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What are the signs of child abuse?

What are the signs of child abuse?

The signs of child abuse aren’t always obvious, and a child might not feel able to tell anyone what’s happening to them. Sometimes, children don’t even realise that what’s happening to them is abuse.

 

There are different types of child abuse and the signs that a child is being abused may depend on the type. For example, the signs that a child is being neglected may be different from the signs that a child is being abused sexually.

Common Signs

Common Signs

Some common signs that there may be something concerning happening in a child’s life include:

  • unexplained changes in behaviour or personality
  • becoming withdrawn
  • seeming anxious
  • becoming uncharacteristically aggressive
  • lacks social skills and has few friends, if any
  • poor bond or relationship with a parent
  • knowledge of adult issues inappropriate for their age
  • running away or going missing
  • always choosing to wear clothes which cover their body.

Signs of bullying

Signs of bullying

No single sign will indicate for certain that your child’s being bullied, but watch out for:

  • belongings getting ‘lost’ or damaged
  • physical injuries, such as unexplained bruises
  • being afraid to go to school, being mysteriously ‘ill’ each morning, or skipping school
  • not doing as well at school
  • asking for, or stealing, money (to give to whoever’s bullying them)
  • being nervous, losing confidence, or becoming distressed and withdrawn
  • problems with eating or sleeping
  • bullying others.

Signs of sexual abuse and grooming

Signs of sexual abuse and grooming

  • Unhealthy or inappropriate sexual behaviour.
  • Being frightened of some people, places or situations.
  • Bring secretive.
  • Sharp changes in mood or character.
  • Having money or things they can’t or won’t explain.
  • Physical signs of abuse, like bruises or bleeding in their genital or anal area.
  • Alcohol or drug misuse.
  • Sexually transmitted infections.
  • Pregnancy.

Other things you might notice

Other things you might notice

  • Having an older boyfriend or girlfriend.
  • Staying out late or overnight.
  • Having a new group of friends.
  • Missing from home or care, or stopping going to school or college.
  • Hanging out with older people, other vulnerable people or in antisocial groups.
  • Involved in a gang.
  • Involved in criminal activities like selling drugs or shoplifting.

Signs of physical abuse

Signs of physical abuse

Bumps and bruises don’t always mean a child is being physically abused. All children have accidents, trips and falls. And there isn’t just one sign or symptom to look out for. But it’s important to be aware of the signs.

 

If a child regularly has injuries, there seems to be a pattern to the injuries or the explanation doesn’t match the injuries, then this should be reported.

Physical abuse symptoms include:

Physical abuse symptoms include:

  • bruises
  • broken or fractured bones
  • burns or scalds
  • bite marks.

It can also include other injuries and health problems, such as:

It can also include other injuries and health problems, such as:

  • scarring
  • the effects of poisoning, such as vomiting, drowsiness or seizures
  • breathing problems from drowning, suffocation or poisoning.
  • Head injuries in babies and toddlers can be signs of abuse so it’s important to be aware of these.

Visible signs include:

Visible signs include:

  • swelling
  • bruising
  • fractures
  • being extremely sleepy or unconscious
  • breathing problems
  • seizures
  • vomiting
  • unusual behaviour, such as being irritable or not feeding properly.
  • Signs of sexual abuse

Knowing the signs of sexual abuse can help give a voice to children. Sometimes children won’t understand that what’s happening to them is wrong. Or they might be scared to speak out. Some of the signs you might notice include:

Emotional and behavioural signs

Emotional and behavioural signs

  • Avoiding being alone with or frightened of people or a person they know.
  • Language or sexual behaviour you wouldn’t expect them to know.
  • Having nightmares or bed-wetting.
  • Alcohol or drug misuse.
  • Self-harm.
  • Changes in eating habits or developing an eating problem.

Physical signs

Physical signs

  • Bruises.
  • Bleeding, discharge, pains or soreness in their genital or anal area.
  • Sexually transmitted infections.
  • Pregnancy.

If a child is being or has been sexually abused online, they might:

If a child is being or has been sexually abused online, they might:

  • spend a lot more or a lot less time than usual online, texting, gaming or using social media
  • seem distant, upset or angry after using the internet or texting
  • be secretive about who they’re talking to and what they’re doing online or on their mobile phone
  • have lots of new phone numbers, texts or email addresses on their mobile phone, laptop or tablet.

Signs of domestic abuse

Signs of domestic abuse

It can be difficult to tell if domestic abuse is happening and those carrying out the abuse can act very differently when other people are around. Children and young people might also feel frightened and confused, keeping the abuse to themselves.

Signs that a child has witnessed domestic abuse can include:

 

    • aggression or bullying
    • anti-social behaviour, like vandalism
    • anxiety, depression or suicidal thoughts
    • attention seeking
    • bed-wetting, nightmares or insomnia
    • constant or regular sickness, like colds, headaches and mouth ulcers
    • drug or alcohol use
    • eating disorders
    • problems in school or trouble learning
    • tantrums
    • withdrawal.

Signs of emotional abuse

Signs of emotional abuse

There might not be any obvious physical signs of emotional abuse or neglect. And a child might not tell anyone what’s happening until they reach a ‘crisis point’. That’s why it’s important to look out for signs in how a child is acting.

