Dresses inappropriately to hide bruising or injuries Runs away from home or is afraid to go home May regress (e.g. bedwetting) May indicate general sadness Could have vision or hearing delay Is violent to other children or animals Caregiver Indicators: Inconsistent or vague explanations regarding injuries May appear unconcerned about child's wellbeing May state the child is prone to injuries or lies about how they occur Delays in seeking medical attention May take the child to multiple medical appointments and seek medical treatment without an obvious need Sexual Abuse Sexual Abuse involves forcing or enticing a child or young person to take part in sexual activities (penetrative and non-penetrative, for example, rape, kissing, touching, masturbation) as well as acts such as involving children in the looking at or production of sexual images, sexual activities and sexual behaviours. Physical Indicators: Unusual or excessive itching or pain in the genital or anal area Torn, stained or bloody underclothing Bruises, lacerations, redness, swelling or bleeding in genital, vaginal or anal area Blood in urine or stools Sexually transmitted infections Pregnancy Urinary tract infections Discomfort in sitting or fidgeting as unable to sit comfortably Behavioural Indicators: Age-inappropriate sexual play or language Bizarre, sophisticated or unusual sexual knowledge Refuses to go home, or to a specific person's home, for no apparent reason Fear of a certain person Depression, anxiety, withdrawal or aggression Self-destructive behaviour. This can include self-harm, suicide, alcohol and drug abuse Overly compliant Extreme attention seeking behaviours or extreme inhibition Dresses inappropriately to hide bruising or injuries Eating disorders Compulsive behaviours
Dresses inappropriately to hide bruising or injuries Runs away from home or is afraid to go home May regress (e.g. bedwetting) May indicate general sadness Could have vision or hearing delay Is violent to other children or animals Caregiver Indicators: Inconsistent or vague explanations regarding injuries May appear unconcerned about child's wellbeing May state the child is prone to injuries or lies about how they occur Delays in seeking medical attention May take the child to multiple medical appointments and seek medical treatment without an obvious need Sexual Abuse Sexual Abuse involves forcing or enticing a child or young person to take part in sexual activities (penetrative and non-penetrative, for example, rape, kissing, touching, masturbation) as well as acts such as involving children in the looking at or production of sexual images, sexual activities and sexual behaviours. Physical Indicators: Unusual or excessive itching or pain in the genital or anal area Torn, stained or bloody underclothing Bruises, lacerations, redness, swelling or bleeding in genital, vaginal or anal area Blood in urine or stools Sexually transmitted infections Pregnancy Urinary tract infections Discomfort in sitting or fidgeting as unable to sit comfortably Behavioural Indicators: Age-inappropriate sexual play or language Bizarre, sophisticated or unusual sexual knowledge Refuses to go home, or to a specific person's home, for no apparent reason Fear of a certain person Depression, anxiety, withdrawal or aggression Self-destructive behaviour. This can include self-harm, suicide, alcohol and drug abuse Overly compliant Extreme attention seeking behaviours or extreme inhibition Dresses inappropriately to hide bruising or injuries Eating disorders Compulsive behaviours
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