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Child Abuse and Neglect: Physical and Behavioral Indicators

INDICATORS OF POSSIBLE MALTREATMENT*

PHYSICAL INDICATORS BEHAVIORAL INDICATORS
PHYSICAL NEGLECT
  • unattended medical needs
  • consistent lack of supervision
  • consistent hunger, inappropriate dress, poor hygiene
  • lice, distended stomach, emaciated look
  • regularly displays fatigue or listlessness, falls asleep in class
  • steals food, begs from classmates
  • reports that no caretaker is home
  • frequently absent or tardy
  • self-destructive
PHYSICAL ABUSE
  • unexplained bruises (in various stages of healing), welts, human bite marks, bald spots, burns, especially cigarette burns or immersion burns (glove like)
  • unexplained fractures or abrasions
  • self-destructive behavior
  • withdrawn or aggressive behavioral extremes
  • uncomfortable with physical contact
  • complains of soreness or moves uncomfortably
  • wears clothing inappropriate for weather to cover body
SEXUAL ABUSE
  • torn, stained or bloody underclothes
  • pain or itching in the genital area
  • difficulty walking or sitting
  • bruises or bleeding in the external genitalia
  • presence of a sexually transmitted disease
  • frequent urinary or yeast infections
  • withdrawn or chronically depressed
  • overly concerned for siblings
  • problems with peers, resists involvement with peers
  • sudden massive weight change (loss or gain)
  • hysteria, lack of emotional control
  • sudden school difficulties
  • threatened by physical contact or closeness
  • exhibits inappropriate sex play or has advanced sexual knowledge
  • promiscuity
EMOTIONAL ABUSE
  • speech disorders
  • delayed physical development
  • substance abuse
  • increased severity in existing conditions, such as asthma or allergies
  • habit disorders (sucking, rocking)
  • anti-social or destructive behavior
  • neurotic traits (sleep disorders, inhibition to play)
  • passive or aggressive behavioral extremes
  • delinquent behavior
  • developmental delays

* Adapted in part from Broadhurst, D.D.; Edmunds, M.’ and MacDicken, R.A. Early Childhood Programs and Prevention Treatment of Child Abuse and Neglect, the User Manual Series..Washington, D.C.: U.S. Department of Health, Education and Welfare, 1979. Courtesy of Prevent Child Abuse Georgia.

For more information, download a complete South Carolina Community Prevention Resource Guide here.

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