Internet scams have become more sophisticated and prevalent in countries such as Canada, the US, the UK, and Australia. Australia has made some progress in effective scam intervention strategies and seen possible growth in public awareness. However, there is a lack of insight into factors associated with profound shame and embarrassment, emotional distress such as anxiety and depression, and trauma and suicide in scam victims. To fill this gap, this perspective paper aimed to provide insight into the factors associated with the negative mental health impacts of internet scams by integrating a narrative literature review with a victim case study detailing a group’s experience of an investment scam in Australia. It found that internet scams cause emotional and social issues like depression, anxiety, trauma, and isolation, mostly prolonged upon substantial loss. The author’s insight into the intensely negative mental health impacts of an investment scam allows for the presentation of a group who struggled to access adequate support and mental health care in their response to insidious organized crime. Better education, resilience-building, and support systems are needed. These shortcomings call for strategies for tailored digital mental health services such as emotionally attuned, trauma-informed digital companionship through human-like artificial intelligence (AI) applications.