Conversational generative artificial intelligence agents (or genAI chatbots) could benefit youth mental health, yet young people's perspectives remain underexplored. We examined the Mental health Intelligence Agent (Mia), a genAI chatbot originally designed for professionals in Australian youth services. Following co-design, 32 young people participated in online workshops exploring their perceptions of genAI chatbots in youth mental health and to develop recommendations for reconceptualising Mia for consumers and integrating it into services. Four themes were developed: (1) Humanising AI without dehumanising care, (2) I need to know what's under the hood, (3) Right tool, right place, right time?, and (4) Making it mine on safe ground. This study offers insights into young people's attitudes, needs, and requirements regarding genAI chatbots in youth mental health, with key implications for service integration. Additionally, by co-designing system requirements, this work informs the ethics, design, development, implementation, and governance of genAI chatbots in youth mental health contexts.

翻译：会话式生成人工智能代理（或生成式人工智能聊天机器人）有望促进青少年心理健康，然而青年人的观点仍未被充分探讨。我们研究了心理健康智能代理（Mia）——一款最初为澳大利亚青年服务专业人士设计的生成式人工智能聊天机器人。通过协同设计，32名青年参与了在线工作坊，探讨他们对生成式人工智能聊天机器人在青少年心理健康中的认知，并制定将Mia重新构想为面向消费者并整合至服务的建议。研究形成四个主题：（1）人性化人工智能而不去人性化关怀；（2）我需要了解其内部机制；（3）合适的工具，合适的地点，合适的时机？；（4）在安全的环境中使其为我所用。本研究提供了关于青年人对生成式人工智能聊天机器人在青少年心理健康中态度、需求和要求的洞见，对服务整合具有关键意义。此外，通过协同设计系统需求，本研究为生成式人工智能聊天机器人在青少年心理健康情境中的伦理、设计、开发、实施和治理提供了参考。