Signs of Abuse in Children

Child abuse is the physical injury of a child under circumstances that indicate that a child’s health or welfare is harmed or at substantial risk of being harmed.

Behavioral signs:

• Displays sexual behavior and/or uses sexual language that is not age appropriate.
• Behavioral regression
• Self-injurious behavior
• Suicidal thought and symptoms of depression
• Sleep disturbance, nightmares, bedwetting
• Unexplained changes in child’s behavior: avoiding physical contact, isolating themselves, excessive bathing or refusal to bathe

Physical signs:

• Painful urination or defecation
• Pain, bleeding, or discharges in genitals, anus or mouth
• Sexually transmitted diseases
• Persistent or recurring pain during urination and bowel movements
• Wetting and soiling accidents unrelated to toilet training

If you are concerned about child sexual abuse find out how to make a confidential report here: http://dhr.maryland.gov/child-protective-services/reporting-suspected-child-abuse-or-neglect/.