Indicators of Child Sexual Abuse

Physical Indicators

Bruises and/or hickeys on the face or neck area, groin, buttocks and inner thigh
Sexually transmitted diseases and/or pregnancy
Unexplained trauma to the genital area, bleeding or pain
Burning during urination, discharge and/or abdominal pain
Torn or stained clothing

Fear or repulsion when touched by an adult or fear of a special type of person or gender
Extreme masturbation
Overt sexual acting out toward adults and/or simulation of sophisticated sexual activity with your children, animals or toys
Knowledge of sexual matters and details of adult sexual activity inappropriate for age or developmental level
Fear of and/or refuses to undress, even for gym class
Sexualized play, artwork, written assignments, language; possibly combined with violence
Excessive layers of clothing; especially when going to bed
Disturbances in or sudden changes in sleep patterns; nightmares, fear of going to bed, bedwetting, difficulty falling asleep, etc.
Relationship/Intimacy problems and/or sexual dysfunction
Child prefers to be alone, isolates
Shuts down (in activity or emotionally) in the presence of the offender
Likely to utilize chemical substances (alcohol or drugs) to stop painful emotions
Development of a rigid and controlling lifestyle as an attempt to compensate for lack of control during abuse

ICASA Resource Manual