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The current work examined mental health in a large sample of UK CSAM investigators (<jats:italic>N<\/jats:italic>\u2009=\u2009661). Results suggest substantially elevated rates of depression and anxiety but not posttraumatic stress disorder (PTSD). Feeling successful and supported powerfully buffered against negative outcomes, whereas moral injury\u2014particularly feelings of institutional betrayal\u2014predicted worse outcomes. Although exposure to CSAM and contact with victims predicted worse outcomes, these effects were much smaller. Regarding coping styles, self\u2010blame, rumination, catastrophizing, withdrawal, ignoring, and negative religious coping predicted worse outcomes, whereas positive refocusing, seeking distraction, and social support were effective. These results held controlling for demographics. 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