Physical signs of child sexual abuse - 2015 update

CSA cover2015 FINAL_0.jpgThis evidence-based review and guidance for best practice is a revision of the 2008 Royal College of Paediatrics and Child Health (RCPCH) publication 'The Physical Signs of Child Sexual Abuse’.

Based on the best available evidence, it has been produced in collaboration with the American Academy of Pediatrics (AAP), the Royal College of Physicians of London (RCP) and The Faculty of Forensic and Legal Medicine (FFLM).

The 2015 book updates the evidence of the physical signs of child sexual abuse from the 2008 publication and includes three new reviews on:

  • Anogenital signs of accidental injuries in girls and boys
  • Genital bleeding in prepubertal girls
  • Healing in anogenital injuries

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Get a copy

A copy of the publication is available free of charge to Named and Designated Doctors for Safeguarding Children who are members of the RCPCH, FFLM or RCP and also involved in the forensic medical examination of children for suspected CSA. To receive your copy, please contact the Clinical Standards Team at
If you are not eligible for a free copy, you may purchase a copy through Lavenham Press. Delivery charges apply and vary depending on location:
  • Designated/named doctors (see above) – Free
  • RCPCH, American Academy of Pediatrics, Royal College of Physicians and The Faculty of Forensic & Legal Medicine members - £35.00 (not including P&P)
  • Non-members: £49.00 (not including P&P)

Please note: Members must confirm their membership status on the online delivery form to receive the member price.

Purchase online

Cheques may also be made payable to 'Lavenham Press Ltd' and posted to: Lavenham Press Ltd, Arbons House, 47 Water Street, Lavenham, Suffolk CO10 9RN. Please contact Lavenham Press prior to sending a cheque via the below contact details.

Additional information

Complementary information includes a copy of the searches, list of included studies, quality standards forms, and summary of changes.

Find out more

Useful links

Other RCPCH child protection publications