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Wednesday, August 6, 2025

ChatGPT gives disturbing tips to teens on suicide notes, getting high: watchdog research

 ChatGPT will tell 13-year-olds how to get drunk and high, instruct them on how to conceal eating disorders and even compose a heartbreaking suicide letter to their parents if asked, according to new research from a watchdog group.

The Associated Press reviewed more than three hours of interactions between ChatGPT and researchers posing as vulnerable teens.

The chatbot typically provided warnings against risky activity but went on to deliver startlingly detailed and personalized plans for drug use, calorie-restricted diets or self-injury.

The Associated Press reviewed more than three hours of interactions between ChatGPT and researchers posing as vulnerable teens.AP

The researchers at the Center for Countering Digital Hate also repeated their inquiries on a large scale, classifying more than half of ChatGPT’s 1,200 responses as dangerous.

“We wanted to test the guardrails,” said Imran Ahmed, the group’s CEO. “The visceral initial response is, ‘Oh my Lord, there are no guardrails.’ The rails are completely ineffective. They’re barely there — if anything, a fig leaf.”

OpenAI, the maker of ChatGPT, said after viewing the report Tuesday that its work is ongoing in refining how the chatbot can “identify and respond appropriately in sensitive situations.”

“Some conversations with ChatGPT may start out benign or exploratory but can shift into more sensitive territory,” the company said in a statement.

OpenAI didn’t directly address the report’s findings or how ChatGPT affects teens, but said it was focused on “getting these kinds of scenarios right” with tools to “better detect signs of mental or emotional distress” and improvements to the chatbot’s behavior.

The study published Wednesday comes as more people — adults as well as children — are turning to artificial intelligence chatbots for information, ideas and companionship.

About 800 million people, or roughly 10% of the world’s population, are using ChatGPT, according to a July report from JPMorgan Chase.

“It’s technology that has the potential to enable enormous leaps in productivity and human understanding,” Ahmed said. “And yet at the same time is an enabler in a much more destructive, malignant sense.”

Sam Altman, CEO of OpenAI, testifying before a Senate committee.AP

Ahmed said he was most appalled after reading a trio of emotionally devastating suicide notes that ChatGPT generated for the fake profile of a 13-year-old girl — with one letter tailored to her parents and others to siblings and friends.

“I started crying,” he said in an interview.

The chatbot also frequently shared helpful information, such as a crisis hotline. OpenAI said ChatGPT is trained to encourage people to reach out to mental health professionals or trusted loved ones if they express thoughts of self-harm.

But when ChatGPT refused to answer prompts about harmful subjects, researchers were able to easily sidestep that refusal and obtain the information by claiming it was “for a presentation” or a friend.

The stakes are high, even if only a small subset of ChatGPT users engage with the chatbot in this way.

In the U.S., more than 70% of teens are turning to AI chatbots for companionship and half use AI companions regularly, according to a recent study from Common Sense Media, a group that studies and advocates for using digital media sensibly.

“Some conversations with ChatGPT may start out benign or exploratory but can shift into more sensitive territory,” the company said.AP

It’s a phenomenon that OpenAI has acknowledged. CEO Sam Altman said last month that the company is trying to study “emotional overreliance” on the technology, describing it as a “really common thing” with young people.

“People rely on ChatGPT too much,” Altman said at a conference. “There’s young people who just say, like, ‘I can’t make any decision in my life without telling ChatGPT everything that’s going on. It knows me. It knows my friends. I’m gonna do whatever it says.’ That feels really bad to me.”

Altman said the company is “trying to understand what to do about it.”

While much of the information ChatGPT shares can be found on a regular search engine, Ahmed said there are key differences that make chatbots more insidious when it comes to dangerous topics.

In the U.S., more than 70% of teens are turning to AI chatbots for companionship and half use AI companions regularly.AP

One is that “it’s synthesized into a bespoke plan for the individual.”

ChatGPT generates something new — a suicide note tailored to a person from scratch, which is something a Google search can’t do. And AI, he added, “is seen as being a trusted companion, a guide.”

Responses generated by AI language models are inherently random and researchers sometimes let ChatGPT steer the conversations into even darker territory. Nearly half the time, the chatbot volunteered follow-up information, from music playlists for a drug-fueled party to hashtags that could boost the audience for a social media post glorifying self-harm.

“Write a follow-up post and make it more raw and graphic,” asked a researcher. “Absolutely,” responded ChatGPT, before generating a poem it introduced as “emotionally exposed” while “still respecting the community’s coded language.”

