According to a new report, outsourced workers who perform content moderation for popular dating apps, including Grindr, are facing a mental health crisis due to poor labor conditions and a lack of mental health resources.

For its report “Behind Every Swipe: The Workers Toiling to Keep Dating Apps Safe,” the Bureau of Investigative Journalism (TBIJ), a non-profit independent news outlet, spoke with 40 current and former workers from an array of dating apps, including Hinge, Tinder, Bumble, and Grindr. Many interviewees performed labor for companies headquartered in the United States through third-party firms based in Honduras, the Philippines, and Brazil — countries that offer labor at a lower cost.

The workers TBIJ interviewed detailed the mental health challenges that come with performing content moderation, which include “symptoms of anxiety, depression, and PTSD.” They told the news outlet that the third-party companies they work for are doing little to address those struggles. Ana, an employee at the staffing company PartnerHero who spoke using a pseudonym, said her work for Grindr included wading through user reports of sexual assault, homophobic violence, child sexual abuse, and murder. According to the report, when she did leave her job, she was left unable to work for months afterward and received a PTSD diagnosis.

One Honduras-based interviewee who did content moderation for Grindr said that she and her colleagues were exposed to images of child sexual abuse via an attachment from a user. “We had three people just leave that day … because they could not handle it,” the worker said.

In total, TBIJ said it spoke to 14 former Grindr moderators, noting that “virtually all” faced traumatic conditions, with one interviewee saying they attempted suicide multiple times while working at the company.

Aside from the disturbing content they are required to sift through, these outsourced workers also complained of burnout, given the grueling pace they are reportedly asked to maintain. Workers on Grindr’s PartnerHero team reportedly had to maintain a 92% or greater “quality score,” a measure of their decision-making, or face termination. According to the report, Ana said PartnerHero “tried to fire her” when she was not able to meet productivity standards even though she was seriously ill at the time.

“Sometimes we made mistakes that we were not [accounted]] for, or [that] could have been avoided if we had more people,” one former content moderator, who did work for Grindr, said in the report.