What Is Child Abuse?

Child abuse can take different forms, and it is not always easy to recognize. Sometimes it involves visible harm. Other times, it shows up through fear, withdrawal, changes in behavior, or unmet needs.

Understanding what child abuse can look like is one of the first steps in protecting children.

Young girl holding up her hand with the word "STOP" written on her palm, representing child abuse prevention, personal safety, and protection.

Child abuse is any action—or failure to act—that harms a child’s physical, emotional, or mental well-being.

It can happen in any community, and it often involves someone the child knows and trusts.

PennCAC’s role is to support the network of Children’s Advocacy Centers across Pennsylvania that help children and families when abuse is suspected or reported.

Types of Child Abuse

Physical Abuse

When a child is intentionally hurt or injured.

Emotional Abuse

When words, threats, rejection, or ongoing harmful behavior affect a child’s emotional development or sense of safety.

Sexual Abuse

When a child is involved in sexual activity, sexual contact, or exploitation.

Neglect

When a child’s basic needs—such as supervision, food, shelter, medical care, or emotional care—are not met.

Know the Signs and Help Stop Child Abuse

If you see or hear any of these signs, don’t hesitate. Call ChildLine 24/7, toll-free at 1-800-932-0313.

 

You do not need proof of abuse to make a report!

Signs of Physical Abuse

Physical Indicators

  • Unexplained injuries
  • Unbelievable or inconsistent explanations of injuries
  • Multiple bruises in various stages of healing
  • Bruises located on faces, ears, necks, buttocks, backs, chests, thighs, back of legs, and genitalia
  • Bruises that resemble objects such as a hand, fist, belt buckle, or rope
  • Injuries that are inconsistent with a child’s age or developmental level
  • Burns

Behavioral Indicators

  • Excessive fear of caretakers
  • Antisocial behavior
  • Withdrawal from friends and social activities
  • Depression or anxiety
  • Changes in personality or mood
  • Fear of or sudden reluctance to be alone
  • Changes in academic performance
  • Loss of appetite or changes in eating habits
  • Self-harm

Signs of Sexual Abuse

Physical Indicators

  • Sleep disturbances
  • Bedwetting
  • Pain or irritation in genital or anal area
  • Difficulty walking or sitting
  • Difficulty urinating
  • Pregnancy
  • Positive testing for sexually transmitted disease
  • Excessive or injurious masturbation

Behavioral Indicators

  • Age-inappropriate sexual behavior
  • Cruelty to animals
  • Fire setting
  • Withdrawal from friends and social activities
  • Depression or anxiety
  • Changes in personality or mood
  • Fear of or sudden reluctance to be alone with someone
  • Changes in academic performance
  • Loss of appetite or changes in eating habits
  • Self-harm

Why This Matters

The impact of abuse can last long after the moment has passed.

Child abuse can affect a child’s sense of safety, their health, their relationships, and how they move through the world. But support makes a difference. Early intervention, a safe response, and trauma-informed care can change lives for the better.

13,881 children

came to a Pennsylvania CAC in 2025 because of suspected abuse. More than 70% of those cases involved alleged sexual abuse.

In 9 out of 10 cases

of child sexual abuse, the abuser is someone known to the child.

Questions People Often Have

Do I need proof to make a report?

No. If something feels wrong, trust your instincts and take the next step. Report suspected abuse immediately to 1-800-932-0313.

No. Some signs are behavioral or emotional and may be harder to spot.

Child welfare professionals or law enforcement are the first to respond to reported abuse. They assess the situation and determine next steps based on agency guidelines or laws.

If a case is referred to a CAC, CAC professionals work with these investigative teams to coordinate a collaborative process that includes a forensic interview, medical exam, trauma therapy and victim advocacy as needed.

Take the Next Step

If you’re trying to better understand what abuse looks like, the next best step is learning the warning signs. If you’re already concerned about a child, don’t wait.