1 online resource (vi, 98 pages) : chartsIncludes abstract.Includes bibliographical references (pages 83-98).This study examines the child sexual abuse perpetration prevention program Talking for
Change, which offers an anonymous digital helpline for users to connect with clinicians and
receive support. Chats (n = 189) between clinicians and those concerned about their sexual
interest in children or risk of offending were coded using content analysis to explore how users engage with the digital helpline and what resources clinicians provide. Users were concerned about their thoughts, feelings, or arousal in most chats (67.7%), followed by concern about child sexual exploitation material (CSEM) use (39.2%), and risk of contact offending (15.9%). Users contacted the helpline for support, resources, and information about their interests. Mental health concerns and negative emotional states (e.g., shame) were present. Help-seekers were dedicated to living an offence-free lifestyle, although CSEM use was a concern. Clinicians provided resources, managed high-risk situations, and explained ethical and legal obligations. Overall, users expressed satisfaction with the helpline
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