Youth Relying More On AI for Mental Health

JAMA Pediatrics recently published the results of a study on youth, artificial intelligence (AI), and mental health. The study examines the prevalence, patterns, and disclosure of AI chatbot use for mental health advice among US adolescents and young adults in 2025. Nearly 20% of US youth aged 12-21 reported using AI chatbots for mental health advice in 2025. Usage increased from about 13% in 2024, with most users engaging at least monthly. The majority found chatbot responses somewhat or very helpful. Most users did not disclose their chatbot use to anyone, raising privacy concerns.

Demographic and Behavioral Patterns

Use was more common among females, older adolescents (18-21 years), and those who discussed mental health with a physician. Black youth were significantly more likely to use chatbots frequently, possibly due to access issues or perceived responsiveness. Use was not significantly associated with metropolitan status or geographic region.

Frequency and Helpfulness

About 43% of users engaged with chatbots at least monthly. Over 90% rated the advice as helpful, though the quality and safety of guidance remain uncertain. Frequent users often relied on chatbots for ongoing support, highlighting their role in filling gaps in mental health care.

Disclosure and Privacy

Two-thirds of users kept chatbot use confidential, mainly not informing parents or clinicians. This secrecy may hinder clinicians' ability to monitor or address potential risks. Young people may prefer privacy to avoid stigma but risk missing professional guidance.

Associations with Mental Health Care

Those who spoke with a physician about mental health were more likely to use chatbots. Use was linked to greater mental health needs, especially among older adolescents and females. Black youth's higher engagement may suggest disparities in access or trust in traditional services.

Implications and Concerns

AI chatbots are becoming integral to youth mental health ecosystems. Their widespread use underscores the need for clinicians and parents to discuss AI engagement openly. Risks include reliance on unregulated advice, lack of disclosure, and potential for misinformation. The development of evidence-based, transparent AI mental health tools is critical. AI chatbots are a significant, growing source of mental health support for US youth. Their role warrants proactive engagement by clinicians, parents, and policymakers to ensure safe, effective use. The read the full study, click here.