The Child Mind Institute study, an observational mixed-methods survey of 1,009 youth aged 9-15 drawn from the Healthy Brain Network cohort, reveals that over 25% faced negative online experiences in the prior year, with 69% of affected participants reporting multiples yet only 20% using platform tools. This observational design (not RCT) limits causal claims but highlights patterns tied to pre-existing mental health and neurodevelopmental conditions; no conflicts of interest were declared beyond the institute's focus on youth mental health. The coverage underplays how social aptitude and parenting style moderate both exposure and reporting barriers, a gap that aligns with findings from a 2022 Journal of Adolescent Health observational study (n=1,200) linking autistic traits to higher cyber-victimization rates through ambiguous intent interpretation. Emotional barriers such as fear of blame echo results from a 2023 Pediatrics analysis of 2,500 U.S. teens, where only 18% disclosed online harassment when symptoms of anxiety were present. Missed in the original: pandemic-driven screen time surges likely amplified these risks for already vulnerable groups, creating feedback loops where unreported harm worsens isolation. Platforms' reporting opacity compounds this, demanding youth-centered redesigns over generic awareness campaigns.