A Quick Review of the Indicators of Child Sexual Abuse

Child sexual abuse victims may exhibit a number of physical and
behavioral indicators that they are being abused. Hence, many sex abuse
prevention methods are based on making parents and other caring adults
aware of the behavioral warning signs of abuse. In addition to
awareness, these prevention methods prescribe an appropriate response
to suspicious behavior. But, an appropriate response begins when a
parent or other caring adult observes warning signs of possible abuse.

Behavioral changes are a clear sign that something is impacting a
child’s life. Parents and caregivers should be alert to any noticeable
changes in a child’s behavior. Remember, the existence of a particular
warning sign (or set of warning signs) does not definitively indicate
that a child is being abused. However, the appearance of even a single
warning sign should cause responsible and caring adults to look more
closely for additional indicators that a child is in danger.

Here are some behaviors that indicate the possibility that a child is
being sexually abused:
• Insomnia or increased sleeping.
• Recurrent nightmares.
• Crying and whining for no apparent reason.
• Fear of or withdrawal from adults, or increased dependency on
(non-abusing) adults.
• Sudden regressive behavior (children acting much younger than they
are).
• Changes in schoolwork or a drop in grades.
• Sudden aggressiveness or hostility.
• Withdrawal and isolation from others.
• Fear of the dark.

Here are some behaviors that indicate the possibility that an
adolescent is being sexually abused:
• Avoiding specific persons, or wanting to be alone with specific
persons.
• Poor or deteriorating peer relationships, including increased
hostility, anger, and aggressiveness with peers.
• Poor self esteem or self image.
• Dramatic change in performance at school (a sudden drop in
performance or a sudden improvement).
• Increased hostility, anger, aggressiveness with siblings.
• Excessive bathing.
• Running away from home.
• Attempted suicide or thoughts of suicide.
• Sexual interest in or abuse of younger children.

These are some strong indicators that a teenage girl is being sexually
abused:
• Indiscriminate sexual activity.
• Seductive behavior.
• Involvement in prostitution or pornography.
• Marriage at an early age.

In addition to the behavioral warning signs, there are some specific
physical indicators of abuse in both girls and boys. These physical
warning signs include:
• Recurring urinary tract infections.
• Sexually transmitted disease.
• Torn or stained undergarments.
• Bleeding or cracks and tears around the mouth, vagina, or anus.
• General increase in headaches, stomachaches, and other physical complaints.
• Gagging on food or vomiting while trying to eat.
• Wetting or soiling bed or undergarments.
• Unexplained rashes and bruises.
• Pregnancy at an early age (girls).
• Difficulty in walking or sitting.
• Unusual genital itching.
• Self abuse (e.g., cutting themselves, burning themselves, or some
other forms of deliberate infliction of pain and/or injury by the child
on himself or herself).

Bottom Line:
The prevention of child sexual abuse begins with informed, aware, and
caring adults. Become familiar with both the behavior and physical
indicators of child sexual abuse. If you suspect a child is being
sexually abused, contact the appropriate individuals within your
organization (if applicable) and report your concerns to child
protective services in your state.

© 2001-2004 St. James Cadyville. All rights reserved. (http://www.stjamescadyville.com)