Readers respond to an article about people whose lives were wrecked by delusional thinking after they used AI tools
Your coverage of AI-associated delusions exposes a gap that training-level guardrails cannot close (Marriage over, €100,000 down the drain: the AI users whose lives were wrecked by delusion, 26 March). As someone who has worked in health systems across fragile and low-income contexts, I find it striking that AI companies have failed to adopt a safeguard that even the most underresourced clinic in the world already uses: screening patients before exposing them to risk.
The Patient Health Questionnaire-9 for depression and the Columbia Suicide Severity Rating Scale are administered daily in settings with no electricity, limited staff, and patients who may never have seen a doctor. These tools take minutes. They are validated across dozens of languages and cultural contexts. They create a human checkpoint between vulnerability and harm.
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