Evidence that a child has been sexually abused is not always obvious, and many children do not report that they have been abused. Only around 38% of child victims disclose the fact that they have been sexually abused. Of these, 40% tell a close friend rather than an adult or authority, which does not always result in a formal report.
Fabricated sexual abuse reports constitute only 4% to 8% of all reported cases. Most fabricated reports are made by adults involved in custody disputes or by adolescents. (Darkness to Light)
For a full list of abuse signs, click here (English) or click here (Spanish).
https://www.childwelfare.gov/pubPDFs/whatiscan.pdf
Health and Behavioral Problems: Sexually abused children who report their abuse and are not believed or do not receive appropriate care are at greater risk for psychological, emotional, social and physical problems throughout their lifetime. It is extremely important to react calmly, appropriately and remain supportive if a child reports abuse.
Drug and/or Alcohol Problems: Victims of child sexual abuse are at greater risk for developing drug and alcohol-related problems. Reports indicate that adolescents with a history of child sexual abuse demonstrate a three to four-fold increase in rates of substance abuse and dependence.
Teenage Pregnancy and Sexual Health: Girls who are victims of sexual abuse are 2.2 times more likely to become teen mothers. Forty-five percent of pregnant teens report a history of child abuse. Abused or neglected children are also more likely to engage in sexual risk-taking as they reach adolescence, thereby increasing their chances of contracting a sexually transmitted disease. Victims of child sexual abuse are at a higher risk for rape in adulthood, and the rate of risk increases according to the severity of the child sexual abuse experience.
Crime: Adolescents that reported victimization (i.e., sexual abuse or physical abuse) were more likely to be arrested than their non-abused peers.
Many Victims – One Perpetrator: Seventy percent of child sex offenders report having between one and nine victims. Twenty percent report having as many as 40 victims.
Societal Consequences: The Center for Disease Control recently estimated the lifetime burden of a new substantiated case of nonfatal child maltreatment to be $210,012 per victim. This includes immediate costs, as well as loss of productivity and increased healthcare costs in adulthood.