Self-harm: The study assessed self-harm tendencies by asking: “In the past year, have you hurt
yourself on purpose in any way?” Participants could answer: “No” or “Yes”, and the dichotomous
response was used for analysis.
Suicidal thoughts and behaviours: The study assessed suicidal thoughts or behaviours by using
a truncated version of the Paykel (1974) Suicide Scale. Participants were asked: “Have any of the
following happened in the past year?” followed by four response options including:
• Have you felt like life was not worth living?
• Have you thought of taking your life, even if you would not really do it?
• Have you reached the point where you seriously considered taking your life or perhaps made
plans how you would go about doing it?
• Have you made an attempt to take your life?
Participants could answer: “No” or “Yes” to each response option. A binary variable (“Yes”/”No”) was
created where a participant counted as “Yes” if responded in the affirmative to at least one of the
four response options above. These questions were self-completed to ensure respondent privacy
but they were referred to available support services near them if they responded yes to any of the
above items.
Analysis approach: Associations between technology-facilitated child sexual exploitation and
abuse and well-being indicators were examined using survey-weighted regression models,
accounting for the complex survey design and sampling weights. Models were adjusted for child
age and gender.
For binary well-being outcomes, including self-harm and suicidal thoughts or behaviours,
prevalence ratios were estimated using survey-weighted Poisson regression models with a log
link and robust variance estimation. Results are presented as risk ratios (RRs) with 95 per cent
confidence intervals.
For continuous outcomes, including anxiety scores, survey-weighted linear regression models
were used. Results are presented as percentage changes in the standardized outcome score.
Through Children’s Eyes
Appendix
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