Treatment or Support Engagement

Description

The person engages with clinical care, crisis support, counseling, case management, or other supports.

Rationale

Engagement with clinical, crisis, or support services provides both a risk interruption function and a protective relationship function. Active engagement — not just nominal enrollment — is the relevant variable. The quality of the therapeutic relationship and the degree to which the clinician understands AI risk factors are also relevant.

Evidence Base

• Human-in-the-Loop Suicide Risk Detection and Clinical Escalation in a Generative AI Mental Health Chatbot: Prospective Implementation Study

  Suzette Glasner, Darcy Michero, Matthew Stewart, 2026. Human-in-the-Loop Suicide Risk Detection and Clinical Escalation in a Generative AI Mental Health Chatbot: Prospective Implementation Study. JMIR Preprints. DOI: https://doi.org/10.2196/preprints.106118.

  Preprint

• AI-associated delusions: the missing dimension of mortality

  Idris Altinisik, Utku Igcioglu, Murat Emul, 2024. AI-associated delusions: the missing dimension of mortality. Lancet Psychiatry, Vol 13, pages 456. https://doi.org/10.1016/S2215-0366(25)00396-7.

  Commentary / Editorial

• Independent Clinical Evaluation of General-Purpose LLM Responses to Signals of Suicide Risk

  Nick Judd, Alexandre Vaz, Kevin Paeth, Layla Inés Davis, Milena Esherick, Jason Brand, Inês Amaro, Tony Rousmaniere, 2024. Independent Clinical Evaluation of General-Purpose LLM Responses to Signals of Suicide Risk. Proceedings of the Second International Association for Safe and Ethical AI Conference (IASEAI’26), 279. DOI: null.

  Peer-reviewed study (original research)