Can we use this item as is. Connect 5v, ground andWhen there motion detect the 'out' go hight 5vIf so I need this asap

I have set the trigger sensitivity in setTrigSensitivity() to 0 but non-human movements such as trees still trigger the sensor pin output, is there another solution?

can this sensor distinguish human movement/presence from the movement of other objects such as trees? in the DFRobit_C4001 library for esp32 I can't find the function, I need specific human detection for security systems

Yes, I did it this way with their previous mode using ESPHome. Created a binary sensor for the out GPIO and have a trigger/lambda funtion to go high when motion was detected and low when none detected for occupancy occupancy sensor

edit: if by "When there motion detect the 'out' go hight 5v" you mean power on the sensor when motion is detected no, the sensor sensors to be powered on to detect movement and has to be hooked to some sort of control control board like ESP32 Maybe I am misunderstanding the question.