As children grow up, their emotions change. This means it can be difficult to tell if they’re being emotionally abused. But children who are being emotionally abused might:

    • seem unconfident or lack self-assurance
    • struggle to control their emotions
    • have difficulty making or maintaining relationships
    • act in a way that’s inappropriate for their age.
    • The signs of emotional abuse can also be different for children at different ages.

Older children might:

Older children might:

  • use language you wouldn’t expect them to know for their age
  • act in a way or know about things you wouldn’t expect them to know for their age
  • struggle to control their emotions
  • have extreme outbursts
  • seem isolated from their parents
  • lack social skills
  • have few or no friends.

Signs of grooming

Signs of grooming

It can be difficult to tell if a child is being groomed – the signs aren’t always obvious and may be hidden. Older children might behave in a way that seems to be “normal” teenage behaviour, masking underlying problems.

Some of the signs you might see include:

    • being very secretive about how they’re spending their time, including when online
    • having an older boyfriend or girlfriend
    • having money or new things like clothes and mobile phones that they can’t or won’t explain
    • underage drinking or drug taking
    • spending more or less time online or on their devices
    • being upset, withdrawn or distressed
    • sexualised behaviour, language or an understanding of sex that’s not appropriate for their age
    • spending more time away from home or going missing for periods of time.

Signs of neglect

Signs of neglect

Neglect can be really difficult to spot. Having one of the signs doesn’t necessarily mean a child is being neglected. But if you notice multiple signs that last for a while, they might show there’s a serious problem. Children and young people who are neglected might have:

  • poor appearance and hygiene(Tab content expanded)(Tab content expanded)
  • being smelly or dirty
  • being hungry or not given money for food
  • having unwashed clothes
  • having the wrong clothing, such as no warm clothes in winter
  • having frequent and untreated nappy rash in infants.

Health and development problems

Health and development problems

  • anaemia
  • body issues, such as poor muscle tone or prominent joints
  • medical or dental issues
  • missed medical appointments, such as for vaccinations
  • not given the correct medicines
  • poor language or social skills
  • regular illness or infections
  • repeated accidental injuries, often caused by lack of supervision
  • skin issues, such as sores, rashes, flea bites, scabies or ringworm
  • thin or swollen tummy
  • tiredness
  • untreated injuries
  • weight or growth issues.

Housing and family issues

Housing and family issues

  • living in an unsuitable home environment, such as having no heating
  • being left alone for a long time
  • taking on the role of carer for other family members.

Change in behaviour

Change in behaviour

  • becoming clingy
  • becoming aggressive
  • being withdrawn, depressed or anxious
  • changes in eating habits
  • displaying obsessive behaviour
  • finding it hard to concentrate or take part in activities
  • missing school
  • showing signs of self-harm
  • using drugs or alcohol.

Signs of online abuse

Signs of online abuse

A child or young person experiencing abuse online might:

  • spend a lot more or a lot less time than usual online, texting, gaming or using social media
  • seem distant, upset or angry after using the internet or texting
  • be secretive about who they’re talking to and what they’re doing online or on their mobile phone
  • have lots of new phone numbers, texts or email addresses on their mobile phone, laptop or tablet.

Signs of Female Genital Mutilation (FGM)

Signs of Female Genital Mutilation (FGM)

A child who’s at risk of FGM might ask you for help. But some children might not know what’s going to happen to them. So it’s important to be aware of the signs.

Signs FGM might happen:

Signs FGM might happen:

  • A relative or someone known as a ‘cutter’ visiting from abroad.
  • A special occasion or ceremony takes place where a girl ‘becomes a woman’ or is ‘prepared for marriage’.
  • A female relative, like a mother, sister or aunt has undergone FGM.
  • A family arranges a long holiday overseas or visits a family abroad during the summer holidays.
  • A girl has an unexpected or long absence from school.
  • A girl struggles to keep up in school.
  • A girl runs away – or plans to run away – from home.

Signs FGM might have taken place

Signs FGM might have taken place

  • Having difficulty walking, standing or sitting.
  • Spending longer in the bathroom or toilet.
  • Appearing quiet, anxious or depressed.
  • Acting differently after an absence from school or college.
  • Reluctance to go to the doctors or have routine medical examinations.
  • Asking for help – though they might not be explicit about the problem because they’re scared or embarrassed

Signs of child trafficking

Signs of child trafficking

Knowing the signs of trafficking can help give a voice to children. Sometimes children won’t understand that what’s happening to them is wrong. Or they might be scared to speak out.

It may not be obvious that a child has been trafficked but you might notice unusual or unexpected things. They might:

  • spend a lot of time doing household chores
  • rarely leave their house or have no time for playing
  • be orphaned or living apart from their family
  • live in low-standard accommodation
  • be unsure which country, city or town they’re in
  • can’t or are reluctant to share personal information or where they live
  • not be registered with a school or a GP practice
  • have no access to their parents or guardians
  • be seen in inappropriate places like brothels or factories
  • have money or things you wouldn’t expect them to have 
  • injuries from workplace accidents
  • give a prepared story which is very similar to stories given by other children.

Last reviewed: January 2025

Next review: January 2026

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