Signs of Abuse
Physical Abuse![]()
Physical Indicators:
Unexplained bruises or welts; may be in various stages of healing, or in clusters of unusual patterns, or on several different areas
Unexplained burns; in shape of cigarette, rope, or iron or caused by immersion which may appear sock- or glovelike
Unexplained lacerations to mouth, lips, arms, legs, or torso
Unexplained skeletal injuries or stiff swollen joints, or multiple or spiral fractures
Missing or loosened teeth
Human bite marks
Bald spots
Unexplained abrasions
Appearance of injuries after school absence, weekend, or vacation
Behavioral Indicators:
Easily frightened or fearful of adults/parents, or of physical contact, or when other children cry
Destructive to self and/or others
Extremes of behavior: aggressive, withdrawn
Poor social relations
Learning problems; poor academic performance, short attention span, language delayed
Runaway or delinquent behavior
Reporting unbelievable reasons for injuries
Complaints of soreness or moves awkwardly
Accident prone
Wears clothing that clearly is meant to cover body when not appropriate
Seems afraid to go home
Sexual Abuse![]()
Physical Indicators:
Difficulty walking/ sitting
Torn, stained, or bloody underclothing
Genital/ anal itching, pain, swelling, burning
Genital/ anal bruises or bleeding
Frequent urinary tract or yeast infections
Pain on urination
Vaginal/ penile discharge
Poor sphincter control
Venereal disease
Pregnancy
Chronic unexplained sore throats
Frequent psychosomatic illnesses
Loss of appetite
Behavioral Indicators:
Sudden radical behavior change
Destructive to self and/or others
Extremes in behavior: aggressive, withdrawn
Poor social relations
Refuses to change for gym
Behaves seductively and has sexual knowledge beyond age
Sexually acts out or attempts to force or coerce other children to be sexual
Regressive behavior
Runaway or delinquent behavior
Complains of soreness or moves or sits awkwardly
Wears clothing that covers body when not appropriate
Depressed/ apathetic or suicidal
Compulsive bathing
Nightmares
Neglect![]()
Physical Indicators:
Poor growth pattern
Constant hunger
Malnutrition
Poor hygiene: body odor, lice
Inappropriate clothing
Constant fatigue
Listlessness
Falls asleep in school
Consistent lack of supervision; especially for long periods or in dangerous activities
Unexplained bruises or injuries as a result of poor supervision
Unattended physical problems or medical needs such as: lack of proper
immunizations; gross dental problems; needs glasses/ hearing aids
Behavioral Indicators:
Developmental lags
Begs or steals food, forages through garbage
Always hungry
Destructive to self and/or others
Extremes in behavior: aggressive, withdrawn
Hyperactive
Assumes adult responsibilities or acts in pseudo-mature fashion
Exhibits infantile behavior
Delinquent behavior
Depressed/ apathetic; states "no one cares"
Frequent school absences or chronic tardiness
Seeks attention and/ or affection
Hypochondria
Emotional Maltreatment![]()
Physical Indicators:
Failure to thrive
Developmental lags
Wetting of bed/ pants
Thumbsucking
Appears sad
Speech disorders
Health problems: ulcers; asthma; skin disorders; severe allergies; obesity; extreme weight loss
Poor appearance
Drug or alcohol abuse
Behavioral Indicators:
Habit disorders: sucking, biting, rocking, etc.
Destructive to self and/or others
Extremes in behavior: aggressive, withdrawn
Phobias, sleep disorders, etc.
Developmental lags: mental, emotional
Learning problems
Inhibition of play
Cruelty, vandalism, stealing, cheating, etc.
Overly adaptive behavior: inappropriately adult; inappropriately infantile
Depression
Suicidal ideation
[ From: Richard Layman's "Current
Issues - Volume 1: Child Abuse" ]