JMIR Publications

ABSTRACT

Background:

Digital games are increasingly influential in shaping public perceptions of mental health due to their interactive and narrative nature. While serious games designed for therapeutic use have been studied, less is known about how mental health challenges are portrayed in mainstream video games for leisure and the impact of these portrayals on players.

Objective:

This scoping review aims to explore how mental health challenges are represented in contemporary video games for leisure, with specific attention to the role of game design, depictions of coping mechanisms, recovery and intervention, and potential impacts on players and public perception.

Methods:

The review follows the PRISMA-ScR methodology and applies the Population–Concept–Context (PCC) framework. A comprehensive literature search was conducted across six databases (PubMed, Scopus, ProQuest, ERIC, IEEE, Web of Science) in July 2024. Eligible studies include peer-reviewed original research on the portrayal of mental health in mainstream digital games. Screening and data extraction were conducted independently by two reviewers using Rayyan and NVivo. Data synthesis will be narrative, focusing on themes of representation, game mechanics, recovery, and audience impact.

Results:

This is a protocol. Results will map the scope and nature of mental health portrayals in video games, identify thematic and design patterns, and summarize how scholars conceptualize the intersection of gameplay and mental health representation.

Conclusions:

By systematically mapping current literature, this review will contribute to a deeper understanding of how mental health is depicted in mainstream games and highlight areas for future research, including ethical considerations and opportunities for more informed, empathetic, and responsible game design. Clinical Trial: Registration: This protocol has not yet been registered. Registration (e.g., PROSPERO) is being considered.