To examine associations between screen time and anxiety, depression, behavior or conduct problems, and ADHD among children and adolescents during the pandemic, and to assess whether physical activity, sleep duration, and bedtime regularity mediate these associations. Data from 50231 US children and adolescents aged 6 to 17 years in the 2020 to 2021 National Survey of Childrens Health were analyzed. Exact natural effect models and structural equation modeling assessed mediation by physical activity, short sleep duration, and irregular bedtime. We found that daily screen time equal or more than 4 hours was linked to higher risks of anxiety (aOR = 1.45, 95% CI 1.32, 1.58), depression (aOR = 1.65, 95% CI 1.41, 1.93), behavior or conduct problems (aOR = 1.17, 95% CI 1.05, 1.30), and ADHD (aOR = 1.21, 95% CI 1.11, 1.33). Physical activity accounted for 30.2% to 39.3% of the association, irregular bedtime for 18.2% to 25.7%, and short sleep duration for 2.77% to 7.34%. Excessive screen time was associated with poorer mental health and ADHD, partly explained by reduced physical activity, irregular bedtime, and insufficient sleep. Interventions should promote physical activity, regular slee
This study presents a narrative review of the use of digital health technologies (DHTs) and artificial intelligence to screen and mitigate risks and mental health consequences associated with ACEs among children and youth. Several databases were searched for studies published from August 2017 to August 2022. Selected studies (1) explored the relationship between digital health interventions and mitigation of negative health outcomes associated with mental health in childhood and adolescence and (2) examined prevention of ACE occurrence associated with mental illness in childhood and adolescence. A total of 18 search papers were selected, according to our inclusion and exclusion criteria, to evaluate and identify means by which existing digital solutions may be useful in mitigating the mental health consequences associated with the occurrence of ACEs in childhood and adolescence and preventing ACE occurrence due to mental health consequences. We also highlighted a few knowledge gaps or barriers to DHT implementation and usability. Findings from the search suggest that the incorporation of DHTs, if implemented successfully, has the potential to improve the quality of related care pro
Global rates of mental health concerns are rising, and there is increasing realization that existing models of mental health care will not adequately expand to meet the demand. With the emergence of large language models (LLMs) has come great optimism regarding their promise to create novel, large-scale solutions to support mental health. Despite their nascence, LLMs have already been applied to mental health related tasks. In this paper, we summarize the extant literature on efforts to use LLMs to provide mental health education, assessment, and intervention and highlight key opportunities for positive impact in each area. We then highlight risks associated with LLMs' application to mental health and encourage the adoption of strategies to mitigate these risks. The urgent need for mental health support must be balanced with responsible development, testing, and deployment of mental health LLMs. It is especially critical to ensure that mental health LLMs are fine-tuned for mental health, enhance mental health equity, and adhere to ethical standards and that people, including those with lived experience with mental health concerns, are involved in all stages from development through
Mental health challenges among Indian adolescents are shaped by unique cultural and systemic barriers, including high social stigma and limited professional support. Through a mixed-methods study involving a survey of 278 adolescents and follow-up interviews with 12 participants, we explore how adolescents perceive mental health challenges and interact with digital tools. Quantitative results highlight low self-stigma but significant social stigma, a preference for text over voice interactions, and low utilization of mental health apps but high smartphone access. Our qualitative findings reveal that while adolescents value privacy, emotional support, and localized content in mental health tools, existing chatbots lack personalization and cultural relevance. These findings inform recommendations for culturally sensitive chatbot design that prioritizes anonymity, tailored support, and localized resources to better meet the needs of adolescents in India. This work advances culturally sensitive chatbot design by centering underrepresented populations, addressing critical gaps in accessibility and support for adolescents in India.
Mental health challenges among Indian adolescents are shaped by unique cultural and systemic barriers, including high social stigma and limited professional support. We report a mixed-methods study of Indian adolescents (survey n=362; interviews n=14) examining how they navigate mental-health challenges and engage with digital tools. Quantitative results highlight low self-stigma but significant social stigma, a preference for text over voice interactions, and low utilization of mental health apps but high smartphone access. Our qualitative findings reveal that while adolescents value privacy, emotional support, and localized content in mental health tools, existing chatbots lack personalization and cultural relevance. We contribute (1) a Design-Tensions framework; (2) an artifact-level probe; and (3) a boundary-objects account that specifies how chatbots mediate adolescents, peers, families, and services. This work advances culturally sensitive chatbot design by centering on underrepresented populations, addressing critical gaps in accessibility and support for adolescents in India.
