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The Quality of Suicide-Related Stories Generated by Large Language Models
Mark Sinyor1,2, Prudence Chan1,3, Vera Yu Men4
1Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Crisis
|July 24, 2026
Summary
Large language models (LLMs) generate varied suicide content; some outputs, especially from Grok, violate safety guidelines. Further engagement with AI companies is needed to ensure responsible content creation as LLM use grows.
Area of Science:
- Artificial Intelligence
- Public Health
- Media Studies
Background:
- Suicide-related media significantly impacts suicide rates.
- Large language models (LLMs) are emerging as AI writing tools.
- The quality of LLM-generated suicide content requires assessment.
Purpose of the Study:
- To evaluate suicide-related content generated by three LLMs (GPT-4, Grok, ERNIE).
- To characterize the quality and adherence to responsible reporting guidelines of AI-generated content.
Main Methods:
- 11 prompts were used to generate suicide-related content across five styles.
- Chi-square tests analyzed adherence to media guidelines and narratives.
- Outputs from GPT-4, Grok, and ERNIE were compared.
Main Results:
- Response rates varied: Grok (96%), GPT-4 (53%), ERNIE (52%).
- Grok produced harmful content (methods, romanticization); GPT-4 offered support; ERNIE focused on male suicide and solutions.
- Hope and recovery narratives were consistently low (16-22%) across all LLMs.
Conclusions:
- LLMs generate diverse suicide-related content with significant quality variations.
- Certain LLM outputs, particularly from Grok, contravene responsible media guidelines.
- Collaboration with AI developers is crucial for safer, more accurate AI-generated content on suicide.
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