Child Maltreatment Disclosure to a Text Messaging-Based Crisis Service: Content Analysis

• Published in: JMIR mHealth and uHealth Vol. 7; no. 3; p. e11306
• Main Authors: Schwab-Reese, Laura, Kanuri, Nitya, Cash, Scottye
• Format: Journal Article
• Language: English
• Published: Canada JMIR Publications 25.03.2019
• Subjects: Adolescent; Child; Child Abuse - diagnosis; Child Abuse - psychology; Crime Victims - psychology; Crisis Intervention - instrumentation; Crisis Intervention - methods; Crisis Intervention - standards; Female; Humans; Male; Mandatory Reporting; Original Paper; Text Messaging - instrumentation; Text Messaging - standards; Text Messaging - statistics & numerical data; Truth Disclosure; SMS; child maltreatment; disclosure; text message
• ISSN: 2291-5222; 2291-5222
• DOI: 10.2196/11306

Disclosure is a difficult but important process for victims of child maltreatment. There is limited research on child maltreatment disclosure. Young people have been reluctant to disclose victimization to adults, but short message service (SMS) crisis services may represent one novel method of engaging young people around sensitive topics. The purpose of this study was to determine characteristics of child maltreatment disclosure to an SMS-based crisis service. We conducted a content analysis of all conversations (N=244) that resulted in a mandatory report by an SMS-based crisis service between October 2015 and July 2017. We coded characteristics of the disclosure process, including the reason for initial contact, phrase used to disclose abuse, perpetrator, type of abuse, and length of victimization. After identifying terms used by young people to disclose child abuse, we randomly selected and analyzed 50 conversations using those terms to determine if use of the terms differed between conversations that did and did not result in mandatory report. Parents were the most common perpetrator. Physical abuse was the most common form of abuse discussed in the initial abuse disclosure (106/244, 43.4%), followed by psychological abuse (83/244, 34.0%), sexual abuse (38/244, 15.6%), and neglect (15/244, 6.1%). More than half of the texters discussed abuse or other significant family issues in the first message. An explicit description of the experience or definite language, such as abuse, rape, and molested, was common in disclosures. Early disclosure, combined with explicit language, may suggest at least a portion of young victims are actively seeking safe ways to talk about their experiences with abuse, rather than incidentally sharing experiences while seeking support for other issues. SMS text messaging may be a valuable way to engage with young people around sensitive topics, but these approaches will require careful consideration in their development, implementation, and evaluation to ensure a positive experience for young people.