Occupational risks in online content moderation

Content moderation can involve repeated exposure to disturbing material alongside pressure over review volumes and time.

In brief

Prevent harm through exposure controls, tools and work organisation.

Contents
  1. Exposure built into the task
  2. What the evidence can show
  3. Design usable barriers
  4. Support does not replace prevention
  5. Related concepts
  6. References

A–Z dictionary →

Exposure built into the task

Reviewing user-generated content can involve repeated contact with violence, abuse and other disturbing material. Exposure remains part of the job when it occurs through a screen rather than at a physical incident. Its intensity depends on the material, frequency and conditions under which reviews take place.

Compassion fatigue and secondary trauma help explain part of the concern, but should not be treated as automatic diagnoses. The work may also combine strict deadlines, ambiguous decisions and little control over assigned queues or the pace of incoming material.

What the evidence can show

A qualitative study by Spence and colleagues interviewed eleven commercial moderators exposed to particularly harmful material. Participants described intrusive experiences, avoidance and emotional changes. The study’s size and design do not establish prevalence across the entire moderation workforce.

EU-OSHA’s review of this activity also discusses organisational factors and opportunities to reduce exposure. Distinguish the risk associated with particular content from additional demands created by quotas, supervision and insufficient support from the employer.

Design usable barriers

Tools may provide control over previews, sound and image blurring where the task and procedure allow. Check that productivity measures do not penalise workers for using these protections or reward unnecessary exposure to the full material.

For example, a team could identify categories containing the most difficult reviews and examine how they are distributed during a shift. Alternating with lower-exposure duties and allowing breaks requires practical planning: writing these options in a handbook does not establish that workers can actually use them.

Support does not replace prevention

Confidential assistance and manager training can support an earlier response. They should not turn supervisors into therapists or require individuals to recount disturbing experiences in a group. Clinical assessment belongs with appropriately qualified professionals.

Follow-up can combine aggregated information on workload, protection use and perceived support. Avoid intrusive surveillance and examine whether measures reduce both exposure and pressure. The aim is not to select people presumed able to tolerate everything, but to improve the conditions under which the work is performed and reviewed over time.

References

  1. EU-OSHA OSHwiki: online content reviewers and mental health. Official source
  2. Spence et al., 2023: qualitative study of content moderators. Official source

Editorial information

Publication date: 2 November 2026.

Editorial responsibility: Sabentis Editorial Team.

Author: Pablo RodríguezLinkedIn

Executive Vice President of the ORP International Foundation and Chief Financial Officer of Sabentis.

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