Housing instability is a widespread phenomenon in the United States. In combination with other social determinants of health, housing instability affects children's overall health and development. Drawing on data from the 2022 National Survey of Children's Health, we employed multiple logistic regression models to understand how sociodemographic factors, especially housing instability, affect mental health outcomes and treatment access for youth aged 6-17 years. Our results show that youth facing housing instability have a higher likelihood of experiencing anxiety (OR: 1.42, p<0.001) and depression (OR: 1.57, p<0.001). Furthermore, youth experiencing both mental health conditions and housing instability are significantly less likely to receive mental health services in the past year, indicating the substantial barriers they face in accessing mental health care. Based on our findings, we highlight opportunities for digital mental health interventions to provide children experiencing housing instability with more accessible and consistent mental health services.
Childhood Sexual Abuse (CSA) is a menace to society and has long-lasting effects on the mental health of the survivors. From time to time CSA survivors are haunted by various mental health issues in their lifetime. Proper care and attention towards CSA survivors facing mental health issues can drastically improve the mental health conditions of CSA survivors. Previous works leveraging online social media (OSM) data for understanding mental health issues haven't focused on mental health issues in individuals with CSA background. Our work fills this gap by studying Reddit posts related to CSA to understand their mental health issues. Mental health issues such as depression, anxiety, and Post-Traumatic Stress Disorder (PTSD) are most commonly observed in posts with CSA background. Observable differences exist between posts related to mental health issues with and without CSA background. Keeping this difference in mind, for identifying mental health issues in posts with CSA exposure we develop a two-stage framework. The first stage involves classifying posts with and without CSA background and the second stage involves recognizing mental health issues in posts that are classified as be
Following the recent release of various Artificial Intelligence (AI) based Conversation Agents (CAs), adolescents are increasingly using CAs for interactive knowledge discovery on sensitive topics, including mental and sexual health topics. Exploring such sensitive topics through online search has been an essential part of adolescent development, and CAs can support their knowledge discovery on such topics through human-like dialogues. Yet, unintended risks have been documented with adolescents' interactions with AI-based CAs, such as being exposed to inappropriate content, false information, and/or being given advice that is detrimental to their mental and physical well-being (e.g., to self-harm). In this position paper, we discuss the current landscape and opportunities for CAs to support adolescents' mental and sexual health knowledge discovery. We also discuss some of the challenges related to ensuring the safety of adolescents when interacting with CAs regarding sexual and mental health topics. We call for a discourse on how to set guardrails for the safe evolution of AI-based CAs for adolescents.
A mental health disorder is a clinically significant impairment in a persons intellect, emotional control, or behavior. Mental disorders and outpatient morbidity are a challenge to public health in Kenya. The spatial distribution and study of factors associated with these conditions remain limited. The study aimed to conduct spatial modeling of mental health on outpatient mobility in Kenya. This project used spatial modeling to explore the relationship between infectious diseases and mental disorders. The results showed that mental health issues were not distributed uniformly, with higher frequency found in Western and Nairobi regions. Possible connections between HIV, TB, and STIs with mental health have been suggested by the substantial correlation found between infectious diseases and mental health issues. The spatial model demonstrated excellent validity and accuracy, providing policymakers with a useful tool to better allocate resources and enhance mental health treatments, especially in high-risk locations. In conclusion, the research improved knowledge of the spatial patterns of mental health disorders and guides intervention tactics and healthcare policies in Kenya and othe
Background: Adverse Childhood Experiences (ACEs), a set of negative events and processes that a person might encounter during childhood and adolescence, have been proven to be linked to increased risks of a multitude of negative health outcomes and conditions when children reach adulthood and beyond. Objective: To better understand the relationship between ACEs and their relevant risk factors with associated health outcomes and to eventually design and implement preventive interventions, access to an integrated coherent dataset is needed. Therefore, we implemented a formal ontology as a resource to allow the mental health community to facilitate data integration and knowledge modeling and to improve ACEs surveillance and research. Methods: We use advanced knowledge representation and Semantic Web tools and techniques to implement the ontology. The current implementation of the ontology is expressed in the description logic ALCRIQ(D), a sublogic of Web Ontology Language (OWL 2). Results: The ACEs Ontology has been implemented and made available to the mental health community and the public via the BioPortal repository. Moreover, multiple use-case scenarios have been introduced to sh
