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Parenting Journal · Volume 1 · Issue 2 · Licensed source edition

Current Landscape and Future Directions for Mental Health Conversational Agents for Youth: Scoping Review

Originally published 2025-02-28 · JMIR Medical Informatics
JMIR Publications Inc. · DOI 10.2196/62758 ↗

KindnessScoping reviewCC BY 4.0
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AI / system type

Mixed AI review including many rule-based systems and emerging LLM approaches

Family implications

Design, ethics, stakeholder or technical evidence with child/family implications; household benefits are not assumed.

The AI connection

Mixed AI review including many rule-based systems and emerging LLM approaches. Reviews friendly conversational interfaces while exposing limited safety and ethical reporting.

Why this reading matters

Maps substantial design, computational and safety gaps in youth conversational agents, providing context rather than an endorsement of AI therapy.

Editorial reading guide · Kindness

What evidence lies behind claims that a youth chatbot offers empathic support?

Reviews friendly conversational interfaces while exposing limited safety and ethical reporting.

Study context

39 studies of youth mental-health conversational agents

Age / stage: Review defines youth as 15–24; included studies span adolescents and young adults

Read with three questions

  1. Which systems actually used AI rather than prewritten rules?
  2. What safety features and ethical issues were reported?
  3. How do young-adult studies limit application to children?

Keep the limits in view

Many systems were rule-based prototypes, not GenAI; heterogeneous studies and young-adult inclusion limit child-specific conclusions. Positive acceptability is not clinical effectiveness; long-term safety and benefit remain unresolved.

The text below is the original article’s licensed repository edition. Its wording is not rewritten. Use the Paper Agent beside the text to locate evidence; open the source for figures, tables and complete context.

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Attribution & reuse

Follow the original.

Original authorship, publication date, journal and DOI are preserved. This issue’s TRICK placement and reading questions are editorial additions, not claims made by the original authors.

Jinkyung Katie Park; Vivek K Singh; Pamela Wisniewski; Christian Lovis; Lauren Magoun; Bill Thies (2025). Current Landscape and Future Directions for Mental Health Conversational Agents for Youth: Scoping Review JMIR Medical Informatics. https://doi.org/10.2196/62758

Permissions checked against the saved article notice; repository publication notices screened 2026-11-04. This is not a new peer-review decision. The source authors and publishers are not represented as endorsing this issue.