Warning Signs

Physical Signs

Difficulty walking or sitting
Bloody, torn, or stained underclothes
Bleeding, bruises, or swelling in genital area
Pain, itching, or burning in genital area
Frequent urinary or yeast infections
Sexually Transmitted Infections, especially if under 14 years old
Pregnancy, especially if under 14 years old

Behavioral Signs

Reports sexual abuse
Inappropriate sexual knowledge
Inappropriate sexual behavior
Nightmares or bed-wetting
Large weight changes/major changes in appetite
Suicide attempts or self-harming, especially in adolescents
Shrinks away or seems threatened by physical contact
Runs away
Overly protective and concerned for siblings, assumes a caretaker role
Post-Traumatic Stress Disorder or Rape Trauma Syndrome symptoms

Common Reactions

Withdrawal
Depression
Sleeping & eating disorders
Self-mutilation
Phobias
Psychosomatic symptoms (stomachaches, headaches)
School problems (absences, drops in grades)
Poor hygiene/excessive bathing
Anxiety
Guilt
Regressive behaviors – thumb-sucking, etc.

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