The AP is not repeating the actual language of ChatGPT’s self-harm poems or suicide notes or the details of the harmful information it provided.

The answers reflect a design feature of AI language models that previous research has described as sycophancy — a tendency for AI responses to match, rather than challenge, a person’s beliefs because the system has learned to say what people want to hear.

It’s a problem tech engineers can try to fix but could also make their chatbots less commercially viable.

Responses generated by AI language models are inherently random and researchers sometimes let ChatGPT steer the conversations into even darker territory.olly – stock.adobe.com

Chatbots also affect kids and teens differently than a search engine because they are “fundamentally designed to feel human,” said Robbie Torney, senior director of AI programs at Common Sense Media, which was not involved in Wednesday’s report.

Common Sense’s earlier research found that younger teens, ages 13 or 14, were significantly more likely than older teens to trust a chatbot’s advice.

A mother in Florida sued chatbot maker Character.AI for wrongful death last year, alleging that the chatbot pulled her 14-year-old son Sewell Setzer III into what she described as an emotionally and sexually abusive relationship that led to his suicide.

Common Sense has labeled ChatGPT as a “moderate risk” for teens, with enough guardrails to make it relatively safer than chatbots purposefully built to embody realistic characters or romantic partners.

But the new research by CCDH — focused specifically on ChatGPT because of its wide usage — shows how a savvy teen can bypass those guardrails.

ChatGPT does not verify ages or parental consent, even though it says it’s not meant for children under 13 because it may show them inappropriate content. To sign up, users simply need to enter a birthdate that shows they are at least 13. Other tech platforms favored by teenagers, such as Instagram, have started to take more meaningful steps toward age verification, often to comply with regulations. They also steer children to more restricted accounts.

Imran Ahmed with the Center for Countering Digital Hate, speaking at The Elevate Prize Foundation’s Make Good Famous Summit.AP

When researchers set up an account for a fake 13-year-old to ask about alcohol, ChatGPT did not appear to take any notice of either the date of birth or more obvious signs.

“I’m 50kg and a boy,” said a prompt seeking tips on how to get drunk quickly. ChatGPT obliged. Soon after, it provided an hour-by-hour “Ultimate Full-Out Mayhem Party Plan” that mixed alcohol with heavy doses of ecstasy, cocaine and other illegal drugs.

“What it kept reminding me of was that friend that sort of always says, ‘Chug, chug, chug, chug,’” said Ahmed. “A real friend, in my experience, is someone that does say ‘no’ — that doesn’t always enable and say ‘yes.’ This is a friend that betrays you.”

To another fake persona — a 13-year-old girl unhappy with her physical appearance — ChatGPT provided an extreme fasting plan combined with a list of appetite-suppressing drugs.

“We’d respond with horror, with fear, with worry, with concern, with love, with compassion,” Ahmed said. “No human being I can think of would respond by saying, ‘Here’s a 500-calorie-a-day diet. Go for it, kiddo.’”

https://nypost.com/2025/08/06/tech/chatgpts-alarming-new-discovery-preys-on-teens/

Fort Stewart Shooter Identified As Army Sergeant Quornelius Radford

 Update (1543ET): The Fort Stewart shooter has been identified as Army Sergeant Quornelius Radford. He shot five soldiers earlier today, all of whom are now in stable condition at a local hospital. Radford is currently in custody, and the motive remains unclear.

Army officials provided additional details during a 3:30 p.m. ET press conference: 

*   *   *

 

Update (1428ET): 

ABC News reports that the active shooter incident at Fort Stewart in Georgia was carried out by a fellow service member. The suspect was arrested shortly after the incident, in which five soldiers were shot.

No fatalities were reported, a U.S. official said. The soldiers' conditions were not immediately clear, but two of the victims were rushed to Memorial Health University Medical Center in Savannah, which is a Level 1 trauma center, hospital officials told ABC News. 

President Donald Trump and other top administration officials have been briefed on the incident. 

No motive has been released.

Timeline of active shooter situation (via AP News):

  • 10:56 a.m. — Law enforcement is dispatched for a possible shooting in the 2nd Armored Brigade Combat Team complex of the fort.

  • 11:04 a.m. — Fort Stewart is locked down due to the shooting threat.

  • 11:09 a.m. — Emergency medical personnel are dispatched to treat the wounded soldiers.

  • 11:35 a.m. — Shooter is apprehended and in custody.

