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Understanding why youth do not disclose image-based sexual abuse is critical for developing effective prevention and intervention strategies. This paper examined the reasons youth do not disclose image-based sexual abuse incidents and identified incident- and person-level characteristics associated with different nondisclosure motives. Participants were recruited online to this US-based cross-sectional study between June 28, 2023, and April 1, 2024, using social media advertisements targeting individuals aged 18\u201328. A total of 6204 individuals completed the survey; 2854 (46.0%) reported experiencing image-based sexual abuse before age 18. The analytic sample included 2522 incidents reported by 1551 participants\u00a0that were not disclosed. The most frequently cited reasons for nondisclosure were fear of getting in trouble with family (53.9%), embarrassment (52.9%), and the belief that they could handle the incident alone (45.2%). Reasons varied by image-based sexual abuse\u00a0subtype. Longer incident duration\u00a0and explicit content were related to fear of getting into trouble with their family or the police, and having\u00a0multiple people responsible was related to many reasons for nondisclosure (i.e., fear of getting in trouble, fear the person would find out, embarrassment, and feeling like no\u00a0one could help)\u00a0,. Female participants and sexual\/gender minority youth were more likely to\u00a0report barriers\u00a0specific to fear and shame. Prior victimization was associated with a greater belief that no one could help\u00a0and fear of getting in trouble or the person finding out. Prevention should address common fears, challenge stigma and self-blame, and ensure youth have access to trusted adults and non-punitive disclosure options. These findings support clinical efforts to reduce barriers and promote safe disclosure pathways for these survivors.<\/jats:p>","DOI":"10.1007\/s11121-025-01853-4","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T17:23:46Z","timestamp":1763141026000},"page":"1157-1168","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Image-Based Sexual Abuse: Characteristics Linked to Different Reasons Why Youth Decide Not to Disclose"],"prefix":"10.1007","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-1637","authenticated-orcid":false,"given":"Kimberly J.","family":"Mitchell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ateret","family":"Gewirtz-Meydan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"O\u2019Brien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deirdre","family":"Colburn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"issue":"1","key":"1853_CR1","first-page":"32","volume":"19","author":"R Alaggia","year":"2010","unstructured":"Alaggia, R. 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