What are common signs of sexual abuse in prepubescent children?

• A. Always displaying aggressive behavior.
• B. Only seeking attention.
• C. Unexplained genital or urinary issues, fear of a particular person, sexualized behavior, pain when sitting, withdrawal.
• D. Lack of appetite.

Answer: (C)

Signs of sexual abuse in prepubescent children show up as a mix of physical symptoms and changes in behavior that point to possible exploitation. Unexplained genital or urinary issues can be a physical clue, especially if there’s pain, itching, or recurrent problems without a medical cause. A child may also show fear around a particular person, which can indicate unsafe contact. Sexualized behavior that seems advanced or inappropriate for their age, along with pain when sitting and a withdrawal from usual activities or people, are notable indicators that warrant careful assessment. These signs together raise concern and often require a professional evaluation to ensure the child’s safety and well-being.

While aggressive behavior, simply seeking attention, or a lack of appetite can appear in stressed or upset children, they are not specific indicators of sexual abuse on their own, and they can arise from many other situations.