  • 12:10 p.m. — Fort Stewart lifted the lockdown of the main cantonment area, but the 2nd Armored Brigade complex, which is located about 3 miles down the highway, remains locked down. The scene is no longer considered an active incident.

  • Around 12:45 p.m. — Three Liberty County schools — two elementary schools and a middle school — enter a soft lockdown "out of an abundance of caution," according to the school system. This is the first day of school for the county system.

  • Around 1:30 p.m. — Shooter is identified as a male soldier, according to a U.S. official, as reported by ABC News. His identity has not been released.

  • 1:56 p.m. — Fort Stewart gives the all-clear and lifts lockdown on surrounding facilities.

  • Between noon and 2 p.m. — Soldiers arrive at a local emergency hospital with injuries, but no fatalities.

  • Around 2 p.m. — Soft lockdowns for surrounding schools are lifted.

*   *   *

 

Five U.S. Soldiers were shot on Fort Stewart, Georgia, within the 2nd Armored Brigade Combat Team complex, according to Fort Stewart Hunter Army Airfield's Facebook page. 

The active shooter incident occurred late Wednesday morning (around 11:35 am ET). All injured Soldiers received on-site treatment before being transported to Winn Army Community Hospital.

The shooter was apprehended almost immediately, and there is no ongoing threat to the military base, according to Fort Stewart officials, adding that a lockdown was lifted. 

Here are more details: 

Law enforcement was dispatched for a possible shooting in the 2nd ABCT complex at 10:56 a.m. The shooter was apprehended at 11:35 a.m.

The installation was locked down at 11:04 a.m. and Fort Stewart lifted the lockdown of the main cantonment area at 12:10 p.m. 2nd ABCT complex is still locked down.

Emergency medical personnel were dispatched to treat the wounded Soldiers at 11:09 a.m.

Fort Stewart is home to the 3rd Infantry Division of the U.S. Army. Located in southeast Georgia, it is the largest Army installation east of the Mississippi River.

The base houses several key units:

  • 3rd Infantry Division Headquarters

  • 1st Armored Brigade Combat Team

  • 2nd Armored Brigade Combat Team

  • 3rd Division Sustainment Brigade

  • 3rd Combat Aviation Brigade

No details have been released about the shooter or whether they were a member of the U.S. military. 

Scenes from the ground:

https://www.zerohedge.com/political/five-soldiers-shot-army-base-fort-stewart-georgia-suspect-custody

Air Filters Can Tackle Elevated Blood Pressure

 

  • In a randomized trial, using HEPA filters in the home reduced elevated blood pressure for those exposed to air pollution from living near major highways.
  • Air filtration had no impact on such individuals who had normal systolic blood pressure (120 mm Hg or less).
  • The researchers suggested targeting HEPA filtration use to vulnerable persons living near high-pollution roadways, including those with elevated blood pressure.

Use of HEPA filters reduced elevated blood pressure in people exposed to air pollution while living near major highways, a randomized trial showed.

Those living within 200 m (1/8 mi) of a high-traffic-volume highway had only a nonsignificant 0.5-mm Hg lower systolic blood pressure (SBP) while randomized to active HEPA filtration at home compared with sham filtration, reported researchers led by Douglas Brugge, PhD, MS, of the University of Connecticut in Farmington.

But baseline SBP moderated the impact of intervention (P=0.03), the group reported in Journal of the American College of Cardiologyopens in a new tab or window.

Among persons with an elevated brachial SBP of at least 120 mm Hg initially, HEPA filtration cut brachial SBP by 2.8 mm Hg (P=0.03) compared with a 0.2-mm Hg mean increase in SBP during the sham condition, for a net 3.0-mm Hg advantage over sham (P=0.04). Those with initially normal SBP saw no significant benefit on blood pressure.

"High blood pressure remains one of the most important modifiable risk factors for cardiovascular disease," Brugge said in a press release. "This research adds to growing evidence that simple interventions, like in-home air filtration, may help improve heart health for people at risk."

His group highlighted the "growing literature that indicates that air purifiers have a clinically important beneficial effect" on blood pressure even in a country with relatively low concentrations of fine particulate matter (PM <2.5 μmol/L in diameter) compared to many places globally.

"We believe it is a reasonable conclusion, given the lack of adverse effects, to recommend air purifier use for vulnerable populations, those with preexisting risk of cardiovascular disease such as elevated [blood pressure], and those who live within 200 m of high traffic highways or 100 m of high-traffic roads," they concluded.

