Which of the following is NOT listed as a sign of sexual abuse in children?

• A. Bedwetting
• B. Headache
• C. Difficulty walking/sitting
• D. Runs away

Answer: (B)

The key idea is recognizing signs that may indicate a child has experienced sexual abuse and understanding which symptoms are more specific indicators versus generic distress. Bedwetting can reappear or continue after being previously dry, which is a well-documented behavioral sign of stress or trauma in children. Difficulty walking or sitting can signal physical injury or pain in the genital or anal areas, another direct and serious cue that warrants immediate attention. Running away is a common behavioral response to danger, fear, or distress, and is frequently noted as a warning sign in abuse assessments.

Headache, while it can occur in abused children, is a non-specific symptom that arises from many causes and is not typically listed as a direct sign of sexual abuse by itself. It isn’t as reliable a cue on its own as the other signs, which is why it’s not considered a listed indicator of abuse in typical screening resources. In practice, look for a pattern of multiple signs and involve appropriate reporting and investigation protocols when abuse is suspected.