Signs of Sexual Abuse [Graphic]

Courtesy http://commons.wikimedia.org/wiki/File:Singapore_Road_Signs_-_Warning_Sign_-_Pedestrians_Ahead.svg

• Pain, bleeding or discharge in genitals, anus, or mouth
• Vaginal infections
• Cuts or tears around the vaginal area or the anus
• Other physical trauma (redness, rash, swelling) to genital or anal area
• Persistent or recurring pain during urination or bowel movements
• Wetting or soiling accidents unrelated to toilet training
• Sexually transmitted diseases
• Nightmares or other sleep problems without explanation
• Seems distracted or distant at odd times
• Sudden change in eating habits
• Refuses to eat
• Loses or drastically increases appetite
• Trouble swallowing
• Sudden mood swings: rage, fear, insecurity, or withdrawal
• Leaves “clues” likely to provoke a discussion about sexual issues
• Develops new or unusual fear of certain people or places
• Refuses to talk about secret shared with adult or older child
• Writes, draws, plays, or dreams of sexual or frightening images
• Talks about a new older friend
• Suddenly has money, toys, or other gifts without reason
• Thinks of self or body as repulsive, dirty, or bad
• Exhibits adult-like sexual behaviors, language, and knowledge
• Self-injury (cutting, burning)
• Inadequate personal hygiene
• Drug and alcohol abuse
• Sexual promiscuity
• Running away from home
• Depression, anxiety
• Suicide attempts
• Fear of intimacy or closeness
• Compulsive eating or dieting
• More indicators here

Sources: http://www.d2l.org/site/c.4dICIJOkGcISE/b.7938027/; https://www.childwelfare.gov/pubs/usermanuals/sexabuse/sexabusec.cfm; http://www.nsopr.gov/en/Education/RecognizingSexualAbuse?AspxAutoDetectCookieSupport=1