Preventing Child Sexual Abuse

The Safe Keiki Project:

​​Signs and Symptoms of Child Sexual Abuse

​Signs and symptoms of child sexual abuse may vary depending on the age and gender of the child and the type of abuse. The presence of "red flags" or warning signs does not necessarily mean that the child is being abused.


Withdrawal from friends or usual activities
Behavioral changes such as aggression, anger, hostility or hyperactivity

Decline in academic performance 
Depression, anxiety, unusual fears or a sudden loss of self-confidence
Frequent absences from school

Reluctance to ride the school bus or participate in school activities
Reluctance to go home 
Attempts at running away
Rebellious or defiant behavior
Attempts at suicide

Cutting and other self injuries

Sleep disturbance (Too much or too little sleep, nightmares)

Appetite increase or decrease

Inability to concentrate

Loss of interest in hobbies or activities that used to bring pleasure or gratification

Desperately seeking attention

Increase in physical symptoms such as headache, body ache or fatigue

Regression - Loss of previously acquired developmental skills
Social withdrawal

Sexual behavior incongruent with age

Knowledge that is inappropriate for the child's age

Sexually transmitted infection
Blood in the child's underwear
Statements that he or she was sexually abused
Trouble walking or sitting

Complaints of genital pain
Abuse of other children sexually

Physical trauma of the genitals (swelling, cuts, bruises)

Masturbating in public