Emotion AI Use in U.S. Mental Healthcare: Potentially Unjust and Techno-Solutionist

Emotion AI, or AI that claims to infer emotional states from various data sources, is increasingly deployed in myriad contexts, including mental healthcare. While emotion AI is celebrated for its potential to improve care and diagnosis, we know little about the perceptions of data subjects most directly impacted by its integration into mental healthcare. In this paper, we qualitatively analyzed U.S. adults' open-ended survey responses (n = 395) to examine their perceptions of emotion AI use in mental healthcare and its potential impacts on them as data subjects. We identify various perceived impacts of emotion AI use in mental healthcare concerning 1) mental healthcare provisions; 2) data subjects' voices; 3) monitoring data subjects for potential harm; and 4) involved parties' understandings and uses of mental health inferences. Participants' remarks highlight ways emotion AI could address existing challenges data subjects may face by 1) improving mental healthcare assessments, diagnoses, and treatments; 2) facilitating data subjects' mental health information disclosures; 3) identifying potential data subject self-harm or harm posed to others; and 4) increasing involved parties' understanding of mental health. However, participants also described their perceptions of potential negative impacts of emotion AI use on data subjects such as 1) increasing inaccurate and biased assessments, diagnoses, and treatments; 2) reducing or removing data subjects' voices and interactions with providers in mental healthcare processes; 3) inaccurately identifying potential data subject self-harm or harm posed to others with negative implications for wellbeing; and 4) involved parties misusing emotion AI inferences with consequences to (quality) mental healthcare access and data subjects' privacy. We discuss how our findings suggest that emotion AI use in mental healthcare is an insufficient techno-solution that may exacerbate various mental healthcare challenges with implications for potential distributive, procedural, and interactional injustices and potentially disparate impacts on marginalized groups.