Artificial intelligence (AI)-enabled digital interventions, including Generative AI (GenAI) and Human-Centered AI (HCAI), are increasingly used to expand access to digital psychiatry and mental health care. This PRISMA-ScR scoping review maps the landscape of AI-driven mental health (mHealth) technologies across five critical phases: pre-treatment (screening/triage), treatment (therapeutic support), post-treatment (remote patient monitoring), clinical education, and population-level prevention. We synthesized 36 empirical studies implemented through early 2024, focusing on Large Language Models (LLMs), machine learning (ML) models, and autonomous conversational agents. Key use cases involve referral triage, empathic communication enhancement, and AI-assisted psychotherapy delivered via chatbots and voice agents. While benefits include reduced wait times and increased patient engagement, we address recurring challenges like algorithmic bias, data privacy, and human-AI collaboration barriers. By introducing a novel four-pillar framework, this review provides a comprehensive roadmap for AI-augmented mental health care, offering actionable insights for researchers, clinicians, and poli
This paper develops a two-period dynastic overlapping-generations (OLG) model in which parents simultaneously choose consumption, savings, fertility, and three distinct dimensions of child quality-education, physical health, and mental health-under a pay-as-you-go (PAYG) pension system. The central innovation is modelling mental health as an independent productivity-enhancing input with its own elasticity $θ$ in a Cobb-Douglas human-capital technology. This yields simple proportional allocation rules and shows how pension policy affects not only the overall level but also the composition of human capital investments. In steady state, higher PAYG contribution rates raise fertility through the Yakita effect but crowd out per-child investments in all quality dimensions, including mental health. An increase in the mental-health elasticity $θ$ shifts resources toward non-cognitive skill development while reducing fertility. These results reveal a fundamental policy tension for developing economies: pension systems that rely on children for old-age support simultaneously increase birth rates while reducing long-term human capital formation, with disproportionate effects on non-cognitive
Background: Adolescents are particularly vulnerable to mental disorders, with over 75% of cases manifesting before the age of 25. Research indicates that only 18 to 34% of young people experiencing high levels of depression or anxiety symptoms seek support. Digital tools leveraging smartphones offer scalable and early intervention opportunities. Objective: Using a novel machine learning framework, this study evaluated the feasibility of integrating active and passive smartphone data to predict mental disorders in non-clinical adolescents. Specifically, we investigated the utility of the Mindcraft app in predicting risks for internalising and externalising disorders, eating disorders, insomnia and suicidal ideation. Methods: Participants (N=103; mean age 16.1 years) were recruited from three London schools. Participants completed the Strengths and Difficulties Questionnaire, the Eating Disorders-15 Questionnaire, Sleep Condition Indicator Questionnaire and indicated the presence/absence of suicidal ideation. They used the Mindcraft app for 14 days, contributing active data via self-reports and passive data from smartphone sensors. A contrastive pretraining phase was applied to enhan
Despite the ever-strong demand for mental health care globally, access to traditional mental health services remains severely limited expensive, and stifled by stigma and systemic barriers. Thus, over the last few years, young people are increasingly turning to content on video-sharing platforms (VSPs) like TikTok and YouTube to help them navigate their mental health journey. However, navigating towards trustworthy information relating to mental health on these platforms is challenging, given the uncontrollable and unregulated growth of dedicated mental health content and content creators catering to a wide array of mental health conditions on these platforms. In this paper, we attempt to define what constitutes as "mental health misinformation" through examples. In addition, we also suggest some open questions to answer and challenges to tackle regarding this important and timely research topic
Mental health issues among college students have reached critical levels, significantly impacting academic performance and overall wellbeing. Predicting and understanding mental health status among college students is challenging due to three main factors: the necessity for large-scale longitudinal datasets, the prevalence of black-box machine learning models lacking transparency, and the tendency of existing approaches to provide aggregated insights at the population level rather than individualized understanding. To tackle these challenges, this paper presents I-HOPE, the first Interpretable Hierarchical mOdel for Personalized mEntal health prediction. I-HOPE is a two-stage hierarchical model that connects raw behavioral features to mental health status through five defined behavioral categories as interaction labels. We evaluate I-HOPE on the College Experience Study, the longest longitudinal mobile sensing dataset. This dataset spans five years and captures data from both pre-pandemic periods and the COVID-19 pandemic. I-HOPE achieves a prediction accuracy of 91%, significantly surpassing the 60-70% accuracy of baseline methods. In addition, I-HOPE distills complex patterns int
While prior research has focused on providers, caregivers, and adult patients, little is known about adolescents' perceptions of AI in health learning and management. Utilizing design fiction and co-design methods, we conducted seven workshops with 23 adolescents (aged 14-17) to understand how they anticipate using health AI in the context of a family celiac diagnosis. Our findings reveal that adolescents have four main envisioned roles of health AI: enhancing health understanding and help-seeking, reducing cognitive burden, supporting family health management, and providing guidance while respecting their autonomy. We also identified nuanced trust and a divided view on emotional support from health AI. These findings suggest that adolescents perceive AI's value as a tool that moves them from efficiency to meaning-one that creates time for valued activities. We discuss opportunities for future health AI systems to be designed to encourage adolescent autonomy and reflection, while also supporting meaningful, dialectical activities.
