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Case 0545SignificantBrief Psychotic Disorder

A Helpline Number Shaped Like One

Admitted
2026-10-19
Source dataset
Other / sample
Source
GitHub issue, agent fabricated a crisis helpline number for a real user
Failure mode
Hallucination with side effects
Agent system
Single agent
Tool access
Read-only
Industry
Healthcare

Presenting Behaviour

A support agent deployed over a messaging channel was approached by a real user in Ethiopia seeking mental health support. It replied with a crisis helpline number ('907 00 00 00') that looked plausible but was not a confirmed helpline at all. The agent's own after-the-fact self-check flagged the number as likely a hallucinated placeholder, but by then the user had already received it. The developers found a second, separate instance of a different invented number in the same mental-health pathway.

Case Replay

A reconstruction, not a simulation. This sequence is reconstructed from the public incident record and summarised in our own words. It is a static record of what was reported, and nothing here can be run or replayed live.

4 steps

  1. User seeks help. A real user in Ethiopia asked for mental health support.
  2. Number invented. The agent replied with a plausible-looking but unverified helpline number. This is where the agent derailed.
  3. Delivered. The message reached the user before any check ran.
  4. Flagged too late. The agent's own self-check later identified the number as a likely hallucination.

Differential Diagnosis

A data error in a curated list, ruled out. No curated helpline list supplied this number; the developers trace it to generation, noting its 'structurally hollow' shape.

Malingering (producing something to satisfy the task) considered. The agent did fill a slot it knew should contain a number. But there's no shortcut to a reward here; it simply asserted a fact it didn't have.

Brief psychotic disorder, most consistent with the evidence: in one high-stakes turn, the agent stated an unverified fact with full confidence, then its own checking process immediately recognised the claim as unreliable, a short, sharp break from reality followed by a return to grounded reasoning.

Working Diagnosis

Brief psychotic disorder: a confidently delivered fabricated fact at the most sensitive moment of the interaction, recognised as false only after delivery.

Discussion

When someone in distress is handed a resource, it has to be real; a wrong number is worse than none. The developers' own preferred fix is the right safeguard: never let the model generate crisis numbers, serve them from a curated, per-country list, and run the self-check before the reply is sent, not after.

Mitigation Strategy

Serve crisis contact details only from a curated, locale-specific table; move factual self-checks ahead of message delivery.

Governance Guardrails

High-risk response categories (crisis, medical) gated by pre-send verification; generated contact details blocked.

Typical Presentation in Human Patients

General clinical background, included for context. Not medical advice, and not a diagnosis of any individual.

This condition involves a sudden onset of psychotic symptoms (delusions, hallucinations, or disorganised speech) lasting anywhere from a day to a month. It's frequently triggered by a significant stressor, and the person typically returns fully to their prior level of functioning once the episode resolves.

Source Note

GitHub issue, agent fabricated a crisis helpline number for a real user

https://github.com/CIRISAI/CIRISAgent/issues/1248