Cigar or cigarette burns, especially on the soles, palms, lips, cheeks, back, buttocks

Immersion burns (stocking or glove-like without splash burns on extremities, doughnut-shaped on buttocks or genitals)

Patterned burns resembling an electrical appliance especially when on a non-exploratory body surface

Rope burns, particularly on wrist, ankles, neck, torso

Injuries to the head, neck, chest, breasts, abdomen, and genitals

Unusual injury marks that resemble the shape of the article used to inflict injury
Example: Belt, rope, hairbrush, hand, teeth, electrical cord

Numerous injuries at multiple sites (outside of motor vehicle accident or other catastrophe), especially those injuries appearing to be in various stages of healing

Injuries that have not been cared for properly or at all

Injury that is inconsistent with explanation for its cause

Infections in children not commonly occurring,
Example: Venereal warts, syphillis, gonorrhea or chlamydia

Gynecologic problems, frequent vaginal and urinary tract infections, pelvic pain

Pain from touching

Chronic pain, psychogenic pain, or pain due to diffuse trauma without visible evidence

Bruises and welts forming regular geometric or symmetrical patterns

Lacerations or abrasions to palate, mouth, gums, lips, eyes, ears, external genitalia (ex: vaginal or rectal tears)

Process of emotional abuse is observable
Example: Partner/parent/guardian yells, threatens, swears

Partner/parent/guardian accompanies patient, insists on staying close, and answers all questions directed to the patient

Denial or minimization of violence by either partner/parent/guardian or patient

Partner/parent/guardian's lack of affection towards patient or withholds affection when showing affection would be appropriate.

Feelings of isolation and inability to cope

Suicide attempts or gestures

Contradictory statements, implausible stories, conflicting accounts of incidents

Reluctance of a patient to speak or disagree in front of partner/parent/guardian

Patient's exaggerated sense of personal responsibility for the relationship, including self-blame for partner/parent/guardian's abuse/neglect

Fearful of caregivers

Depression

Alcohol or drug abuse

Panic attacks and other anxiety symptoms

Vague, nonspecific complaint of ill or failing health

Verbal expressions of "I can't seem to do anything right" or "I can't seem to do what I'm supposed to do"

History of promiscuous behavior

Draws away from socially appropriate contact

Bedwetting, encopresis