This report provides a summary of a colloquium held at Cumberland Lodge in September 2015. The aim of the event was to provide a space to think about the risks and responsibilities, and general ethical dilemmas, which can arise when working in a participatory way with young people affected by sexual violence. The day brought together speakers and delegates with a wealth of experience of working with young people affected by sexual violence from across the UK, Europe and beyond. Participants came from both academia and practice.