A Qualitative Study of a WeChat Support Prototype for Survivors of Child Sexual Abuse in China

Purpose: Using survivor and family perspectives, this study identified priorities for an artificial intelligence (AI)-assisted WeChat prototype for child sexual abuse survivors in China. Methods: Twenty-three studies informed nine support domains. Twenty stakeholders discussed an initial prototype across two sessions; four adult survivors and two family members were interviewed after using a revised prototype. Qualitative data underwent thematic analysis. Results: Survivors valued gradual engagement and anonymous expression without immediate trauma disclosure. Named offline services conveyed professional backing, while acceptance of AI remained selective. AI dialogue was viewed as an option when approaching others felt difficult, with reservations about sensitive disclosure and automated medical judgment. Family members valued communication guidance; stakeholders emphasized moderation and clear referral responsibilities. Discussion: The findings suggest that digital support should preserve survivors’ choice over disclosure and connect them with identifiable human services. AI may support the first approach to care; clinical effectiveness and safety require further evaluation.