A child who's being abused may feel guilty, ashamed or confused. He or she may be afraid to tell anyone about the abuse, especially if the abuser is a parent, other relative or family friend. That's why it's vital to watch for red flags, such as:

  • Withdrawal from friends or usual activities
  • Changes in behavior — such as aggression, anger, hostility or hyperactivity — or changes in school performance
  • Depression, anxiety or unusual fears, or a sudden loss of self-confidence
  • An apparent lack of supervision
  • Frequent absences from school
  • Reluctance to leave school activities, as if he or she doesn't want to go home
  • Attempts at running away
  • Rebellious or defiant behavior
  • Sexual abuse signs and symptoms

    • Sexual behavior or knowledge that's inappropriate for the child's age
    • Pregnancy or a sexually transmitted infection
    • Blood in the child's underwear
    • Statements that he or she was sexually abused
    • Inappropriate sexual contact with other children

    Emotional abuse signs and symptoms

    • Delayed or inappropriate emotional development
    • Loss of self-confidence or self-esteem
    • Social withdrawal or a loss of interest or enthusiasm
    • Depression
    • Avoidance of certain situations, such as refusing to go to school or ride the bus
    • Desperately seeks affection
    • A decrease in school performance or loss of interest in school
    • Neglect signs and symptoms

      • Poor growth or weight gain or being overweight
      • Poor hygiene
      • Lack of clothing or supplies to meet physical needs
      • Taking food or money without permission
      • Hiding food for later
      • Poor record of school attendance
      • Lack of appropriate attention for medical, dental or psychological problems or lack of necessary follow-up care
      Loss of previously acquired developmental skills

    Self-harm or attempts at suicide