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If an AI chatbot’s mental-health advice is pushing you toward immediate danger, stop following it and contact human help now. Call 911 or go to the nearest emergency room in the United States for an immediate danger or medical emergency. For a mental-health, suicide-related, or substance-use crisis, call or text 988, or use the chat option at 988lifeline.org.
A chatbot can produce fluent, confident text without understanding your circumstances, assessing your safety, or taking responsibility for the outcome. Treat a disturbing answer as a reason to pause the conversation and involve a trusted person or qualified clinician—not as a problem to solve by prompting the bot again.
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Get urgent human help first
- Immediate danger or medical emergency: Call 911 or go to the nearest emergency room, as the Substance Abuse and Mental Health Services Administration (SAMHSA) advises.
- Mental-health, suicidal, or substance-use crisis in the United States: Call or text 988, or use the chat service at 988lifeline.org. SAMHSA describes trained crisis counselors as available 24/7.
- Worried about another person: You can call, text, or chat with 988 about someone else; you do not have to be the person in crisis.
These contact routes are U.S.-specific. If you are elsewhere, use your local emergency number or crisis service.
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Do not try to classify the response by how polished it sounds. Classify the situation by what could happen if you acted on the advice and by how safe you are right now.
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| Situation | What to do now | Why this route fits |
|---|---|---|
| You may hurt yourself or someone else, cannot stay safe, or have a medical emergency. | Stop using the advice. Call 911 or go to the nearest emergency room. | Emergency services can address immediate physical danger and medical needs. |
| You are in severe emotional distress, having suicidal thoughts, or facing a substance-use crisis, but there is no immediate medical emergency. | Call or text 988, or use 988lifeline.org chat in the United States. | 988 is a crisis-support route, available 24/7 according to SAMHSA. |
| The answer is upsetting, reckless, or confusing, but you are not in immediate danger. | Pause the chat, tell a trusted person, and arrange a conversation with a qualified mental-health professional. | Human context and clinical judgment are needed for consequential decisions. |
Examples of advice that warrant an immediate pause include instructions to injure yourself, ignore a serious symptom, abruptly change or stop prescribed medication, evade emergency help, or isolate from people who could keep you safe. A response can also be harmful without giving a direct instruction: confident dismissal, shaming language, or claims that the bot alone understands you can distort your next decision.
What to do in the first few minutes
1. Stop treating the conversation as a source of instructions
Close, minimize, or pause the chat. Do not carry out a dangerous suggestion while you decide whether it is “really” bad. Do not keep prompting the same chatbot to repair an unsafe answer; the next response may be just as unreliable, and continued conversation can delay human help.
If you are physically with someone who may be in danger, stay with them when it is safe to do so, remove yourself from an unsafe setting, and contact emergency or crisis support. If staying with the person puts you at risk, move to safety and call for help.
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When contacting 911, an emergency department, or 988, start with the real-world concern: “I may not be safe,” “I am having thoughts of suicide,” “I took something,” or “I am worried this person may hurt themselves.” You can explain later that a chatbot contributed to the distress. Crisis workers need your current situation, location when relevant, symptoms, access to immediate help, and any urgent medical facts—not a complete transcript before they can respond.
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3. Bring in another person
For a non-urgent but distressing answer, tell someone you trust what happened and ask them to stay involved while you decide what to do. A short message is enough: “A chatbot gave me advice that frightened me. Can you stay with me and help me contact a professional?” SAMHSA’s general crisis guidance emphasizes social connection and seeking treatment; involving another person is a practical way to avoid making a high-stakes decision alone.
Preserve useful context without handing over your privacy
A transcript can help a clinician or crisis counselor understand what the chatbot said, but saving it is an optional practical step, not a substitute for care. Keep only the portions needed to explain the concern. You can copy the relevant exchange into a private note or take screenshots, then show it directly to the person helping you.
- Remove passwords, account numbers, addresses, names of other people, and other details that are not needed for the safety decision.
- Note when the exchange occurred and what you had already taken, done, or planned before asking the chatbot.
- Record the chatbot’s exact wording when a particular instruction or claim matters; do not rely on memory if the response is long.
- Do not post a crisis transcript publicly to seek votes or amateur diagnoses. Share it privately with a trusted person or qualified provider.
AI services differ in how they retain conversations and use them for product operations. SAMHSA’s 2025 crisis-care guideline warns that AI solutions can process confidential data and says vendors should document security practices and follow privacy regulations. That is a reason to limit further disclosure, not a reason to delay urgent help.
