WILMINGTON, N.C. (WECT) – A new study suggests a growing number of teens and young adults are turning to AI chatbots for mental health advice and emotional support.

The study published in JAMA Pediatrics surveyed more than 42 million people ages 12 to 21. Nearly one in five reported using AI for mental health advice, an increase from the year before.

“The initial reaction as a therapist is, oh that’s very interesting, and interesting in a way that is somewhat unsure,” said Kathleen Young, director of behavioral health at Novant Health. “There is a lot we don’t know about AI.”

The survey also found that most users did not tell anyone they were using AI for mental health support.

Young said that the lack of transparency is concerning because chatbots can sound confident while still being wrong, and they may miss key context or fail to ask important follow-up questions.

“I think the biggest concern is something we have seen in the news are things related to suicide,” Young said. “Unfortunately, these AI tools are not developed to handle mental health crisis and so there have been instances where people put things into a chatbot and get information back that actually seems like it’s supporting something like that, and that’s very dangerous.”

Young said it’s important for parents to pay attention. If AI is becoming a place a teen goes for support, parents can take a few practical steps to keep them safe and connected, including:

Keep real-life connections strongKeep an eye on screen time and what apps teens are usingWatch for changes in behavior Try to keep communication clear and calm

She said parents and caregivers shouldn’t wait for a crisis to talk. Regular, low-pressure check-ins can make it easier for teens to open up when things get heavier.

If you’re worried about your teen, Young suggests starting simple: ask how they’re doing, listen and keep showing up. She also recommends PsychologyToday.com as a resource to help find a therapist, including options by insurance, therapy type and specific needs.

“I think in general the more we can promote real relationship building, the better, being able to show interest and ask questions and get young people talking,” Young said.

Anyone struggling with suicidal thoughts can call or text 988 at any time for help.

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