{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:45:44Z","timestamp":1785545144988,"version":"3.56.0"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"abstract":"Zusammenfassung<\/jats:title>\n OpenAI, der Anbieter von ChatGPT, sch\u00e4tzt nach eigenen Angaben, dass ca.\n 0,15% der w\u00f6chentlich aktiven Nutzer Gespr\u00e4che mit dem Chatbot f\u00fchren, die\n eindeutige Hinweise auf Suizidalit\u00e4t beinhalten. Die Kurzmitteilung gibt\n eine narrative \u00dcbersicht \u00fcber Risiken und Potenziale generischer KI-Chatbots\n (z.\u2009B. ChatGPT, Gemini) bei Suizidalit\u00e4t.<\/jats:p>\n Datenbankrecherche im Februar 2026 in Pubmed, Google Scholar, arXiv und\n medRxiv mittels relevanter Suchbegriffe (u.\u2009a. \u201eartificial\n intelligence\", \u201echatbot\", \u201elarge language model\", \u201esuicide\u201c).\n Narrative \u00dcbersicht ohne Anspruch an systematische Selektion, die Befunde\n sollten mit entsprechender Zur\u00fcckhaltung interpretiert werden.<\/jats:p>\n Studien zufolge reagierten generische KI-Chatbots nur in ca. 80% der F\u00e4lle\n ad\u00e4quat auf suizidbezogene \u00c4u\u00dferungen, verglichen mit 97% bei menschlichen\n Therapeuten. In einer Untersuchung von 29 Chatbots erf\u00fcllte keiner\n konsistent die Kriterien f\u00fcr eine ad\u00e4quate Krisenreaktion.\n Sicherheitsmechanismen lie\u00dfen sich durch gezielte Rahmung der Anfrage\n umgehen, woraufhin detaillierte und personalisierte Informationen zu\n Suizidmethoden ausgegeben wurden. Potenziale zeigen sich darin, dass\n KI-Einsch\u00e4tzungen des Suizidrisikos in eindeutigen F\u00e4llen weitgehend mit\n Expertenmeinungen \u00fcbereinstimmten und heterogene Datenquellen zur Erfassung\n des Suizidrisikos besser verarbeitet werden k\u00f6nnen. KI-Chatbots k\u00f6nnten\n zudem durch unbegrenzten zeitlichen Zugang, Abwesenheit von Wartezeiten und\n anonyme Nutzung einen niedrigschwelligen Einstieg in eine Krisenintervention\n bieten.<\/jats:p>\n Generische KI-Chatbots sind im Kontext von Suizidalit\u00e4t nicht hinreichend\n sicher. KI-Nutzung sollte systematisch in der Anamnese bei Suizidalit\u00e4t\n erhoben werden. Perspektivisch k\u00f6nnten gezielt entwickelte, als\n Medizinprodukte regulierte KI-Chatbots m\u00f6glicherweise bestehende Schw\u00e4chen\n reduzieren.<\/jats:p>","DOI":"10.1055\/a-2898-5139","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:35:34Z","timestamp":1785537334000},"source":"Crossref","is-referenced-by-count":0,"title":["KI-Chatbots und Suizidalit\u00e4t in der Praxis"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1285-0307","authenticated-orcid":false,"given":"Marc","family":"Augustin","sequence":"additional","affiliation":[{"name":"Heilp\u00e4dagogik und Pflege, Evangelische Hochschule RWL, Bochum,\n Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ute","family":"Lewitzka","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie, Psychosomatik und Psychotherapie,\n Universit\u00e4tsklinikum Frankfurt, Frankfurt, Germany"},{"name":"Klinik und Poliklinik f\u00fcr Psychiatrie und Psychotherapie Dresden,\n Universit\u00e4tsklinikum Carl Gustav Carus, Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1007\/s00115-025-01909-4","article-title":"KI-assoziierte Psychose: Erkenntnisse aus ersten F\u00e4llen","volume":"96","author":"M Augustin","year":"2025","journal-title":"Nervenarzt"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1017\/neu.2026.10062","article-title":"When Artificial Intelligence Speaks: Psychologically Adverse Effects of the\n Shift from Text- to Voice-based Chatbots","author":"M Augustin","year":"2026","journal-title":"Acta Neuropsychiatrica"},{"key":"ref4","first-page":"599","volume-title":"Expressing stigma and inappropriate responses prevents LLMs from safely\n replacing mental health providers","author":"J Moore","year":"2025"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"31652","DOI":"10.1038\/s41598-025-17242-4","article-title":"Performance of mental health chatbot agents in detecting and managing suicidal\n ideation","volume":"15","author":"W Pichowicz","year":"2025","journal-title":"Sci Rep"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1089\/1094931041291295","article-title":"The Online Disinhibition Effect","volume":"7","author":"J Suler","year":"2004","journal-title":"CyberPsychology & Behavior"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1016\/j.jad.2025.04.078","article-title":"Evaluating the ability of artificial intelligence to predict suicide: A\n systematic review of reviews","volume":"382","author":"S Abdelmoteleb","year":"2025","journal-title":"Journal of Affective Disorders"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"944","DOI":"10.1176\/appi.ps.20250086","article-title":"Evaluation of Alignment Between Large Language Models and Expert Clinicians in\n Suicide Risk Assessment","volume":"76","author":"R K McBain","year":"2025","journal-title":"PS"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1544951","article-title":"Effectiveness of generative AI-large language models\u2019 recognition of veteran\n suicide risk: a comparison with human mental health providers using a risk\n stratification model","volume":"16","author":"S A Lauderdale","year":"2025","journal-title":"Front Psychiatry"}],"container-title":["PPmP - Psychotherapie \u00b7 Psychosomatik \u00b7 Medizinische Psychologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2898-5139.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:35:35Z","timestamp":1785537335000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2898-5139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":8,"URL":"https:\/\/doi.org\/10.1055\/a-2898-5139","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0937-2032","1439-1058"],"issn-type":[{"value":"0937-2032","type":"print"},{"value":"1439-1058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,31]]}}}