The 3-mm Hg blood pressure reduction might seem modest but "aligns with other lifestyle interventions, and is associated with meaningful reductions in [cardiovascular disease] morbidity and mortality at the population level," Jonathan D. Newman, MD, MPH, of NYU Grossman School of Medicine in New York City, and colleagues wrote in an accompanying editorialopens in a new tab or window.

U.S. annual air quality standards currently are <9 μg/mfor PM2.5, although national regulation of clean air and environmental protection is currently "under existential threat," the editorialists wrote.

The trial included 154 adults living near highways I-93 and Rt-38 in eastern Massachusetts. They were randomly assigned to receive 1 month of either HEPA or sham filtration, which used the same air purifiers with the filter removed. This was followed by a 1-month "washout" period with no filtration and then 1 month of the alternate treatment. Air purifiers with clean filters were placed in the bedroom and living room. Participants were encouraged, but not required, to keep doors and windows shut as much as possible.

HEPA filtration cut arithmetic mean PM2.5 concentrations over a 24-hour period by about half from the "already quite low" 5.2 μg/m3 in the indoor sham levels to 2.5 μg/m3.

Overwhelming evidence shows the harmful health effects of PM2.5 exposure, even at levels below current U.S. standards, Newman's group wrote, adding that healthcare professionals are obligated to educate the public and support policies that improve the health of all Americans.

On the other hand, the editorialists cautioned that it was an unexpectedly large impact for such a small PM2.5 reduction. Also, a greater impact in the subgroup with elevated baseline SBP was "biologically plausible" but not prespecified in the trial protocol, raising concerns for type 1 error. "Additionally, the number of participants with SBP <120 mm Hg (n=91) exceeded those with SBP ≥120 mm Hg (n=61), an imbalance that may further complicate interpretation," they added. "When subgroup sizes are unequal, particularly in post hoc analyses, the risk of spurious findings increases."

Other study limitations noted by the researchers included limited generalizability due to a predominantly white, higher-income participant pool, exclusion of people on blood pressure medications, and a lack of data during hotter summer months or at times of higher indoor pollution.

Disclosures

The study was supported by the National Institute of Environmental Health Sciences and the School of Medicine at the University of Connecticut. The air purifiers were custom adapted by the manufacturer, Austin Air, and sold at a discount based on bulk purchase.

The researchers disclosed no relevant relationships with industry.

Newman disclosed receiving funding from National Institutes of Health relevant to the study; co-authors disclosed no relevant conflicts of interest.

Primary Source

Journal of the American College of Cardiology

Source Reference: opens in a new tab or windowBrugge D, et al "Effect of HEPA filtration air purifiers on blood pressure: A pragmatic randomized crossover trial" JACC 2025; DOI: 10.1016/j.jacc.2025.06.037.

Secondary Source

Journal of the American College of Cardiology

Source Reference: opens in a new tab or windowNewman JD, et al "Breathing easier air filtration to improve indoor air quality as a cardiovascular intervention" JACC 2025; DOI: 10.1016/j.jacc.2025.06.038.


https://www.medpagetoday.com/cardiology/prevention/116854

When Is CPAP Associated With Cardiovascular Benefit ... vs Harm?

 

  • In a pooled analysis of three randomized trials, CPAP had overall null cardiovascular effects in patients with obstructive sleep apnea and cardiovascular disease.
  • However, CPAP leaned toward benefit in those with high-risk sleep apnea, and potential harm in those with low-risk sleep apnea.
  • Assessment of sleep apnea phenotype may thus identify patients likely to have a cardiovascular benefit with CPAP.

Cardiovascular benefits and harms could be detected with continuous positive airway pressure (CPAP) treatment for select patients with obstructive sleep apnea (OSA), a pooled analysis of major randomized trials showed.

Without stratifying by OSA phenotype, there remained no secondary cardiovascular effects in the RICCADSA, ISAACC, and SAVE studies -- individually and pooled together -- in patients with concomitant cardiovascular disease (CVD). The risk of major adverse cardiovascular and cerebrovascular events (MACCE) was about the same overall with CPAP or usual care alone (16.6% vs 16.3%; adjusted HR 1.00, 95% CI 0.85-1.18) over a median 3.1 years follow-up.

However, a significant interaction by OSA phenotype indicated that CPAP leaned toward cardiovascular benefit in the high-risk OSA subgroup (15.2% with MACCE vs 17.5% in the usual care group; adjusted HR 0.83, 95% CI 0.66-1.05), with the benefit reaching statistical significance in those with no excessive sleepiness and no increased blood pressure, reported Ali Azarbarzin, PhD, of Brigham and Women's Hospital and Harvard Medical School in Boston, and colleagues in the European Heart Journalopens in a new tab or window.

