When should mental health chatbots have a duty to report?

Abstract People increasingly disclose suicidal intent, child abuse and threats of violence to AI chatbots. Made to a clinician, such disclosures would trigger mandated-reporting statutes, Tarasoff -style duties to protect third parties and a duty of care toward patients at risk of self-harm. Made to a chatbot, they trigger almost none. The first chatbot-specific laws, in California and New York, require crisis referrals but impose no duty to report or intervene. We argue that a chatbot’s legal duties should follow the function it holds itself out as serving. We distinguish FDA-regulated mental-health devices, chatbots marketed as therapeutic or emotional support, and general-purpose conversational AI. For the middle category we propose five duties: detection of defined risk indicators, human review before external escalation, proportionate crisis response, independent audit and record-keeping. We then examine enforcement through market-access statutes and litigation, and the confidentiality questions any reporting regime raises.

Authors

Institutions

Publication Details

Journal
Research Square
Published
2026-10-29
DOI
https://doi.org/10.21203/rs.3.rs-11155348/v1
Primary Topic
Digitalization, Law, and Regulation
Type
preprint

Funders

Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
preprint

When should mental health chatbots have a duty to report?

Sofia Palmieri, Ivan Glenn Cohen, Vincent Joralemon
4 links
Research Square
Digitalization, Law, and Regulation
preprint

When should mental health chatbots have a duty to report?

Sofia Palmieri, Ivan Glenn Cohen, Vincent Joralemon
preprint en

Abstract

Abstract People increasingly disclose suicidal intent, child abuse and threats of violence to AI chatbots. Made to a clinician, such disclosures would trigger mandated-reporting statutes, Tarasoff -style duties to protect third parties and a duty of care toward patients at risk of self-harm. Made to a chatbot, they trigger almost none. The first chatbot-specific laws, in California and New York, require crisis referrals but impose no duty to report or intervene. We argue that a chatbot’s legal duties should follow the function it holds itself out as serving. We distinguish FDA-regulated mental-health devices, chatbots marketed as therapeutic or emotional support, and general-purpose conversational AI. For the middle category we propose five duties: detection of defined risk indicators, human review before external escalation, proportionate crisis response, independent audit and record-keeping. We then examine enforcement through market-access statutes and litigation, and the confidentiality questions any reporting regime raises.

Research Square
Harvard University (US), University of California, Berkeley (US)
Novo Nordisk
Good health and well-being, Peace, justice, and strong institutions
Digitalization, Law, and Regulation
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.

Laika access coming soon
When should mental health chatbots have a duty to report? — Sofia Palmieri, Ivan Glenn Cohen, et al. · Research Square (2026) | TGRS Research Map | TGRS