Table A20: Adjusted risk ratios for the association between technology-facilitated child sexual exploitation and abuse and suicidal thoughts and behaviours and self-harm, by country (2020–2025). Suicidal thoughts or behaviours Acts of self-harm Country Effect Size [CI] Effect Size [CI] Armenia 5.15 [3.58, 7.42] *** 13.24 [6.1, 28.74]*** Brazil 2.39 [1.83, 3.11]*** 4.13 [2.65, 6.43]*** Cambodia 4.67 [3.37, 6.48]*** 3.45 [2.13, 5.58]*** Colombia 2.64 [1.96, 3.55]*** 2.65 [1.46, 4.83]** Dominican Republic 2.32 [1.71, 3.16]*** 1.98 [1.04, 3.75]* Ethiopia 2.2 [1.72, 2.81]*** 1.66 [1.03, 2.66]* Indonesia 4.93 [3.05, 7.96]*** 4.38 [1.82, 10.56]** Kenya 2.22 [1.9, 2.6]*** 2.29 [1.82, 2.87]*** Malaysia 8.38 [4.87, 14.42]*** 13.08 [4.94, 34.63]*** Mexico 8.95 [5.42, 14.75]*** 12.5 [5.74, 27.2]*** Montenegro 5.3 [2.36, 11.9]*** 8.46 [2.3, 31.11]** Mozambique 3.08 [2.38, 3.97]*** 2.94 [1.88, 4.61]*** Namibia 2.57 [1.85, 3.58]*** 2.52 [1.7, 3.75]*** North Macedonia 8.64 [2.85, 26.19]*** 9.43 [3.25, 27.41]*** Pakistan 13.63 [6.3, 29.49]*** 8.46 [3.71, 19.32]*** Philippines 2.75 [2.13, 3.55]*** 3.31 [1.93, 5.66]*** Serbia 1.57 [0.73, 3.38] 92.35 [9.65, 883.53]*** Tanzania 3.81 [2.59, 5.6]*** 3.32 [2.06, 5.35]*** Thailand 15.17 [8.51, 27.03]*** 23.15 [10.13, 52.89]*** Uganda 1.52 [1.33, 1.75]*** 1.81 [1.46, 2.25]*** Viet Nam 6.45 [3.6, 11.57]*** 6.34 [2.6, 15.45]*** Average 5.2 10.5 Median 3.81 4.13 Key: * = p<.05; ** = p<0.01; *** = p<0.001 Through Children’s Eyes Appendix 92