Evidence map›Paper›PMID 42574242›Full record

ArticleJMIR human factors2026

Designing a Trauma-Informed Safety by Design Framework for Nonconsensual Intimate Image Removal Platforms: A 2-Phase Sequential Exploratory Study.

Ji-Yeon Lee, Yejun Koh

Abstract read
In one paragraph

Article in JMIR human factors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Ji-Yeon LeeDepartment of Counseling-UX Psychology, Hankuk University of Foreign Studies, 107 Imun-ro, Seoul, 02450, Republic of Korea, 82-2-2173-3086.ORCID 0000-0003-3728-9808
Yejun KohDepartment of Counseling-UX Psychology, Hankuk University of Foreign Studies, 107 Imun-ro, Seoul, 02450, Republic of Korea, 82-2-2173-3086.ORCID 0009-0006-3311-3513

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Removal platforms for nonconsensual intimate images (NCIIs) are essential, as they have become the recourse for victims of such abuse; yet their interfaces are not designed around the cognitive and emotional realities of trauma. Safety by Design directs platforms to protect vulnerable users but not how; trauma-informed care defines what that protection requires, while usability heuristics keep interfaces usable but are not themselves trauma-sensitive. However, no framework integrates them into design guidance that is both usable and protective for NCII removal platforms. Objective: This study develops trauma-informed design, a cohesive framework that integrates trauma-informed care with established usability heuristics under Safety by Design, so that NCII removal platforms protect trauma-affected users while remaining realistically usable; a preliminary, domain-informed evaluation provides initial supporting evidence. Methods: We used a 2-phase sequential exploratory design, drawing on a globally accessible NCII removal platform as an illustrative case. Phase 1 developed trauma-differentiated personas and mapped each persona's user journey to surface pain points that varied by level of trauma. Phase 2 analyzed a focus group of 8 female Counseling-UX (User Experience) Psychology students who had completed coursework in user psychological safety with consensual qualitative research methodology. Participants assessed the plausibility of the personas and the proposed framework with respect to perceived emotional safety and perceived usability. Results: Mapping each persona's journey surfaced pain points that differed by level of trauma, which were synthesized into a 6-guideline trauma-informed design framework: emotional scaffolding, process transparency, self-pacing mechanisms, institutional trust signals, context-aware support, and grounding tools. In phase 2, domain-informed evaluators judged the personas plausible, and the framework directions emotionally safer, and potentially more usable. Conclusions: Integrating trauma principles into user experience evaluation can help identify and address psychological barriers in NCII removal platforms. The framework provides the preliminary, domain-informed foundation that trauma-sensitive design of such platforms requires. Because the framework was not tested with NCII victim-survivors or users actively seeking image-removal support, findings represent preliminary plausibility and acceptability evidence rather than ecological validation or real-world effectiveness.

Indexed as

Crime VictimsAdultFemaleHumansconsentnonconsensual intimate imagesonline safetypersonaSafety by Designtraumatrauma-informed design

Identifiers

PMID42574242
PMCPMC13455849

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.