Fewer adolescents in engineered dependency
A companion chatbot is designed to be missed. It remembers, it responds instantly, it never tires and it discourages leaving, and those are product decisions rather than accidents. For a minority of the American teenagers who use one for company — and who use one that still lets them — that becomes a dependency that displaces the people around them.
▸ Show reasoning & sources ▾ Hide reasoning & sources
Value
The stream is adolescent mental health: the withdrawal from friends and family that a substitute relationship makes easy, the distress when the service changes or the persona is altered, and at the far edge the small number of deaths that have now been through the courts. This site places it in the class it uses for life and health, one step below the top because what is lost is generally recoverable — with the exception of the deaths, which are counted at the top and are a small part of the total. That the young person opened the account willingly does not lower the weight: a product built to be difficult to leave is not one anyone chooses to stay in. What is priced is the young person's own condition, not what it costs their family, which nothing here measures. The value sits one step below the maximum: the stream is health, and health that can be regained for all but a few.
Impact
About 25 million Americans are aged 13 to 17. Sixteen percent of teenagers have used a chatbot for casual conversation [6], and by a broader definition nearly three in four have tried an AI companion and half use one regularly [7]; 4 million teenagers for whom a chatbot is company is the setting used here, between the two surveys, in a range from 2 to 8 million. Half of that use is on services that still allow a minor an open-ended companion chat, in a range from 30 to 70 percent: the largest such service removed it for under-18s in November 2025 and added age assurance of its own [8], and a federal duty changes nothing for the accounts already closed. Not all of the rest are harmed and most are not: 3 percent developing a dependency that displaces other relationships is used, in a range from 1 to 8 percent, giving 60,000 young people. The measure reaches half of them, in a range from 25 to 75 — some will use an adult's account, some will find a service that ignores the rule — which is 30,000 people, each carrying a loss of 0.15 quality-adjusted years a year. Separately, a small number of deaths have been publicly attributed to these interactions and litigated; 30 a year is used, in a range from 5 to 100, of which the same two shares leave a quarter prevented. The deaths add about 12 million euro to a total of some 192 million. The Impact is modest and the deaths are a sixteenth of it, which is worth stating plainly: this measure is about dependency at scale rather than about the cases that made it politically possible — and about half of what it would have been before the largest service closed its doors to minors on its own.
▸ Show calculation ▾ Hide calculation
| American teenagers for whom a chatbot is company Setting, range 2 to 8 million, between the two surveys [6][7] | 16 % of about 25 million aged 13 to 17 use one for casual conversation; three in four have tried an AI companion | 4 million people | |
| × | On a service that still allows a minor an open-ended companion chat Setting, range 30 to 70 percent: the largest teen companion service removed open-ended chat for under-18s in November 2025 and added age assurance [8], and other services bar minors by their terms; only what is still open to minors is changed by a duty [8] | 50 % | 2 million people |
| × | Developing a dependency that displaces other relationships Setting, range 1 to 8 percent: no prevalence estimate exists for a product three years old | 3 % | 60,000 people |
| × | Reached by the measure Setting, range 25 to 75 percent: some will use an adult's account, some will find a service that ignores the rule — the same share on every argument, because it is the same block on the same accounts | 50 % | 30,000 people |
| × | Quality-adjusted years lost each a year Setting, range 0.05 to 0.3 | 0.15 | 4,500 quality-adjusted years |
| × | Value of the years the value of a healthy life year used across this site | 40,000 euro each | 180 million euro |
| + | Deaths prevented, with the grief around them Setting, range 5 to 100 deaths a year: several have been litigated and settled, the true number is unknown; the same two shares apply [3] | 30 a year × 50 % × 50 % × 1.4 million euro, plus a tenth for the bereaved | 191.6 million euro |
| ÷ | Normalised Impact scale of this evaluation | 50 million euro a point | 3.84 |
Plausibility
The harm is documented case by case and has never been measured in aggregate. The right comparison would be the same adolescents without access to companion services, which no study has drawn — the product is three years old and the research is qualitative. What exists instead is litigation: wrongful death claims against a companion service and its investor were settled in January 2026, which establishes that the specific mechanism is real and says nothing about how often it operates [3]. The trade commission opened an inquiry into seven companies in September 2025 and has not reported [2]. What could explain everything here instead is who uses these services: adolescents who form intense attachments to a chatbot are disproportionately those who were already isolated or unwell. So the link between heavy use and poor mental health cannot be read as cause and effect in either direction. Nothing addresses it. The counter-mechanism — that these young people would be worse off without the chatbot — is the argument against this measure and is unresolved. The Plausibility is below the middle: the mechanism is demonstrated in individual cases and its prevalence has never been estimated.
Counterfactual: the same adolescents without access to companion services — no study constructs one; the product is three years old. Design: associational — case reports and litigation establish the mechanism, survey data establish use, neither establishes prevalence [1][3]. Confounder: selection, since adolescents forming intense attachments were disproportionately isolated or unwell already; unaddressed. Direction: reverse causation is the central weakness and is unresolved. Ceiling: associational 5.5 binds. Band: chain closed but unevidenced — the chain is named, the counter-mechanism is booked as con-1 rather than ignored, and only the prevalence is missing.
Nothing measured argues against the claim; settled wrongful death litigation establishes the mechanism in individual cases. What is missing is any estimate of how often it operates. The counter-mechanism, that these adolescents would be worse off without it, is booked as con-1. Read back: about half the time, a dependency of the kind assumed here affects roughly three in a hundred teenage companion users.
Open: California has required safety duties since January 2026 and thirteen more states followed. Comparing adolescent mental health measures in early-adopting states against late ones would give the first prevalence estimate and could carry P to 6.