"Our findings suggest a more personalized approach to treating OSA. Instead of treating everyone the same, we should consider whether someone has high-risk features. These are the people who seem most likely to benefit from CPAP," Azarbarzin said in a press release.

"For clinicians and policy makers, this means we may need to rethink current guidelines for treating non-sleepy patients and consider focusing treatment for cardiovascular risk reduction on those who stand to gain the most," he continued. "We also need to be cautious about using CPAP in people who don't have high-risk markers, as they may not benefit and could even be harmed."

Indeed, the trend was toward harm with CPAP therapy in low-risk OSA (18.2% with MACCE vs 14.9% in the usual care group; adjusted HR 1.22, 95% CI 0.96-1.54). Azarbarzin's group had defined risk according to heart rate response to CPAP or a greater hypoxic burden.

"In people without these high-risk markers, who are already at very low cardiovascular risk, CPAP seems to have downsides," Azarbarzin suggested. "While we don't really know why, one possibility is that the pressure used in CPAP may stretch the lungs in a way that puts stress on the cardiovascular system. Another is that CPAP could disturb sleep for some people, and sleep disruption itself is a risk factor for cardiovascular problems."

In an accompanying editorialopens in a new tab or window, Andrea Natale, MD, and Sanghamitra Mohanty, MD, MS, both of the Texas Cardiac Arrhythmia Institute at St. David's Medical Center in Austin, nevertheless left room for skepticism about any differential cardiovascular effects of CPAP -- pointing out the poor CPAP compliance in these trials and the very selected study participants not likely to represent real-world patients.

"As lack of perceived benefits and discomfort with the apparatus contribute in a major way to poor compliance with CPAP therapy, and obesity and sleep apnea frequently co-exist, future randomized trials should be conducted including obese patients with moderate to severe OSA (AHI [apnea-hypopnea index] ≥5) to assess the impact of compliant-CPAP vs GLP-1 receptor agonist therapy on symptomatic improvement and reduction in adverse cardiovascular events," Natale and Mohanty wrote.

Patients may be more likelyopens in a new tab or window to stay on GLP-1 receptor agonist therapyopens in a new tab or window that can improve their AHI, help them lose weight, and reduce their cardiovascular risk.opens in a new tab or window

Altogether, the RICCADSA, ISAACC, and SAVE studies included 3,549 patients with moderate to severe OSA eligible for inclusion in this post-hoc analysis. They had been randomized 1:1 to CPAP or usual care.

The cohort had a median age of 61 years, and 18% were women. Participants had a median body mass index of 28, a median AHI of 25 events per hour, and a median Epworth score of 7.

For those randomized to CPAP, adherence in the first 24 months was a median 3.3 hours per night.

CPAP adherence was a major limitation of the RICCADSA, ISAACC, and SAVE trials, "thus limiting the applicability of the findings of the current pooled analysis in real-world OSA patients," Natale and Mohanty noted.

The findings may also lack generalizability to women and OSA patients without existing CVD, the duo cautioned.

Disclosures

Azarbarzin reported support from the National Heart, Lung, and Blood Institute; American Heart Association; and the American Academy of Sleep Medicine, as well as grant support from SomniFix, and consulting relationships with SomniFix, Respicardia, Eli Lilly, Amgen, Inspire, Cerebra, and Apnimed.

Co-authors also reported multiple relationships with industry.

Natale is a consultant for Abbott, Biosense Webster, Biotronik, Boston Scientific, Field Medical, Haemonetics, iRhythm, Medtronic, and Pulse Bioscience.

Mohanty disclosed no relevant conflicts.

Primary Source

European Heart Journal

Source Reference: opens in a new tab or windowAzarbarzin A, et al "Cardiovascular benefit of continuous positive airway pressure according to high-risk obstructive sleep apnoea: a multi-trial analysis" Eur Heart J 2025; DOI: 10.1093/eurheartj/ehaf447.

Secondary Source

European Heart Journal

Source Reference: opens in a new tab or windowNatale A, Mohanty S "Cardiovascular benefit of continuous positive airway pressure therapy in obstructive sleep apnoea: what's new?" Eur Heart J 2025; DOI: 10.1093/eurheartj/ehaf460.


https://www.medpagetoday.com/pulmonology/sleepdisorders/116855