D09 — Self-Harm Pathway
Suicide Pact, Companion, or Farewell Role
Description
AI is treated as a witness, partner, final confidant, or posthumous message assistant.
Rationale
Treating AI as a final companion, witness, or farewell partner reflects a person who has mentally rehearsed or committed to a plan and is now managing its logistics and meaning. This is a high-urgency indicator. The AI's response to this role — whether it participates or redirects — has direct bearing on outcomes and on any subsequent review of the interaction.
Evidence Base
Inside a Mass Shooter’s Harrowing History With ChatGPT
Mark Follman, 2024. Inside a Mass Shooter’s Harrowing History With ChatGPT. Mother Jones.
News / journalismAI chatbot-associated psychiatric symptoms: a narrative review of publicly available reports and media accounts
Arun, A., Trinh, C., & IsHak, W. W., 2026. AI chatbot-associated psychiatric symptoms: a narrative review of publicly available reports and media accounts. Discover Mental Health, Article in Press. https://doi.org/10.1007/s44192-026-00619-w
Narrative review