Physical signs of child sexual abuse - evidence-based review

Guidance for best practice and issues for clinical practice to aid clinical decision-making in examining children referred for evaluation of possible sexual abuse. You can request or purchase a print edition. You can also download additional information related to the review's publication and update.

Named and designated doctors - request your copy

This review is provided free of charge if you are:

  • a named or designated doctor for safeguarding children, and
  • a member of RCPCH
  • 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:

  • member of 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) - £35 plus delivery
  • non-member - £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.

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 including:

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

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