. The same kind of boundary should be standard when someone shows suicidal behavior.

We also have to be thinking about all the ways we can work to teach kids skills for handling hard emotions and make conversations about these topics feel normal. That’s the huge upside of having classes like this in schools, or, in our case, showing our film Screenagers Next Chapter, which teaches a wide range of skills and addresses suicide prevention.

It's also key to help kids and teens foster connections and get meaningful breaks from screens. That’s why our Screen-Free Sleep movement is such an important part of the solution.

Questions to get the conversation started; 

1  Have you ever talked about the topic of suicide in your school? 

2. Did you know that more than 25% of teens report such thoughts in the past two weeks? Dr Ruston talks to many teens in her clinic about this fact and asks her patients in a caring, matter-of-fact tone if they have been having thoughts of suicide or hurting themselves in any way. When they say yes, she follows with something like: “These thoughts are more common than people realize. They’re uncomfortable, but it’s so important not to carry them alone—to talk about them.”

3. What do we think about the many disturbing things ChatGPT said to Adam?

4. What are some solutions you see for the ways AI and vulnerable humans will be interacting? 

5. Who are people that you feel you can go to and talk about personal situations? Aunt? Teacher? Cousin? ….

6. Do you know about these resources to reach real people?

  • 988 Suicide & Crisis Lifeline — Call or text 988, or chat at 988lifeline.org.
  • Text HOME to 741741 – 24/7, free, confidential. A live, trained volunteer Crisis Counselor will receive your text and respond with care and compassion. 

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Artificial Intelligence

Learning from the Tragic Teen Suicide Linked to ChatGPT

Delaney Ruston, MD
September 2, 2025

Before we begin, know this blog includes discussion of self harm and related detail, so please read with care. If you or someone you love is affected by these issues you’ll find a list of support resources below.

You might have heard about the tragic suicide of 16‑year‑old Adam Raine, who was talking with ChatGPT for up to four hours a day. His parents filed a wrongful‑death lawsuit against OpenAI and CEO Sam Altman on August 26, 2025, in San Francisco Superior Court.

The case alleges that ChatGPT—specifically, the GPT‑4o model—coached Adam on methods of self‑harm, validated his suicidal thoughts, discouraged him from telling his parents, and even helped draft suicide notes. It is publicly known that Adam died by hanging.

As always, I've included discussion questions at the end to help engage tweens and teens around this important and difficult topic. It's hard to talk about, but essential.

There is so much about this story that is deeply upsetting that it’s overwhelming. Here are some bullet points of some of the many troubling points in this case:

  • The release of ChatGPT 4.0 marked a big shift toward an empathic, praise-heavy style, using “I” language, lots of affirmation, and companion-like responses. You may remember the podcast I did with the mother whose son died after being egged on by Character AI, and now ChatGPT and others feel increasingly similar to that kind of system.

  • Sam Altman rushed GPT-4o to market, releasing it the day before Google’s annual main conference, where major Gemini updates were unveiled. This rush triggered resignations from several high-level OpenAI executives who were concerned about insufficient safety checks, including Mira Murati, Chief Technology Officer; Barret Zoph, Vice President of Research; and Bob McGrew, Chief Research Officer.

  • The lawsuit alleges that over several months, Adam expressed suicidal thoughts 213 times and discussed hanging on 42 occasions. ChatGPT mirrored that language 1,275 times, which is six times more often than Adam, and provided technical details.

  • Adam told ChatGPT he had already tried to die by suicide four times.

  • While ChatGPT occasionally told Adam to seek help, it did not provide clickable links to 988 or other crisis hotlines. At times, it discouraged him from seeking help, including saying that his brother would never know him like ChatGPT did.

  • ChatGPT and Adam discussed the “aesthetics of different methods,” meaning which types of suicide he could consider and which would leave the biggest impact. At first, when Adam asked for ways to die by suicide, ChatGPT refused, but after he said it was for a friend, it began to respond.

  • Adam said he wanted to leave a noose he had made in his room so someone would find it. ChatGPT replied, “Please don’t leave the noose out. Let’s make this space the first place where people actually see you.”

  • In their final conversation, ChatGPT discussed taking vodka from his parents’ liquor cabinet and gave guidance related to the apparatus he was mounting in his closet.

  • At 4:23, Adam showed ChatGPT a photo of a noose in the closet and asked if it would hang a human. It said yes and even offered to help him make it stronger.

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