Methods: This cross-sectional study recruited college students aged 19 to 24 across South Korea to ensure the representativeness of the samples. The study was conducted through an online survey from November 2025 to December 2025. For analysis, 514 participants completed the survey. This study used latent profile analysis to identify distinct patterns based on psychological vulnerabilities such as depression, anxiety, and stress, and available coping resources, such as problem-solving ability and social support. Binary logistic regression analysis was conducted to examine the effects of the identified latent profiles on the participants’ utilization of AI counseling. Setting the latent profile groups as independent variables, with the lowest vulnerability group set at the reference group, allowed comparison of moderate and high vulnerability groups’ relative likelihood of using AI counseling.
Results: Among the 514 participants, 259 (50.4%) were male and 255 (49.6%) were female. The mean age was 21.51 (SD=1.55). A total of 270 participants (52.5%) reported having used AI for psychological counseling within the past six months; 244 (47.5%) reported that they had not. Binary logistic regression analysis showed that the model was statistically significant (χ²=18.612, p=.017), and the Hosmer–Lemeshow test was non-significant (p=.347), which indicates a good model fit. The results show that compared to the low vulnerability group with low psychological vulnerabilities and high coping resources, the moderate vulnerability group and high vulnerability group were 1.51 times (B=.41, p<.05) and 2.62 times (B=.96, p<.001), more likely to use AI-based counseling, respectively.
Conclusion and Implications: These findings suggest that college students with the highest levels of psychological vulnerabilities and lower coping resources, had a greater need for psychological support and were therefore more likely to take advantage of AI-based counseling. This result indicates that AI counseling may serve as a supplementary pathway for early help-seeking, particularly among college students with limited access to traditional mental health services. These findings suggest that clinical social workers should assess college students’ psychological vulnerabilities and guide the safe, ethical, and tailored use of AI-based counseling while also providing traditional mental health services for students at elevated risk of mental vulnerability.
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