Digital Transformation and Adolescent Mental Health: Rethinking School-Based Counseling Systems in Vietnamese High Schools

The intensification of academic competition and digital immersion has heightened psychosocial vulnerability among adolescents in contemporary educational contexts. This study investigates the prevalence of psychosocial stressors and evaluates the institutional readiness of school-based counseling services in Vietnamese high schools. A convergent parallel mixed-methods design was implemented in four public high schools in Long Xuyen city, An Giang Province. Quantitative data from 528 students measured academic stress, digital stress exposure, emotional distress, help-seeking intention, and perceived necessity of counseling (Cronbach’s α = .87). Qualitative data were obtained through 16 student focus groups, 48 semi-structured interviews with teachers and administrators, non-participant observations, and document analysis. Results reveal substantial psychosocial strain: 76% of students reported moderate-to-high academic stress, 64% experienced examination-related anxiety, 58% reported online comparison stress, and 41% indicated exposure to cyberbullying. Digital stress exposure demonstrated a significant positive association with anxiety symptoms (r = .52, p