Young people's perceptions and recommendations for conversational generative artificial intelligence in youth mental health

arXiv cs.AI / 4/16/2026

💬 OpinionSignals & Early TrendsIdeas & Deep AnalysisModels & Research

Key Points

  • The paper investigates young people’s perceptions of conversational genAI chatbots for youth mental health using a co-designed study centered on the chatbot Mia originally built for Australian youth-service professionals.
  • In online workshops, 32 young participants developed requirements and recommendations to reconceptualise Mia for consumer use and to guide how such tools could be integrated into services.
  • The analysis identifies four themes: humanising AI while preserving care, transparency about how the system works, ensuring the right tool/place/time, and enabling personalisation within safe boundaries.
  • The authors argue the findings can inform the ethics, design, development, implementation, and governance needed for deploying genAI chatbots in youth mental health settings.
  • The work contributes user-driven system requirements by co-designing with youth, filling a gap in how young stakeholders view and would like genAI to be used for mental health support.

Abstract

Conversational generative artificial intelligence agents (or genAI chatbots) could benefit youth mental health, yet young people's perspectives remain underexplored. We examined the Mental health Intelligence Agent (Mia), a genAI chatbot originally designed for professionals in Australian youth services. Following co-design, 32 young people participated in online workshops exploring their perceptions of genAI chatbots in youth mental health and to develop recommendations for reconceptualising Mia for consumers and integrating it into services. Four themes were developed: (1) Humanising AI without dehumanising care, (2) I need to know what's under the hood, (3) Right tool, right place, right time?, and (4) Making it mine on safe ground. This study offers insights into young people's attitudes, needs, and requirements regarding genAI chatbots in youth mental health, with key implications for service integration. Additionally, by co-designing system requirements, this work informs the ethics, design, development, implementation, and governance of genAI chatbots in youth mental health contexts.