What are the signs of child abuse in a young child?
Sources reviewed on November 1, 2026. Based on public advice, see below.
Possible signs include bruises in unusual places, stories about injuries that keep changing, fear, sadness, nightmares, and not wanting to go home or to be with a certain person. These signs don't always mean abuse, and there may be no signs at all. Having a concern is enough to call someone.
What can you notice?
Nemours KidsHealth lists that children who are being abused might:
- get a lot of bruises, especially in places kids don't usually bruise from playing,
- explain injuries with stories that don't make sense or keep changing,
- not want to go home, or avoid a certain person,
- show fear, anger, or trouble trusting others,
- be sad or depressed, or have nightmares or trouble sleeping,
- act out in class or have trouble paying attention.
Do these signs prove anything?
No. KidsHealth says these signs don't always point to abuse. A divorce, a move or a death in the family can make a child sad, angry or withdrawn too. Physical signs together with behavior problems are a stronger sign.
What about young children and sexual behavior?
A lot of it is normal curiosity. The AAP says to look for behavior that can't be redirected, that causes pain or distress, or that involves force. Read what is normal at this age.
Why can't you rely on signs?
CDC says many children wait to report or never report child sexual abuse. So it helps to watch adults too. See how to spot an adult who crosses boundaries.
What do you do with a concern?
KidsHealth says having a concern is enough, and that it's better to report a concern and find no abuse than not to act.
In the US, contact child protective services, or call or text Childhelp at 1-800-422-4453. In the UK, contact your local council's children's social care team, or the NSPCC at 0808 800 5000. In immediate danger, call 911 or 999. Read how to report child abuse.
Frequently asked questions
Should I question my child if I'm worried?
Keep it open and calm, and don't push. Stop It Now says to listen without suggesting answers and, if your child hesitates, to stop and involve professional help.
Could I be wrong?
Yes, and that's OK. GOV.UK says you don't need to be sure. It's OK to report a suspicion, and professionals will look into it.
Keep reading
- What do you do if your child tells you about abuse?
- How do you report child abuse in the US and UK?
- How do you spot an adult who crosses boundaries with children?
All topics are in the overview of parents' questions. The big picture is in the guide How do you help keep your child safe? A guide for parents. Want to practice this with your child? That's why the picture book Noor Says No was made.
Sources
Each source was read on November 1, 2026. These organizations are not connected to this site or the book.
- Nemours KidsHealth: Child Abuse.
- American Academy of Pediatrics, HealthyChildren.org: Sexual Behaviors in Young Children: What's Normal, What's Not?.
- CDC: About Child Sexual Abuse.
- Childhelp: National Child Abuse Hotline.
- GOV.UK: Report child abuse.
- Stop It Now: What should I do after a child discloses sexual abuse?.
This is general information, not a replacement for professional help. Worried about a child? In the US, call or text Childhelp at 1-800-422-4453. In the UK, call the NSPCC at 0808 800 5000. Immediate danger: call 911 or 999.