Ebele Okoli

Benjamin Kaveladze, Arka Ghosh, Leah Ajmani et al.

People experiencing mental health crises frequently turn to open-ended generative AI (GenAI) chatbots for support. However, rather than providing immediate assistance, some GenAI chatbots are designed to respond to crisis situations in ways that minimize their developers' liability, primarily through avoidance (e.g., refusing to engage beyond templated referrals to crisis hotlines). Withholding crisis support in these cases may harm users who have no viable alternatives and reduce their motivation to seek further help. At scale, this avoidant design could undermine population mental health. We propose empowerment-oriented design principles for AI crisis support, informed by community helper models. As an initial touchpoint in help-seeking, AI chatbots can act as a supportive bridge to de-escalate crises and connect users to more reliable care. Coordination between AI developers and regulators can enable a better balance of risk mitigation and user empowerment in AI crisis support.

Leah Hope Ajmani, Arka Ghosh, Benjamin Kaveladze et al.

Online, people often recount their experiences turning to conversational AI agents (e.g., ChatGPT, Claude, Copilot) for mental health support -- going so far as to replace their therapists. These anecdotes suggest that AI agents have great potential to offer accessible mental health support. However, it's unclear how to meet this potential in extreme mental health crisis use cases. In this work, we explore the first-person experience of turning to a conversational AI agent in a mental health crisis. From a testimonial survey (n = 53) of lived experiences, we find that people use AI agents to fill the in-between spaces of human support; they turn to AI due to lack of access to mental health professionals or fears of burdening others. At the same time, our interviews with mental health experts (n = 16) suggest that human-human connection is an essential positive action when managing a mental health crisis. Using the stages of change model, our results suggest that a responsible AI crisis intervention is one that increases the user's preparedness to take a positive action while de-escalating any intended negative action. We discuss the implications of designing conversational AI agents as bridges towards human-human connection rather than ends in themselves.

Mohit Chandra, Suchismita Naik, Denae Ford et al. · gatech

Recent gains in popularity of AI conversational agents have led to their increased use for improving productivity and supporting well-being. While previous research has aimed to understand the risks associated with interactions with AI conversational agents, these studies often fall short in capturing the lived experiences of individuals. Additionally, psychological risks have often been presented as a sub-category within broader AI-related risks in past taxonomy works, leading to under-representation of the impact of psychological risks of AI use. To address these challenges, our work presents a novel risk taxonomy focusing on psychological risks of using AI gathered through the lived experiences of individuals. We employed a mixed-method approach, involving a comprehensive survey with 283 people with lived mental health experience and workshops involving experts with lived experience to develop a psychological risk taxonomy. Our taxonomy features 19 AI behaviors, 21 negative psychological impacts, and 15 contexts related to individuals. Additionally, we propose a novel multi-path vignette-based framework for understanding the complex interplay between AI behaviors, psychological impacts, and individual user contexts. Finally, based on the feedback obtained from the workshop sessions, we present design recommendations for developing safer and more robust AI agents. Our work offers an in-depth understanding of the psychological risks associated with AI conversational agents and provides actionable recommendations for policymakers, researchers, and developers.

Mohit Chandra, Javier Hernandez, Gonzalo Ramos et al. · gatech

Development in digital technologies has continuously reshaped how individuals seek and receive social and emotional support. While online platforms and communities have long served this need, the increased integration of general-purpose conversational AI into daily lives has introduced new dynamics in how support is provided and experienced. Existing research has highlighted both benefits (e.g., wider access to well-being resources) and potential risks (e.g., over-reliance) of using AI for support seeking. In this five-week, exploratory study, we recruited 149 participants divided into two usage groups: a baseline usage group (BU, n=60) that used the internet and AI as usual, and an active usage group (AU, n=89) encouraged to use one of four commercially available AI tools (Microsoft Copilot, Google Gemini, PI AI, ChatGPT) for social and emotional interactions. Our analysis revealed significant increases in perceived attachment towards AI (32.99 percentage points), perceived AI empathy (25.8 p.p.), and motivation to use AI for entertainment (22.90 p.p.) among the AU group. We also observed that individual differences (e.g., gender identity, prior AI usage) influenced perceptions of AI empathy and attachment. Lastly, the AU group expressed higher comfort in seeking personal help, managing stress, obtaining social support, and talking about health with AI, indicating potential for broader emotional support while highlighting the need for safeguards against problematic usage. Overall, our exploratory findings underscore the importance of developing consumer-facing AI tools that support emotional well-being responsibly, while empowering users to understand the limitations of these tools.