Comparing ChatGPT-4o and Gemini 1.5 Pro in Adolescent Psychiatric Emergencies: A Real-World Evaluation of AI Support in Suicide Risk Assessment

Ayse Dilara Oztermeli, Burcu Yıldırım Budak, Vahdet Görmez, Department of Emergency Medicine, Kocaeli City Hospital, Department of Child and Adolescent Psychiatry, İstanbul Medeniyet University Faculty of Medicine, Göztepe Prof, Süleyman Yalçın City Hospital, Department of Counseling Psychology, Hamad Bin Khalifa University, College of Islamic Studies

Clinical Child Psychology and Psychiatry

Published online on April 24, 2026

Abstract

Clinical Child Psychology and Psychiatry, Ahead of Print.
ObjectiveThis study aimed to evaluate the performance of large language models—ChatGPT-4o and Gemini 1.5 Pro—in assessing suicide risk and guiding treatment in adolescents presenting to the emergency department with suicidal ideation and/or attempts....