本研究旨在設計適合高風險家庭國小女童之性侵害預防團體諮商方案並瞭解能否提升女童的正向自我概念與主動求助。作者經由回顧有關性侵害與預防方案等相關文獻及兩次前導團體形成團體方案，團體目標為自我覺察、自我表達、自我保護與自我肯定。每週進行兩次，一次約五十分鐘，共十五次，由兩位心理諮商碩士生之女性領導者帶領，每週接受一次督導。研究對象為五位符合高風險家庭評估表之國小四年級女童，未有對照組。研究方法採取準實驗設計及混合研究設計，量化資料為參與者在團體前後在國小自我概念量表上的結果，以無母數統計的自助法分析前後分數的差異；質性資料則是對參與者及其導師在團體前後的訪談與領導者的團體觀察記錄，先進行內容分析再將結果數量化，以相互檢核多種來源資料的結果。結果發現：此方案之特色在先滿足高風險家庭兒童被關心及注意的需求，再以活動催化成員思考主動求助的重要性，而不僅期待兒童學習自我保護；質量性結果顯示此方案提升正向自我概念，改善人際關係，增加兒童的人際資源，亦能促進兒童確信揭露性侵害的重要性，因此較可能降低受害及重複受害的機率。

The purposes of this research aimed to design a counseling group project about sexual abuse prevention for female elementary students in high-risk families and to explore whether the project could enhance participants' positive self-assertiveness and self-help. By reviewing the relevant literature on sexual abuse and its prevention projects and by executing the two pilot studies to form the group projects, the goals were set to increase the participants' self-awareness, self-expression, self-protection and self-assertiveness. The fifteen 50-minute group counseling sessions were led by two female advanced graduate students of counseling twice a week. Without a contrast group, the participants were five fourth grade female students selected from the family risk assessment form. This study adopted semi-experimental and mixed research method. As for quantitative part, the data were collected from the participants' Elementary school Student Self-concept Scale before and after group counseling, and then they were analyzed with bootstrapping method. In terms of qualitative part, the data were collected from the interviews with participants and their teachers before and after group counseling. What’s more, the observational record of the leaders in the group was taken into consideration in this research. The qualitative data were analyzed with content analysis, and then quantified them. The results showed that the project met the needs of children in high-risk families who desired to be cared for and to be noticed. It also enhanced their self-concept and made them think about the importance of asking for help actively. Moreover, the participants changed significantly and positively in self-assertiveness, interpersonal relationships, and asking for help and helping others. It showed that this counseling group project could enhance the participants' self-concept and made them attach the importance of disclosure of sexual victimization. The improvements of interpersonal relationship made children expand their interpersonal resources. Therefore, this project might reduce the occurrence and recurrence of child sexual abuse.