While the following signs are not intended to be a ‘road map’ to sexual abuse, they are meant to raise concern and cause for open ended questions that encourage communication with a child in hopes of determining the reason for changes in behavior.

Sexual and Physical Signs
While not common, they sometimes include the following:

o Bruising
o Bleeding
o Redness
o Bumps or scabs around the mouth, genitals, or anus
o Urinary tract infections
o Sexually transmitted diseases
o Abnormal vaginal or penile discharge
o Enuresis (wetting of pants or the bed)
o Encopresis (soiling of pants)
o Anxiety
o Stomach pain
o Headaches
o Hypervigilance
o Excessive masturbatory behavior
o Sexual play with self or others
o Sleep disturbances

Emotional and Behavioral Signs

o “Too perfect” behavior
o Withdrawal
o Fear
o Depression
o Unexplained anger
o Rebellion
o Excessive guilt
o Nightmares
o Over compliance or submissive behavior
o Failing grades
o Cruelty to animals
o Bullying or being bullied
o Fire setting
o Runaway behaviors
o Self-harm of any kind
o Premature sexual behavior and language
o Use of alcohol and/or drugs