Physical signs of child sexual abuse - evidence-based review

Also known as the 'purple book', this guidance is for best practice and issues of clinical practice to aid clinical decision-making in examining children referred for evaluation of possible sexual abuse. Here, you can request or purchase a print edition. You can also download additional information related to the review's publication and update.

Background

In 2015 the RCPCH, 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), updated the 2008 RCPCH publication entitled ‘The Physical Signs of Child Sexual Abuse’ based on the best available evidence.

The publication updates previous evidence and includes new reviews such as:

  • anogenital signs of accidental injuries in girls and boys
  • genital bleeding in prepubertal girls
  • healing in anogenital injuries.

Named and designated doctors - request your copy

This review is provided free of charge if you are:

  • a member of the RCPCH
  • a named or designated doctor for safeguarding children, and
  • involved in the forensic medical examination of children for suspected CSA.

Complete our form to get your copy

Others - purchase your copy

Others may purchase a copy through our stockists, Lavenham Press:

  • If you are a member of the RCPCH, Faculty of Foresnic & Legal Medicine (FFLM), Royal College of Physicians (RCP), British Association of Paediatric Surgeons (BAPS), or American Academy of Pediatrics (you must confirm your membership status on the online form) the cost is £35 plus delivery
  • For all non-members the cost is £49 plus delivery

Order online from Lavenham Press

You can also pay by cheque; contact rcpch@lavenhamgroup.co.uk / 01787 249 290. You'll need to make the cheque payable to 'Lavenham Press Ltd' and post to Lavenham Press Ltd, Arbons House, 47 Water Street, Lavenham, Suffolk CO10 9RN.

Additional information

Summary of changes by chapter.pdf

Data extraction and quality standard forms.pdf

Included studies in the evidence base section - by chapter.pdf

Literature searches.pdf