Management of non-consensually shared youth-produced sexual images: A Delphi study with adolescents as experts

Abstract Background
There is an increased availability of online child abuse images, a proportion of which is created by young people in coercive and non- coercive relationships (sexting).

Objectives
This Delphi study with adolescents as "experts" who had taken and shared sexual images, was conducted to identify appropriate responses to sexting where images are shared without consent and identify indicators of distress and ways to facilitate disclosure when the sharing of images causes anxiety or is associated with further victimization.

Participants and setting
124 adolescents from the United Kingdom completed an online survey. All self-identified as taking and sharing sexual images of themselves. 45 provided full survey responses (73% female; mean age 16.24) and of these 23 completed the second round. Recruitment was through social media and local schools.

Methods
An online two-round Delphi method was completed using a vignettes-based questionnaire. To assess consensus, a defined average percentage agreement (80% cut-off) was used. Qualitative content analysis identified relevant themes in responses to Round 1 which informed the Round 2 items.

Results
In the first round 60 items were identified that endorsed views of problem identification, facilitation of disclosure, proportionate responding, and problem management. Overall, participants agreed that the clear majority of statements identified in Round 2 were important and thus achieved consensus.