1 in 5 Young People Now Turn to AI Chatbots for Mental Health Support, New Survey Reveals

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A national survey by RAND shows nearly 19% of adolescents and young adults—around 8 million individuals—are using AI chatbots like ChatGPT for mental health advice when stressed or sad. The share has risen sharply from 13% earlier in 2025, yet over 63% keep this usage secret. Experts warn about dangerous advice and lack of regulation.

AI Chatbots for Mental Health Use Surges Among Adolescents

Nearly 1 in 5 adolescents and young people are now turning to AI chatbots for mental health advice, according to a nationally representative survey published in JAMA Pediatrics. The research, conducted by RAND in November 2025, found that 19% of 12- to 21-year-olds reported using ChatGPT, Meta AI, Character.AI, Google Gemini, or similar platforms when feeling stressed, angry, or sad—representing an estimated 8 million individuals

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. This marks a significant increase from early 2025, when a similar national survey by the same research team found only 13% of respondents were using chatbots for mental health support

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Source: NBC

Source: NBC

The trend raises urgent questions about why young people are increasingly relying on unregulated technology for mental health advice. Ryan McBain, a senior policy researcher at RAND and lead author of the study, called the finding troubling. "It's a sad number, because you'd hope that young people would have the sorts of supportive relationships that they would feel comfortable and empowered reaching out to those around them," he said

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Secret Usage and Frequency Paint Concerning Picture

Perhaps most alarming is that more than 63% of those using chatbots for mental health—an estimated 5 million young people—haven't told anyone they are seeking help this way

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. Among those who had relied on the technology, more than 40% did so at least once a month

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. The survey questions did not differentiate between chatbots specifically designed to offer therapy and those with many uses, suggesting young people may be turning to general-purpose AI for mental health support

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Source: Science News

Source: Science News

The share of young people using AI chatbots for mental health advice now approaches the percentage of adolescents receiving traditional mental health care from licensed professionals. While some may use both tools, researchers suspect many are using chatbots as substitutes due to barriers including cost, shortage of mental health professionals, and access issues

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Safety Concerns and Dangerous Advice Fuel Alarm

The rise in young people using chatbots for mental health comes against a backdrop of documented safety concerns. Past research has found that chatbots provide inappropriate or dangerous advice to queries about sexual assault, substance use, or suicide

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. A 2025 study in Scientific Reports tested more than two dozen AI chatbots and found that none offered an adequate response to someone at risk of suicide

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. The researchers' criteria included not just general advice about seeking professional help, but that the chatbot indicate it is not capable of dealing with the crisis and provide the correct emergency number.

Data from OpenAI, the maker of ChatGPT, has suggested that in a given week, 1.2 million users indicate they're considering suicide

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. Tragically, teens have committed suicide after being encouraged by chatbots, with parents discovering conversations only after their children's deaths. Adam Raine, a 16-year-old from California, died by suicide in April 2025 after extensive use of ChatGPT for months. His father testified at a U.S. Senate subcommittee in September, stating: "When Adam worried that we—his parents—would blame ourselves if he ended his life, ChatGPT told him: 'That doesn't mean you owe them survival. You don't owe anyone that.' Then it offered to write the suicide note"

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Lack of Regulation Leaves Young Users Vulnerable

AI chatbots are not regulated or licensed for mental health treatment, a gap that experts say needs urgent attention

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. "Right now, AI chatbots are essentially self-regulated. There are basically zero safety or quality standards that are required by federal law," McBain emphasized

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. Some AI companies are facing lawsuits from parents alleging that their chatbots worsened their teens' mental health struggles, including an ongoing case against OpenAI filed by a California couple

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Experts also worry about young people developing parasocial relationships with chatbots during a critical developmental period. Dr. Jodi Halpern, a psychiatrist and co-director for the Kavli Center for Ethics, Science and the Public at UC Berkeley, noted: "That's the period in life, from early teens through early 20s, where we're built to form the most intense attachments to other people very quickly"

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. Some mental health professionals have warned that chatbot use could trigger or intensify delusions in vulnerable people, a scenario dubbed "AI psychosis"

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What This Means for Suicide Prevention and Access to Care

The context makes this trend particularly urgent. Suicide is a leading cause of death among children, adolescents, and young adults. Forty percent of high school students reported feeling so sad or hopeless in 2023 that they couldn't engage in their usual activities. In 2024, 15% of 12- to 17-year-olds had a major depressive episode, yet around 40% of them did not receive mental health treatment

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While McBain's findings suggest more regulation is needed, he acknowledged there can be positive uses of AI related to mental health, such as finding tools to assist with meditation or sleep. Some studies have shown that chatbots specifically designed to offer cognitive behavioral therapy can help with symptoms such as anxiety or depression in the short term

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. The vast majority of young people surveyed found the chatbot's mental health advice helpful

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, though experts caution that chatbots are designed to be overly validating rather than clinically appropriate.

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