Child Abuse
Signs of Sexual Abuse
Children often don't tell about sexual abuse. However, children who have been sexually abused will sometimes display behavioral, physical, and emotional changes. Many of these changes are not specific to sexual abuse and can be the result of other kinds of trauma or stress. It is important to be alert to these signs and then follow up to identify the cause and get your child help. Keep in mind that they will vary by age.
Behavioral Signs of Abuse
Behaviors that may indicate a problem, including the possibility of sexual abuse:
- Acting younger or going back to doing younger tasks and activities.
- Sudden changes in behavior.
- Fear of being alone with a certain person.
- Sudden, unexplained fears of certain places or kinds of people (for example, men with moustaches).
- Fear of being touched.
- Changes in quality of schoolwork or grades.
- Substance abuse.
- Delinquency.
- Self-mutilation or careless behaviors resulting in self-harm.
- Excessive play with their own private body parts.
- Persistent sex play with friends, toys, or pets.
- Frequent drawings that have sexual content.
- Unusual, persistent, or developmentally inappropriate questioning about human sexuality.
Physical Signs of Abuse
Physical signs that may indicate a problem, including the possibility of sexual abuse:
- Change in how much the child eats.
- Change or increase in sleep disturbances.
- Change or increase in soiling, wetting, or bedwetting.
- Increase in stomach aches.
- Physical pain or itching in the genital area.
- Underwear stained with blood or other discharge.
- Rectal bleeding.
- Problems walking or sitting.
Emotional Signs of Abuse
- Emotional signs that may indicate a problem, including the possibility of sexual abuse: Severe anxiety (for example, nightmares or clinging).
- Depression (for example, withdrawal, low self-esteem, suicidal ideation and attempts, or frequent crying).
- Extreme anger (for example, tantrums, aggression, or increased irritability).
By Bridgid Normand, M.Ed.
Program Developer
Committee for Children


