Kaye Healey, Sexual Abuse, The Spinney Press 1996, p. 3.
PHYSICAL INDICATORS
Genital and Anal Areas
- Bruises, scratches or other injuries not consistent with accidental injury.
- Itching, soreness, discharge or unexplained bleeding.
- Painful and frequent urination.
- Signs of sexually transmitted infections.
- Semen in the vagina, anus or external genitalia or on clothing.
General
- Bruises, bite marks or other injuries, buttocks, lower abdomen or thighs.
- Difficulty walking or sitting.
- Torn, stained or bloodied underwear.
- Pregnancy in adolescents where the identity of the father is vague or secret.
- Recurrent urinary tract infections.
- Persistent headaches or recurrent abdominal pain.
- Unexplained pain in the genital area.
BEHAVIORAL INDICATORS
Sexual
- Over attention to adults of a particular sex.
- Displaying unusual interest in the genitals of others and self.
- Acting out adult sexual behaviour with adults, dolls or other children.
- Open display of sexuality, e.g. repeated public masturbation.
- Precocious knowledge of sexual matters.
- Promiscuity, repetitious sexually precocious behaviour.
General
- Sudden changes in mood behaviour.
- Difficulty sleeping, nightmares.
- Regressed behaviour – bed-wetting, separation anxiety, insecurity.
- Change in eating patterns including preoccupation with food.
- Lack of trust in familiar adults, fear of strangers, fear of men.
- Lack of appropriate boundaries in family – child fulfils parental role.
- Acting out behaviour – aggression, lying, stealing, unexplained running away, drug or
alcohol abuse, suicide attempts.
- Withdrawn behaviour – passivity, excessive compliance, mood swings, depression.
- Learning problems at school, loss of concentration, unexplained drop in school
performance.
- Poor peer relationships, family and/or child appear socially isolated.
- Reluctance to undress, e.g. for school sporting functions.
- Excessive bathing.
- Inappropriate displays of affection.
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