Lutheran Social Services, Inc.



In Texas, report
suspected child abuse
at
800-4-A-CHILD
(800-422-4453)

.
Accredited by
the Council on Accreditation

 

Indicators of Child Abuse

  No one sign speaks of abuse. However, two or more should be considered as an indication of possible abuse.

 Physical Abuse

Physical Indicators
• Surface area injuries
• Non-accidental bruising patterns
• Loop or wrap-around injuries
• Injuries in various stages of healing
• Complications from old injuries
• Imprint of an instrument on skin
• Cigarette burns
• Signs of overall poor health

Behavioral Indicators
• Unable to explain injury or explanation
  inconsistent with injury
• Unusually fearful, non-spontaneous
• Overly eager to please adults
• Discomfort about undressing in front of
  peers

 

Sexual Abuse

Behavioral Indicators
•Sudden change in behavior
• Fears and phobias, retreat to fantasy
• Disturbed sleeping patterns
• Changes in relationships to adults
  (avoiding or clinging)
• Problems in school
• Withdrawal from friends and family
• Running away
• Inappropriate and obsessive sexual
  awareness, promiscuity
• Depression, low self esteem, self critical
• Appearance of retardation
• Child says an adult is bothering him or her
• Verbalization of sexual assault
• Discomfort or extreme sensitivity to
  physical contact
• Having friends who are several years older
• Acquisition of unexplainable toys, money
  or clothes
• Regression to more childish behavior
• Delinquent acts
• Suicidal gestures or attempts
• Plays parental role
• Discomfort about undressing in front of
  peer
s
 

 

Physical Indicators
• Headaches, stomach aches
  and overall not feeling well
• Pain in anal or genital area
• Recurring vaginal or bladder
  infections
• Presence of sexually transmitted desease
• Oral, genital or anal bleeding
• Redness, swelling, itching or trauma
  to the genital or anal area
• Pregnancy