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Evidence in Practice

The youth mental health crisis and the rise of digital mental health tools

What practitioners need to know

APA Style leaf logo Cite This Article in APA Style
American Psychological Association. (2026, October 15). The youth mental health crisis and the rise of digital mental health tools: What practitioners need to know. https://www.apa.org/research-practice/emerging-evidence-practitioners/youth-mental-health-digital-tools

Adolescent sitting on a porch and looking at a smartphone.

Today’s youth are experiencing continued mental health challenges. Globally, 1 in 7 adolescents experience a mental health disorder, with depression and anxiety being the leading causes of illness and disability among them (World Health Organization, 2025). Worsening mental health can interact with the period that adolescents have for developing social and emotional habits that are important to their mental health. From 2007–2017, the suicide rate for U.S. adolescents increased drastically by approximately 86%, calling attention to the mental health environment for youth and adolescents in this country (Woolf, 2025).

Despite growing need for mental health support, adolescents have difficulty accessing mental health services. (McGorry, et al., 2025). For example, 1 in 2 children with mental health disorders receive no mental health services (Fox & Hanes, 2023). Factors that can contribute to mental illness in these populations include access to quality support, being part of a marginalized identity that faces discrimination, decreased social connections, as well as high social media use (Faverio & Sidoti, 2024).

It is no secret that adolescents are using social media and digital platforms at an increasing rate. Around 95% of U.S. teens (ages 13 to 17) use social media platforms, with 73% reporting daily use, 50% of teens using mobile health resources, and 64% of U.S. teens using GenAI (generative artificial intelligence) chatbots (Faverio & Sidoti, 2024). Given the widespread use of digital platforms among youth, questions have emerged about how these platforms may influence mental health and help-seeking behaviors.

As mental health needs continue to increase and barriers to care persist, many young people are turning to digital technologies, including GenAI chatbots for information, emotional support, and mental health-related guidance. Understanding how young people engage with these tools is increasingly relevant for mental health professionals.

What does the recent research say?

While factors related to the youth mental health crisis are complex, researchers have recently examined how young people engage with digital tools for support and whether these tools may influence mental health outcomes.

What factors contribute to youth and adolescent mental health concerns?

In 2025, Woolf highlights multiple factors related to worsening youth mental health, including family/community influences, smartphone/social media use, discrimination based on minoritized identity, as well as access to behavioral health services.

Within this study, potential solutions from a behavioral health standpoint include:

  • supporting policies that address mental health workforce shortages and insurance coverage
  • training around bias in diagnosis and treatment, especially for marginalized communities
  • increased use of telehealth to increase one’s online access to mental health professionals, addressing the demand and barriers that some youth may have with seeing a practitioner

Given these growing mental health needs and limitations in access to care, researchers have become increasingly interested in how youth engage with digital tools, such as GenAI chatbots, for support.

What does evidence suggest regarding the effectiveness of digital tools for youth?

Sobowale (2025) used an evaluative framework to assess the quality of widely used direct-to-consumer general purpose GenAI chatbots with psychotherapeutic capabilities (e.g. Character.AI, Snapchat-My AI). Evaluative criteria of the assessed digital platforms include the therapeutic approach, alliance and boundaries, conversational abilities, privacy, risk of harm, and more.

Research showed that chatbots generally demonstrated strong accessibility and conversational abilities but performed less consistently in areas such as therapeutic quality, transparency, risk assessment, and crisis response. These findings suggest that while GenAI chatbots may offer immediate support, important limitations remain. For example, not knowing the long-term effects of AI on adolescent development, to not knowing the major differences between different types of chatbots.

Feng et al. (2025) performed a meta-analysis examining conversational agent chatbots among adolescents and young adults. Research showed moderate improvements in depressive symptoms, although evidence was less consistent for anxiety, stress, and broader measures of well-being. Additional research is needed to better understand long-term outcomes and effectiveness across different mental health conditions.

Implications for practice

Clinicians should routinely assess teens’ digital mental health use

Clinicians may benefit from learning more about popular applications that young people are using, specifically those applications that their clients may be confiding in. It is also beneficial to consider different age groups and their use of an AI tool. APA’s health advisory on AI and adolescent well-being offers a resource for how AI use should look, depending on the user’s age.

Talk with patients about the digital tools they use

Clinicians may benefit from incorporating questions about digital mental health tool use into routine assessment. Understanding whether young people use chatbots for emotional support, information gathering, or decision-making can provide insight into help-seeking patterns and unmet needs. Example questions to ask your client may include:

  • Have you ever used chatbots?
  • What do you ask the chatbot?
  • What do you find helpful about it?
  • Has it responded in a way that was unhelpful to you?

Promote digital literacy

Clinicians can help youth develop skills to critically evaluate information obtained through digital platforms. Discussions around privacy, reliability, and recognizing limitations of AI-generated content may support safer engagement.

Continue advocating for improved access to care

Clinicians may benefit from supporting policies to address mental health workforce shortages, insurance coverage, telehealth access, and other areas that can aid clinicians in providing better care.

References

Faverio, M. & Sidoti, O. (2024, December 12). Teens, social media and technology 2024. Pew Research Center. https://www.pewresearch.org/internet/2024/12/12/teens-social-media-and-technology-2024/opens in new window

Feng, Y., Hang, Y., Wu, W., Song, X., Xiao, X., Dong, F., & Qiao, Z. (2025). Effectiveness of AI-driven conversational agents in improving mental health among young people: Systematic review and meta-analysis. Journal of Medical Internet Research, 27, Article e69639. https://doi.org/10.2196/69639opens in new window

Fox, D. J., & Hanes, D. (2023). Prevalence and correlates of unmet mental health services need in adolescents with major depressive episode in 2019: An analysis of National Survey on Drug Use and Health data. Journal of Adolescent Health, 72(2), 182–188. https://doi.org/10.1016/j.jadohealth.2022.10.001opens in new window

McGorry, P., Gunasiri, H., Mei, C., Rice, S., & Gao, C. X. (2025). The youth mental health crisis: Analysis and solutions. Frontiers in Psychiatry, 15, 1517533. https://doi.org/10.3389/fpsyt.2024.1517533opens in new window

Sobowale, K., Humphrey, D. K., & Zhano, S. Y. (2025). Evaluating generative AI psychotherapy chatbots used by youth: Cross-sectional study. JMIR Mental Health, 12, e79838. https://doi.org/10.2196/79838opens in new window

Woolf, S. H. (2025). The youth mental health crisis in the United States: Epidemiology, contributors, and potential solutions. Pediatrics, 156(5), Article e2025070849 https://doi.org/10.1542/peds.2025-070849opens in new window

World Health Organization (2025, September 1). Mental health of adolescents. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-healthopens in new window

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