Physical signs of child sexual abuse (2015)

Report cover of The Physical Signs of Child Sexual Abuse (2015)This 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. Find out more and how to receive a copy.


Based on the best available evidence, this guidance 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.

Additional information

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

Access other RCPCH child protection publications

Get a copy - named and designated doctors

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, RCP or BAPS and also involved in the forensic medical examination of children for suspected CSA.

To receive your copy, please contact the Clinical Standards Team at

Get a copy - others

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.

Members of RCPCH, American Academy of Pediatrics, Royal College of Physicians, British Association of Paediatric Surgeons and The Faculty of Forensic & Legal Medicine* £35 plus delivery
Non-members £49 plus delivery

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

Pay online

Order and pay online

Pay by cheque

Before sending a cheque, please contact our supplier, Lavenham Press:

Make your cheque payable to 'Lavenham Press Ltd'.

Post to: Lavenham Press Ltd, Arbons House, 47 Water Street, Lavenham, Suffolk CO10 9RN