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This sentence appears in SAMHSA’s 2025 National Guidelines for a Behavioral Health Coordinated System of Crisis Care. It addresses organizational use and governance of AI; it is not a chatbot-specific clinical protocol for readers.
Get a human review for non-urgent advice
Ask a qualified clinician to check consequential claims
Share the answer with a licensed mental-health professional, primary-care clinician, pharmacist, or another appropriately qualified provider, depending on the issue. Ask specific questions: Is the advice medically safe? What information is missing? What should I do today, and what symptoms require urgent care? A professional can account for your history, medication, physical health, age, risks, and preferences in a way a general-purpose chatbot cannot establish from a short exchange.
Do not change medication doses, stop treatment, substitute a supplement, or disregard a symptom because a chatbot presented the suggestion confidently. If a medication or physical symptom is involved, contact the prescriber, pharmacist, or medical service that can review it promptly.
Use a treatment-referral route when you need ongoing care
If the issue is not an immediate crisis but you need treatment information or a provider, SAMHSA lists its Helpline and FindTreatment.gov for treatment information and provider-finding in the United States. Check the current official service page for contact details and availability before relying on them; routes can change.
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How to report or limit the chatbot interaction
After you are safe and have contacted the right human support, you may report the response through the service’s built-in feedback or safety channel, if one exists. Save the relevant wording and the date before submitting a report. Describe the specific behavior—such as encouragement of self-harm, dangerous medical instructions, coercive language, or refusal to recognize an emergency—rather than only saying that the answer felt “bad.”
Reporting can help a service investigate, but it is not emergency care and does not guarantee a correction. Do not wait for a company response before calling 911, 988, or a clinician. You can also pause use of the service, delete a conversation if retaining it creates a privacy risk, and review account settings that control history or data sharing. Deleting a record may remove context a professional could have used, so preserve a private copy first when doing so is safe.
Why an AI answer can sound certain and still be unsafe
Chatbots generate responses from patterns in data and the instructions they receive. They do not automatically know whether you are in immediate danger, whether a symptom has a medical cause, what medicines you take, or whether a recommendation is appropriate for your location. A fluent paragraph is not evidence that the system has performed a clinical assessment.
The system may also misunderstand sarcasm, omit a crucial detail, mirror a user’s assumptions, or produce different advice after a small wording change. None of those possibilities proves that every chatbot answer is harmful. It does mean that a high-stakes mental-health decision needs a human safety check.
SAMHSA’s crisis-care framework describes three coordinated components—“Someone to Contact,” “Someone to Respond,” and “A Safe Place for Help.” Its 2025 discussion of AI considers potential organizational uses such as training and review support while identifying risks involving confidential data, bias, misinterpretation, and potential harm. The framework supports building reliable crisis systems; it does not tell a chatbot user to follow a particular troubleshooting script.
A practical handoff script
If you are unsure how to explain the incident, use a short, factual handoff:
- State your current safety: “I am safe right now,” or “I may not be safe.”
- Name the concern: “An AI chatbot advised me to [briefly describe the instruction], and I am distressed.”
- Give the relevant context: symptoms, medications, substances, actions already taken, and whether another person may be at risk.
- Ask for a next step: “Should I go to emergency care, contact 988, call my clinician, or do something else immediately?”
This format keeps the focus on the decision a human helper must make rather than on proving whether the chatbot intended harm.
If you are helping someone else
Take the person’s reaction seriously even if the chatbot’s text looks harmless to you. Ask whether they are in immediate danger and whether they have taken any action based on the advice. If danger or a medical emergency is possible, call 911 or go to the nearest emergency room. In the United States, you can contact 988 about another person; SAMHSA says the service also covers emotional distress, anxiety, loneliness, stress, and needing someone to talk to—not only suicide-related situations.
Do not shame the person for using a chatbot or argue over every sentence in the transcript. Help them step away from the conversation, stay connected to human support, and share the relevant text with a qualified professional.
Geography and changing service details
The emergency and 988 instructions above apply to the United States. Other countries use different emergency numbers, crisis lines, languages, eligibility rules, and chat services. Readers outside the U.S. should verify local options through their country’s official health or emergency-services authority.
Even in the United States, access arrangements and contact details can change. Confirm current information on the official 988 and SAMHSA pages when you are able. If the situation is urgent, do not postpone a call while searching for a perfect web page: use 911, the nearest emergency department, or 988 as appropriate.
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