10: Child Sexual Abuse

Please note that this chapter was updated in May 2019 and has replaced the previous 2013 version. Copies of the 2013 version of this chapter are available on request from the PCO UK Team.

10.1.1. This chapter provides a guide to the recognition of child sexual abuse (CSA) in clinical practice and on-going management for all paediatricians. It is acknowledged that most paediatricians will not have the expertise to assess or manage the child/young person themselves but will refer to a clinician with more specialised child protection skills with specific training and competences in the forensic assessment as outlined in the joint guidance by the Faculty of Forensic and Legal Medicine (FFLM) and Royal College of Paediatrics and Child Health (RCPCH)2. Any paediatrician undertaking assessment of children/young people referred when CSA is suspected must be familiar with the aforementioned joint guidance and RCPCH publication, The Physical Signs of Child Sexual Abuse1. The latter includes good practice in relation to the paediatric forensic examination and an evidence-based review of interpretation of physical signs.
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