TY - JOUR
T1 - Decision-making on an AI-supported youth mental health app
T2 - A multilogue among ethicists, social scientists, AI-researchers, biomedical engineers, young experiential experts, and psychiatrists
AU - Horstkötter, Dorothee
AU - Kanne, Mariël
AU - Karbouniaris, Simona
AU - Lazrak, Noussair
AU - Bulgheroni, Maria
AU - Sheltawy, Ella
AU - Giani, Laura
AU - La Gamba, Margherita
AU - Ruiz Pujadas, Esmeralda
AU - Camacho, Marina
AU - Royle, Finty
AU - Baggetto, Irene
AU - Gülöksüz, Sinan
AU - Rutten, Bart
AU - van Os, Jim
N1 - Funding Information:
Work for this article has been funded by Horizon Europe, grant number 101057182.
Publisher Copyright:
© 2025 The Authors
PY - 2025/4/18
Y1 - 2025/4/18
N2 - This article explores the decision-making processes in the ongoing development of an AI-supported youth mental health app. Document analysis reveals decisions taken during the grant proposal and funding phase and reflects upon reasons why AI is incorporated in innovative youth mental health care. An innovative multilogue among the transdisciplinary team of researchers, covering ethicists, social scientists, AI-experts, biomedical engineers, young experts by experience, and psychiatrists points out which decisions are taken how. This covers i) the role of a biomedical and exposomic understanding of psychiatry as compared to a phenomenological and experiential perspective, ii) the impact and limits of AI-co-creation by young experts by experience and mental health experts, and iii) the different perspectives regarding the impact of AI on autonomy, empowerment and human relationships. The multilogue does not merely highlight different steps taken during human decision-making in AI-development, it also raises awareness about the many complexities, and sometimes contradictions, when engaging in transdisciplinary work, and it points towards ethical challenges of digitalized youth mental health care.
AB - This article explores the decision-making processes in the ongoing development of an AI-supported youth mental health app. Document analysis reveals decisions taken during the grant proposal and funding phase and reflects upon reasons why AI is incorporated in innovative youth mental health care. An innovative multilogue among the transdisciplinary team of researchers, covering ethicists, social scientists, AI-experts, biomedical engineers, young experts by experience, and psychiatrists points out which decisions are taken how. This covers i) the role of a biomedical and exposomic understanding of psychiatry as compared to a phenomenological and experiential perspective, ii) the impact and limits of AI-co-creation by young experts by experience and mental health experts, and iii) the different perspectives regarding the impact of AI on autonomy, empowerment and human relationships. The multilogue does not merely highlight different steps taken during human decision-making in AI-development, it also raises awareness about the many complexities, and sometimes contradictions, when engaging in transdisciplinary work, and it points towards ethical challenges of digitalized youth mental health care.
KW - AI-supported mental health care
KW - Artificial intelligence
KW - Autonomy
KW - Biomedicine
KW - Co-creation
KW - Digital mental health
KW - Epistemic pluralism
KW - Ethics
KW - EU-funding
KW - Expertise by experience
KW - Human-decision making
KW - Judicial regulations
KW - Multilogue
KW - Transdisciplinary development
KW - Youth mental health care
U2 - 10.1016/j.jrt.2025.100119
DO - 10.1016/j.jrt.2025.100119
M3 - Article
SN - 2666-6596
VL - 22
JO - Journal of Responsible Technology
JF - Journal of Responsible Technology
M1 - 100119
ER -