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Technology-facilitated sexual violence (TFSV) is a ubiquitous societal problem with negative health consequences. Child and Adolescent Psychiatric (CAP) patients are burdened with more violence exposure than other groups, but more work is needed to chart their exposure to TFSV specifically and to understand how it relates to their mental health. In this study, we aimed to investigate the occurrence of unwanted online sexual solicitation (UOSS) in a young Swedish psychiatric sample. We also aimed to measure the associations between psychiatric symptoms and exposure to UOSS, offline sexual harassment, cyberbullying, and offline bullying. We also aimed to analyze possible differences between boys and girls. Our results show a high occurrence of UOSS (48.61%), which is higher than in the general population. UOSS was significantly higher among girls (57.31%) than boys (20.59%), but boys in the CAP group were burdened with more UOSS victimization than boys in general. Co-occurrence of UOSS with other types of offline and online harassment was substantial. UOSS, together with age and offline sexual harassment, predicted anxiety and depressive symptoms among both girls and boys. UOSS also showed a significant interaction effect with gender, suggesting that boys exposed to UOSS suffer higher levels of anxiety and depressive symptoms than girls exposed to UOSS. Preventing and treating mental health difficulties needs to consider contextual circumstances such as exposure to sexual violence online.

Background: Poly-victimization research has shown the cumulative detrimental effects of violence exposure on mental health. Latent Class Analysis (LCA) of victimization is a growing research field uncovering specific combinations of violence exposures particularly negative to mental health. Despite a growing concern of technology-facilitated violence (TFSV), it is scarcely included in LCA studies.

Objectives: Investigating victimization typologies that includes technology facilitated sexual violence.

Participants and setting: Cross-sectional survey data from a representative sample of Swedish young people in the age range of 16–23 (N = 3243, mean age = 18.20, SD = 0.61).

Methods: A Latent Class Analysis was conducted using the package PoLCA in R. A model with three classes was deemed to best fit the data.

Results: Class 1 (sexual polyvictimization, 10.1 %) had high probabilities of all forms of sexual violence including TFSV and the highest proportion of psychiatric diagnosis (45.2 %). This class consisted of mostly girls. Class 2 (child abuse polyvictimization,14.8 %) was characterized by high probabilities of physical and psychological child abuse and had an even gender distribution. 30.6 % of this class endorsed having a psychiatric diagnosis. Class 3 (75.1 %) was a low victimization/normative subgroup with an even gender distribution and a low (12.8 %) frequency of psychiatric diagnosis. Class 1 exhibited the highest levels of psychiatric symptoms.

Conclusions: Prevention efforts targeted against TFSV should consider the whole web of violence that some young people are situated in. Since TFSV seems to be connected to psychiatric symptoms and diagnosis, Child- and Adolescent Psychiatric services should pay more attention to this type of violence among their young patients.

Research about online sexual violence (OSV) is needed to be able to better meet the needs of girls in psychiatric care. The objectives of this study are to explore experiences of online sexual violence among young female psychiatric service users. Interviews with nine girls with psychiatric care needs were analyzed with thematic analysis. The findings are summarized in four themes which contribute to the notion that online sexual violence is only one, albeit important, part of a more complex picture of violence among young girls in psychiatric care. The girls’ narratives are shaped by, as well as reproducing gender norms.

Technology-facilitated sexual violence (TFSV) is an emerging concern in child and adolescent mental health. This article presents an analysis of how child and adolescent psychiatric professionals conceptualize the phenomenon of TFSV in relation to their clinical practice with patients exposed to this type of violence. Through Reflexive Thematic Analysis, we constructed the overarching theme: Violence as an Individual Concern. Our findings are analyzed through the lens of psychiatrization—a societal process that extends the influence of psychiatry, making social issues into psychiatric problems. This research provides critical insights into how the medicalization of TFSV may inadvertently individualize this broader societal issue.