{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:52:10Z","timestamp":1792000330123,"version":"4.4.0"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Ment Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>\n                    Conversational AI is now deeply embedded in adolescents' mental health help\u2010seeking and emotional lives, creating both risks and a rare population health opportunity. This debate piece argues that the key question for researchers and implementers to consider is no longer\n                    <jats:italic>whether<\/jats:italic>\n                    adolescents should use general\u2010purpose chatbots for mental health support, but rather\n                    <jats:italic>how<\/jats:italic>\n                    scientists, regulators, and technology companies should shape these systems to reduce harm and promote constructive action. At present, built\u2010in chatbot responses to user expressions of distress often emphasize detection, refusal, or crisis referral, strategies that may protect developers but can fail to meet adolescents' immediate needs. At the same time, open\u2010ended, pseudo\u2010therapeutic interactions with untested agents can reinforce risk, dependency, and inaccurate or harmful beliefs about mental health and help\u2010seeking. We propose that general\u2010purpose conversational AI platforms are well\u2010positioned to function as\n                    <jats:italic>bridges<\/jats:italic>\n                    to evidence\u2010based support, rather than as replacements for formal therapy or treatment. Brief, bounded interventions, including digital single\u2010session interventions, offer a promising model for responding to moments of need while preserving adolescent agency. Ethical AI design should prioritize safeguards, empirical testing, and pathways to evidence\u2010based care.\n                  <\/jats:p>","DOI":"10.1111\/camh.70105","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:06:38Z","timestamp":1782990398000},"page":"229-231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Debate: Conversational\n                    <scp>AI<\/scp>\n                    and young people's mental health\u2014friend or foe? A case for designing conversational\n                    <scp>AI<\/scp>\n                    as a bridge to youth mental health support"],"prefix":"10.1111","volume":"31","author":[{"given":"Jessica L.","family":"Schleider","sequence":"first","affiliation":[{"name":"Northwestern University  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob","family":"Morris","sequence":"additional","affiliation":[{"name":"Koko  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","unstructured":"Ajmani L.H. Ghosh A. Kaveladze B. Kim E. Nguyen T. Okoli E. \u2026 &Suh J.(2026).Seeking late night life lines: Experiences of conversational AI use in mental health crisis.Proceedings of the ACM conference on fairness accountability and transparency (FAccT) 2026. ACM.https:\/\/arxiv.org\/pdf\/2512.23859","DOI":"10.1145\/3805689.3812256"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbct.2022.12.001"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/39004"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-026-02531-7"},{"key":"e_1_2_6_6_1","unstructured":"Kaveladze B. Ghosh A. Ajmani L. Ford D. Gutierrez P.M. Hanson J.E. \u2026 &Suh J.(2026a).From Risk Avoidance to User Empowerment: Reframing Safety in Generative AI for Mental Health Crises.arXiv preprint arXiv:2603.05647."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41562-026-02415-6"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.56631"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2024.05.014"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41562-021-01235-0"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2018.5399"}],"container-title":["Child and Adolescent Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/camh.70105","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/camh.70105","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/camh.70105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T10:09:41Z","timestamp":1786702181000},"score":1,"resource":{"primary":{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1111\/camh.70105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,2]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/camh.70105"],"URL":"https:\/\/doi.org\/10.1111\/camh.70105","archive":["Portico"],"relation":{},"ISSN":["1475-357X","1475-3588"],"issn-type":[{"value":"1475-357X","type":"print"},{"value":"1475-3588","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,2]]},"assertion":[{"value":"2026-06-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}