WHO | Guidelines

757 child sexual abuseSUMMARY The dynamics of child sexual abuse differ from those of adult sexual abuse . In particular,children rarely disclose sexual abuse immediately after the event. Moreover, disclosure tends tobe a process rather than a single episode and is often initiated following a physical complaint ora change in behaviour. The evaluation of children requires special skills and techniques in history taking, forensicinterviewing and examination; the examiner may also need to address specific issues related toconsent and reporting of child sexual abuse . Definitive signs of genital trauma are seldom seen in cases of child sexual abuse , as physicalforce is rarely involved. The accurate interpretation of genital findings in children requires specialisttraining and wherever possible, experts in this field should be consulted.

The accurate interpretation of genital findings in children requires specialist ... These guidelines adopt the definition of child sexual abuse formulated by the ... — positive culture for N. gonorrhoeae or serologic confirmation of acquired syphilis (when perinatal and iatrogenic transmission can be ruled out);

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  Guidelines, Sexual, Interpretation, Child, Abuse, Child sexual abuse, Syphilis, Serologic

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