Signs and Symptoms of Child Sexual Abuse

Here’s a list of common symptoms of child sexual abuse, organized by age group to help parents, educators, and survivors identify warning signs.

Important Note:

Not all children or survivors will show these signs. If you notice something concerning, trust your instincts and seek help from a mental health professional or child protection services.

Signs in Children and Adolescents Behavioral Signs:

- Sudden changes in behavior or mood

- Excessive fear, anxiety, or depression

- Regressive behaviors (e.g., bedwetting, thumb-sucking)

- Unusual sexual knowledge or behavior for their age

- Avoidance of certain people or places

- Sleep disturbances or nightmares

- Aggression or withdrawal

- Running away from home

- Self-harming behaviors

- Change in school performance or attendance

Physical Signs:

- Pain, itching, or bleeding in private areas

- Difficulty walking or sitting

- Urinary tract infections or STDs

- Pregnancy (especially in adolescents)

Long-Term or Adult Survivor Symptoms Emotional and Mental Health:

- Depression or chronic anxiety

- PTSD (flashbacks, hypervigilance, emotional numbness)

- Low self-esteem or feelings of worthlessness

- Guilt, shame, or self-blame

- Trust issues and difficulty with relationships

Behavioral Patterns:

- Avoidance of intimacy or hypersexual behavior

- Substance abuse

- Eating disorders

- Self-injury or suicidal thoughts

- Dissociation or memory gaps

Physical Symptoms:

- Chronic pain without a clear medical cause

- Gastrointestinal issues

- Headaches or migraines

- Sleep disturbances