These findings are consistent with the qualitative evidence collected through Disrupting Harm. However, the findings from the qualitative interviews revealed impacts on children beyond negative mental health outcomes. Many children described experiencing fear, shame, anxiety, isolation, loss of trust and ongoing distress following technology-facilitated child sexual exploitation and abuse. For some children, these impacts appeared immediate, while others described longer-term effects on their relationships, well-being and sense of safety. Together, the quantitative and qualitative findings underscore that the consequences of technology-facilitated child sexual exploitation and abuse can extend well beyond the abusive incident itself, highlighting the importance of ensuring that children have timely access to trauma-informed mental health and psychosocial support alongside appropriate protection and justice responses. Differences in the magnitude of the adjusted risk ratios and mean differences should be interpreted with caution. Estimates are influenced not only by the underlying relationship between technology-facilitated child sexual exploitation and abuse and these indicators of harm, but also by differences in sample size, the prevalence of these outcomes within countries, and unknown co-variates, affecting the statistical precision. In countries where suicidal thoughts, self-harm and anxiety were relatively uncommon, confidence intervals are wider and effect estimates may appear inflated or more variable. As these analyses are based on cross-sectional survey data, they demonstrate associations rather than causal relationships. While the findings cannot establish that technology-facilitated child sexual exploitation and abuse caused poorer mental health outcomes, they consistently show that children reporting these forms of abuse were substantially more likely to report adverse well-being outcomes across diverse contexts. Through Children’s Eyes Appendix 94