Responding to an editorial on the extent of sexual abuse of pupils by their peers, a reader calls for more nuance and compassion. Plus a letter from Donna Hill

As a paediatrician specialising in the care of children who have been sexually abused, I am well aware of sexual harm that occurs in school settings by peers (Editorial 5 October). This is just one aspect of the wider issue of children and young people who sexually harm other children and young people.

Of all the children my organisation cares for, 30% are harmed by other children – data we shared with the children’s commissioner in their report in 2023 on the impact of pornography on harmful sexual behaviour on children.