SIGNS & SYMPTOMS OF ABUSE

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Signs and symptoms of abuse can vary by the individual as well as by the type of abuse they have sustained. Child abuse can take many forms, which can often occur at the same time. In many cases, child abuse is done by someone the child knows and trusts. If you suspect child abuse, report the abuse to the authorities.

Symptoms

A child who is being abused may feel guilty, ashamed or confused. He or she may be afraid to tell anyone about the abuse, especially if the abuser is a parent, other relative or family friend. In fact, the child may have an apparent fear of parents, adult caregivers or family friends. That’s why it’s vital to watch for red flags, such as:

  • Withdrawal from friends or usual activities
  • Changes in behavior — such as aggression, anger, hostility or hyperactivity — or changes in school performance
  • Depression, anxiety or unusual fears or a sudden loss of self-confidence
  • An apparent lack of supervision
  • Frequent absences from school or reluctance to ride the school bus
  • Reluctance to leave school activities, as if he or she doesn’t want to go home
  • Attempts at running away
  • Rebellious or defiant behavior
  • Attempts at suicide

Specific signs and symptoms depend on the type of abuse and can vary. Keep in mind that warning signs are just that — warning signs.

Physical abuse signs and symptoms
  • Unexplained injuries, such as bruises, fractures or burns
  • Injuries that don’t match the given explanation
  • Untreated medical or dental problems
Sexual abuse signs and symptoms
  • Sexual behavior or knowledge that’s inappropriate for the child’s age
  • Pregnancy or a sexually transmitted infection
  • Blood in the child’s underwear
  • Statements that he or she was sexually abused
  • Trouble walking or sitting or complaints of genital pain
  • Abuse of other children sexually
Emotional abuse signs and symptoms
  • Delayed or inappropriate emotional development
  • Loss of self-confidence or self-esteem
  • Social withdrawal or a loss of interest or enthusiasm
  • Depression
  • Headaches or stomachaches with no medical cause
  • Avoidance of certain situations, such as refusing to go to school or ride the bus
  • Desperately seeks affection
  • A decrease in school performance or loss of interest in school
  • Loss of previously acquired developmental skills
Neglect signs and symptoms
  • Poor growth or weight gain
  • Poor hygiene
  • Lack of clothing or supplies to meet physical needs
  • Taking food or money without permission
  • Eating a lot in one sitting or hiding food for later
  • Poor record of school attendance
  • Lack of appropriate attention for medical, dental or psychological problems or lack of necessary follow-up care
  • Emotional swings that are inappropriate or out of context to the situation
  • Indifference
Parental behavior

Sometimes a parent’s demeanor or behavior sends red flags about child abuse. Warning signs include a parent who:

  • Shows little concern for the child
  • Appears unable to recognize physical or emotional distress in the child
  • Denies that any problems exist at home or school, or blames the child for the problems
  • Consistently blames, belittles or berates the child and describes the child with negative terms, such as “worthless” or “evil”
  • Expects the child to provide him or her with attention and care and seems jealous of other family members getting attention from the child
  • Uses harsh physical discipline or asks teachers to do so
  • Demands an inappropriate level of physical or academic performance
  • Severely limits the child’s contact with others
  • Offers conflicting or unconvincing explanations for a child’s injuries or no explanation at all

Although most child health experts condemn the use of violence in any form, some people still use corporal punishment, such as spanking, as a way to discipline their children. Any corporal punishment may leave emotional scars. Parental behaviors that cause pain or physical injury — even when done in the name of discipline — could be child abuse.

CHILD ABUSE FAQS

What should I do if I suspect a child is being abused?

Call both local law enforcement and the Department of Child Safety when abuse is suspected. Arizona Child Abuse Hotline 1-888-SOS-CHILD (1-888-767-2445)

What do I do if a child tells me they have been sexually abused?
  • Stay calm and listen carefully. Encourage the child to speak freely, but do not ask detailed questions about the abuse.
  • Reassure the child. Tell the child that you believe him or her, that telling you was the right thing to do, and that he or she has not done anything wrong.
  • Take action. Call the DCS hotline immediately: 1-888-767-2445. Also call local law enforcement.
It is not your responsibility to investigate abuse, interview the child or get all the facts. Just contact the authorities with what you know or suspect so that children and families get the support and care they need.
How do I know a child is telling the truth about abuse?
Children seldom lie about abuse. If a child discloses abuse, report what you know to the authorities; they will determine the facts and evidence. In rare instances when a child does lie about abuse, it can be an indication that something else is wrong.
Why don’t children tell?
There are many reasons why children may not disclose abuse. Because most abusers have a close relationship with the child and his or her family, the child may worry about getting their abuser or themselves in trouble. Many abusers make threats to ensure that victims do not tell. Victims may also be ashamed or fear that no one will believe them. Remember, children often indicate something is wrong through behaviors, not words.
Can children recover from the trauma of abuse?
Yes. Most children are very resilient. The most important things to help children heal from abuse are having supportive caregivers and access to appropriate resources.