Clues to Recognizing Physical Abuse
Physical Indicators
- Unexplained, chronic, or repeated bruising.
- on the face, throat, upper arms, buttocks, thighs, or lower back
- in unusual patterns or shapes which suggest the use of an instrument
- on an infant
- in the shape of bite or pinch marks
- in clusters
- in various stages of healing
- Unexplained burns
- cigarette, immersion, rope burns
- burns in the shape of common household utensils or appliances
- Unexplained skeletal injuries
- any skeletal injury of an infant
- injury to the facial structure, skull, and bones around the joints
- fractures and dislocations caused by a severe blow or twisting pr pulling of the arm or leg
- Other unexplained or repeated injuries
- lacerations, abrasions, welts, scars, and other unexplained marks
- missing, chipped or loose teeth or other oral injury
- loss of hair/bald patches
- broken eardrum
- abdominal injuries
Behavioral Indicators
- behavioral extremes
- inappropriate or excessive fear of parent or caretaker
- unusual shyness, wariness of physical contact
- substance abuse, truancy, running away
- reluctance to return home
- belief that punishment is deserved
- suggestion that other children should be punished in a harsh manner
- victim's disclosure of abuse
- depression, excessive crying
- unbelievable or inconsistent explanation for injuries
- attempt to hide injuries