Artificial Intelligence in Mental Health Care: Implications for Psychiatric Mental Health Nursing-A Scoping Review.

IF 3.3
Euna Si, Ki Han Kwon
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Abstract

AI is increasingly being integrated into mental health support, with applications spanning chatbots, large language models, digital therapeutics and clinical decision-support systems. Although these technologies have demonstrated potential to improve access to care and support clinical practice, their implications for psychiatric mental health nursing (PMHN) remain insufficiently synthesized. This scoping review aimed to examine how AI is being applied in mental health care and to synthesize its implications for psychiatric mental health nursing practice and related nursing-relevant outcomes. A scoping review was conducted following established scoping review methodology and reported in accordance with the PRISMA Extension for Scoping Reviews (PRISMA-ScR). Searches were conducted across four databases for studies published between January 2022 and May 2026. A total of 42 sources of evidence met the inclusion criteria. Five overarching themes were identified: (1) AI-based psychosocial interventions and mental health care delivery; (2) suicide prevention and risk management; (3) therapeutic relationships and human-centred care; (4) ethics, safety and governance; and (5) nursing readiness, education and professional transformation. AI applications were associated with improved accessibility of mental health support, enhanced symptom management and more efficient risk assessment. However, concerns regarding privacy, algorithmic bias, transparency and the preservation of therapeutic relationships were consistently reported. AI demonstrates considerable potential to support care delivery, suicide prevention and clinical decision-making, yet raises important ethical, relational and professional challenges. AI should be viewed as a complementary tool that supports rather than replaces psychiatric mental health nursing practice. Educational programmes should strengthen AI literacy, digital ethics and critical appraisal skills to support safe and person-centred AI integration.

人工智能在精神卫生保健中的应用:对精神病学精神卫生护理的影响——范围综述。
人工智能正越来越多地融入到心理健康支持中,其应用涵盖聊天机器人、大型语言模型、数字治疗和临床决策支持系统。尽管这些技术已经显示出改善获得护理和支持临床实践的潜力,但它们对精神病学心理健康护理(PMHN)的影响仍然没有得到充分的综合。本综述旨在研究人工智能如何应用于精神卫生保健,并综合其对精神卫生护理实践和相关护理相关结果的影响。根据既定的范围审查方法进行范围审查,并根据PRISMA范围审查扩展(PRISMA- scr)进行报告。在四个数据库中搜索了2022年1月至2026年5月期间发表的研究。共有42个证据来源符合纳入标准。确定了五个总体主题:(1)基于人工智能的社会心理干预和精神卫生保健服务;(2)自杀预防和风险管理;(3)治疗关系和以人为本的护理;(4)道德、安全、治理;(5)护理准备、教育与专业转化。人工智能应用与改善心理健康支持的可及性、加强症状管理和更有效的风险评估有关。然而,关于隐私、算法偏见、透明度和治疗关系保存的担忧一直被报道。人工智能在支持护理提供、自杀预防和临床决策方面显示出相当大的潜力,但也带来了重要的伦理、关系和专业挑战。人工智能应被视为一种辅助工具,支持而不是取代精神科心理健康护理实践。教育项目应加强人工智能素养、数字伦理和批判性评估技能,以支持安全和以人为本的人工智能整合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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