Bruises or welts on facial areas and other areas of the body including back, bottom, legs, arms, or inner thighs
Bruises or welts in unusual configurations
Bruises or welts that look like the object used to make the injury (for example fingerprints, handprints, buckles, iron, or teeth)
Burns from boiling water, oil, or flames
Burns that show the shape of the object used to make them (for example, iron, grill, or a cigarette)
Fractures of the skull, jaw, nose, or limbs – especially those not consistent with the explanation offered, or the type of injury not possible at the child’s age of development
Cuts and grazes to the mouth, lips, gums, eye area, ears, or external genitalia
Bald patches where hair has been pulled out
Multiple injuries – old and new
Effects of poisoning
Internal injuries.
SIGNS OF BEHAVIOURAL ABUSE
Disclosure of an injury inflicted by someone else (parent, carer, or guardian)an inconsistent or unlikely explanation, or inability to remember the cause of injury
Unusual fear of physical contact with adults
Aggressive behaviour
Disproportionate reaction to events
Wearing clothes unsuitable for weather conditions to hide injuries
Wariness or fear of a parent, carer, or guardian
Reluctance to go home
No reaction or little emotion displayed when being hurt or threatened
Habitual absences from school without reasonable explanation
Overly compliant, shy, withdrawn, passive, or uncommunicative
Unusually nervous, hyperactive, aggressive, disruptive, or destructive to self or others
Poor sleeping patterns, fear of the dark, nightmares, or regressive behaviour (for example, bed-wetting)
Drug or alcohol misuse, suicidal thoughts, or self-harm.