Sustainable Development Goals (SDGs) give the UN a road map for development with Agenda 2030 as a target. SDG3 "Good Health and Well-Being" ensures healthy lives and promotes well-being for all ages. Digital technologies can support SDG3. Burnout and even depression could be reduced by encouraging better preventive health. Due to the lack of patient knowledge and focus to take care of their health, it is necessary to help patients before it is too late. New trends such as positive psychology and mindfulness are highly encouraged in the USA. Digital Twins (DTs) can help with the continuous monitoring of emotion using physiological signals (e.g., collected via wearables). DTs facilitate monitoring and provide constant health insight to improve quality of life and well-being with better personalization. Healthcare DTs challenges are standardizing data formats, communication protocols, and data exchange mechanisms. As an example, ISO has the ISO/IEC JTC 1/SC 41 Internet of Things (IoT) and DTs Working Group, with standards such as "ISO/IEC 21823-3:2021 IoT - Interoperability for IoT Systems - Part 3 Semantic interoperability", "ISO/IEC CD 30178 - IoT - Data format, value and coding". T
This paper investigates the mental health penalty for women after childbirth in Switzerland. Leveraging insurance data, we employ a staggered difference-in-difference research design. The findings reveal a substantial mental health penalty for women following the birth of their first child. Approximately four years after childbirth, there is a one percentage point (p.p.) increase in antidepressant prescriptions, representing a 50% increase compared to pre-birth levels. This increase rises to 1.7 p.p. (a 75% increase) six years postpartum. The mental health penalty is likely not only a direct consequence of giving birth but also a consequence of the changed life circumstances and time constraints that accompany it, as the penalty is rising over time and is higher for women who are employed.
Graduated driver licensing systems effectively reduce adolescent traffic fatalities but create unintended health consequences. Using state-level variation in licensing policies from 1999-2020 and difference-in-differences analysis, we provide the first causal evidence that early driving access generates significant health risks for female adolescents aged 15-19. States allowing learner's permits before age 16 experienced sharp increases in drug-related mortality (+1.331 per 100,000, p<0.001) and mental health-related mortality (+0.760, p<0.001), even as vehicle deaths declined (-0.656, p<0.05). These effects explain nearly one-third of rising adolescent drug mortality and one-tenth of mental health mortality increases over the study period. Early driving access expands geographic reach, enabling contact with illicit drug markets previously inaccessible to adolescents. It broadens social networks, increasing exposure to high-risk peers, while vehicles provide unsupervised spaces for experimentation. Premature independence also intensifies psychological stress during critical developmental stages. Nationally, results correspond to approximately 138 additional drug deaths and
This study examined how behavioral, emotional, and contextual factors influence Filipino students' willingness to use artificial intelligence (AI) for mental health support. Results showed that habit had the strongest effect on willingness, followed by comfort, emotional benefit, facilitating conditions, and perceived usefulness. Students who used AI tools regularly felt more confident and open to relying on them for emotional support. Empathy, privacy, and accessibility also increased comfort and trust in AI systems. The findings highlight that emotional safety and routine use are essential in promoting willingness. The study recommends AI literacy programs, empathic design, and ethical policies that support responsible and culturally sensitive use of AI for student mental health care.