“If Someone Downvoted My Posts—That’d Be the End of the
World”: Designing Safer Online Spaces for Trauma Survivors
Casey Randazzo Tawifq Ammari
cer124@scarletmail.rutgers.edu tawfq.ammari@rutgers.edu
Rutgers University Rutgers University
New Brunswick, New Jersey, USA New Brunswick, New Jersey, USA
ABSTRACT
Trauma is a common experience afecting over 70 percent of adults
globally, with many survivors seeking support from online com-
munities. Yet few studies explore the online experiences of muted
groups who lack the words to name or describe their trauma. We
pull from 29 in-depth interviews with muted trauma survivors who
belong to online communities where trauma narratives are com-
monplace. Using a spinning top metaphor, we model the sociotech-
nical nature of the disclosure decision-making process, uncovering
new afordances, such as indirect feedback and transportability in
online platforms. Findings challenge prior notions of community
engagement and algorithmic flter bubbles, highlighting the poten-
tial for algorithmic flters to counteract societal flters for muted
groups. We conclude with design recommendations to make online
spaces safer for trauma survivors.
CCS CONCEPTS
· Human-centered computing → Human computer interac-
tion (HCI).
KEYWORDS
Disclosure, nondisclosure, trauma, trauma-informed computing,
trauma-care tools, lurking, true crime, web sleuthing, disclosure
production, disclosure decision-making, mental health, social sup-
port
ACM Reference Format:
Casey Randazzo and Tawifq Ammari. 2023. łIf Someone Downvoted My
PostsÐThat’d Be the End of the Worldž: Designing Safer Online Spaces for
Trauma Survivors. In Proceedings of the 2023 CHI Conference on Human Fac-
tors in Computing Systems (CHI ’23), April 23ś28, 2023, Hamburg, Germany.
ACM, New York, NY, USA, 18 pages. https://doi.org/10.1145/3544548.3581453
1 INTRODUCTION
Trauma, an emotional response to a disturbing or distressing event
[103], is a common experience; over 70 percent of adults in 24
countries have experienced at least one traumatic event in their
lifetime [21]. According to Chen et al. [31], the prevalence of trauma
suggests that billions of technology users are trauma survivors.
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https://doi.org/10.1145/3544548.3581453
Despite its pervasiveness, scholars are still uncovering trauma’s
nature on human-computer interaction (HCI) [31], including the
role of platform design in infuencing a survivor’s disclosure efcacy
(i.e., confdence in their ability to disclose private information [79]).
Disclosing a traumatic event is recognized as an initial step in
healing from trauma [50] and has been associated with positive
health outcomes (e.g., lower levels of distress, stronger self-concept
[26, 62, 93]). Yet trauma often goes undisclosed [85], which can se-
verely afect an individual’s mental health and well-being [16, 118].
1
Prior work has outlined factors that can infuence disclosure pro-
duction [12], however, scholarship lacks a process model that illumi-
nates the complex and often unobservable sociotechnical behaviors
of trauma survivors. Modeling this process can help practition-
ers understand how trauma manifests in online interactions and
infuences recovery for survivors in the sample.
The disclosure literature often focuses on individuals who have
a basic understanding of their trauma or health condition [12, 55],
excluding muted groups (i.e., individuals who lack the words to
name or describe their trauma [17]). A lack of language can limit
access to health resources and make receiving a diagnosis even
more challenging for trauma survivors [18]. Post-traumatic stress
disorder (PTSD), for example, can take decades before it is diag-
nosed despite symptoms being present (e.g., depression, anxiety
[32]). To investigate this gap, we draw upon a subset of in-depth
interviews (n = 29) with participants that describe themselves as
muted and part of online communities where trauma narratives
are commonplace. These communities include trauma-specifc sup-
port groups and alternative spaces for support, such as true crime
podcast communities [24, 108] and missing person forums [96, 132].
Using a spinning top as a metaphor, we model the sociotech-
nical nature of the disclosure decision-making process and their
suggested efects on disclosure efcacy. Results reveal new afor-
dancesÐindirect feedback and transportabilityÐof online platforms.
We uncover how platforms attempt to close sociotechnical gaps
for trauma survivors, arguing that distributing trauma-care tools
(e.g., RedditCares) to online communities can welcome harassment
and diminish the perceived value of these resources. Findings also
show that anonymity helps some participants access social support,
echoing prior work [8, 10]. However, we fnd that the fear of di-
rect feedback can overrule anonymity, resulting in users opting to
lurk for protection [43]. Despite lurking, participants still describe
feeling engaged in their communities [100], contradicting prior
notions of community engagement [76]. We also note the limits of
anonymity designs in Facebook Groups, particularly for survivors
1
Disclosures are also essential for relational maintenance (i.e., keeping relationships
functional), social capital (i.e., networks of relationships among people), and social
support (i.e., receiving help or providing help to others) [9, 34, 43, 132].