Sexual Abuse in Children: Care Instructions
Overview
Child sexual abuse is any sexual contact between an adult and a child (or between an older child and a younger child). This includes sexual acts and touching. But it doesn't always involve physical contact. For example, showing pornography to a child or taking nude photos of a child is sexual abuse.
Normal sexual play is not sexual abuse. Normal sexual play occurs between children of similar ages who spend time together. It usually involves looking and touching. It's playful and mutual, not forced.
Often children are sexually abused by people they know, like a family member or caregiver. A child who has been abused may be afraid to talk about it. The abuser may threaten or persuade them not to tell. The child may worry about getting the person in trouble. Or a child may feel that they are to blame for what happened.
Sexual abuse is never the child's fault.
Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.
How can you care for your child at home?
- Find a safe place for the child, away from the person who abused them.
- Believe the child, and offer love and support. If the child talks about the abuse, let them know that talking about it is a brave thing to do. Reassure the child that what happened was not their fault.
- Find a counsellor for the child. Children who've been sexually abused are at risk for problems such as depression and anxiety. Counselling can help a child cope with and recover from sexual abuse.
- Empower the child. Teach children that their body is their own. They get to decide who touches them. If they don't want to be hugged by other people, respect their decision. Teach them the correct names for their body parts. Encourage the child to tell you if someone makes them uncomfortable.
- Take care of yourself. It can be hard to deal with the sexual abuse of a child. Talk to a counsellor or call a local or national crisis hotline for advice or support.
What if you suspect someone close to you?
If you suspect someone who's close to you, it may not be safe to take home information about child abuse. And it may not be safe to search online on your devices. Consider asking a trusted friend to keep this information for you or to help you find online resources. Or you could use a computer at a public library.
If you've done online searches, it may be a good idea to clear your device's search history so no one can see the sites you visited. Search for "delete browser history" to learn how.
If you're concerned about your or your child's safety, it's important to plan ahead. Think of places you could go or people you could call for help. You may want to save or memorize their phone numbers. And you might pack a bag so you can leave quickly. Talk to your doctor or a counsellor. They can offer resources and support.
When should you call for help?
Call 911 anytime you think a child may need emergency care. For example, call if:
- You witness the sexual abuse of a child. If possible, save evidence of the abuse. Don't let the child change clothes, eat, drink, bathe, brush their teeth, or clean up in any way. Write down all the details about the abuse and the abuser.
- You believe that a child is in immediate danger of being abused.
Call your doctor or nurse advice line now or seek immediate medical care if:
- You know or think that a child has been sexually abused, even if there are no physical injuries.
- You know or think that a child may be in danger of abuse. You can also call your local police or child protection services.
Contact your doctor or nurse advice line if:
- A child tells you about being sexually abused. You can also contact a local or national crisis hotline for free confidential advice and support. Kids and teens can call Kids Help Phone at 1-800-668-6868 or text CONNECT to 686868.
- You notice behaviour changes in a child, such as:.
- Knowing more about sex than expected or acting very sexual.
- Having sleep problems.
- Having mood changes, such as seeming depressed, anxious, or angry or being more withdrawn than usual.
- Having problems in school.
- Acting out in risky ways, like running away or using drugs.
- Hurting themself or attempting suicide.
- You see possible physical signs of sexual abuse, such as:
- Discomfort while the child sits or uses the toilet.
- Genital or anal pain or discharge, or blood in their underwear.
- Headaches.
- Belly pain or constipation.
Where can you learn more?
Go to https://www.healthwise.net/patientEd
Enter S124 in the search box to learn more about "Sexual Abuse in Children: Care Instructions".
Current as of: June 24, 2023
Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
