Knowing the signs of harm can help you respond to concerns about a child's safety and wellbeing.
This page explains what it means for a child to be at risk, when you should take action, and common signs that may indicate a child needs support or protection.
On this page:
What does "at risk" mean?
Under the Children and Young People (Safety) Act 2017, a child is considered at risk when they have experienced harm, or there is a likelihood they will experience harm, and they are not being adequately protected from it. A child may also be at risk in other situations where their safety, care or wellbeing is seriously affected.
What does "harm" mean?
Harm can be physical or psychological. It may result from a person's actions or from failing to provide the care and support a child needs. Harm can include physical abuse, emotional abuse, sexual abuse and neglect.
Situations where a child may be at risk
Some situations that may place a child at risk include:
- Harm or likelihood of harm – they have experienced harm, or there are concerns they may experience harm in the future and are not being protected from it.
- Abandonment or inability to care – a parent or guardian:
- is unable or unwilling to care for them
- has abandoned them
- cannot be located
- has died and suitable care arrangements are not available.
- Not attending school – they are required to attend school and are regularly absent without a reasonable explanation.
- Homelessness – they are homeless or do not have a stable place to live.
- Removal for unlawful practices – there are concerns they may be removed from South Australia to:
- undergo a medical procedure that would be unlawful in South Australia, including female genital mutilation
- take part in a marriage that would be invalid under Australian law
- participate in an activity that would be illegal in South Australia.
Signs of domestic and family violence
Domestic and family violence is when someone uses threats, control, violence or abuse to hurt or frighten a family member. Children can be affected even if the violence is not directed at them. Seeing, hearing or living with violence can affect their safety, wellbeing and development.
Domestic and family violence behaviours that may place a child at risk
A child may be at risk of harm when a parent, carer or family member displays behaviours such as:
- killed or attempted to kill another household member, used a weapon, or displayed a weapon in a threatening manner
- seriously injured a family member, including:
- sexual assault
- fractures
- internal injuries
- disfigurement
- burns
- or any injury that may require hospitalisation
- seriously threatened to harm a child, another adult or self, for example:
- a threat to kill self
- commit sexual assault
- kidnap
- hold hostage
- murder
- cause serious injury
- harm a household pet
- used excessive discipline and punishment
- held a child in their arms, or a child was in close enough proximity to be hurt during the incident, including bruising, cuts, or burns, or other more severe injuries
- there is a pattern or disclosure of abusive power and control that prevents one person from making choices for the safety of self, and, or a child.
Find more information about domestic and family violence on the White Ribbon Australia website.
Signs a child may be experiencing domestic and family violence
Children who experience domestic and family violence may show a range of signs. These signs do not always mean family violence is occurring, but they can be a sign that a child needs support. It is important to consider these signs alongside any other concerns about their safety and wellbeing.
Possible signs of domestic and family violence in babies and young children can include:
- premature birth
- low birth weight or underweight for age
- physical injury
- neglect
- sexual abuse
- flinching – all ages
- eating and sleeping difficulties
- concentration problems
- inability to play constructively or hitting, biting or defiance
- clinginess
- sudden changes in behaviour – relief (all ages)
- regressive behaviour such as bedwetting
- foetal injury or death
- very demanding or very passive
- fearfulness, wary of new people and startle easily
- feeding or sleep difficulties
- delayed mobility
- frequent crying and signs of irritability and anxiety
- numbing
- adjustment problems
- developmental delay
- physical complaints or frequent illnesses
- may view themselves as the source of the anger, a mediator or distracter – egocentric stage.
Possible signs of domestic and family violence in babies and young children can include:
- premature birth
- low birth weight or underweight for age
- physical injury
- neglect
- sexual abuse
- flinching – all ages
- eating and sleeping difficulties
- concentration problems
- inability to play constructively or hitting, biting or defiance
- clinginess
- sudden changes in behaviour – relief (all ages)
- regressive behaviour such as bedwetting
- foetal injury or death
- very demanding or very passive
- fearfulness, wary of new people and startle easily
- feeding or sleep difficulties
- delayed mobility
- frequent crying and signs of irritability and anxiety
- numbing
- adjustment problems
- developmental delay
- physical complaints or frequent illnesses
- may view themselves as the source of the anger, a mediator or distracter – egocentric stage.
Possible signs of domestic and family violence in school aged children can include:
- defiant behaviour
- rebelliousness
- temper tantrums
- cruelty to pets
- physical abuse of others
- avoidance of peers
- may see violence as a way to resolve conflict
- overly compliant behaviour
- withdrawal or loss of interest in social or school activities
- self-harm
- poor school performance
- child is placed in the role of needing to fulfill specific emotional and physical needs of a parent or caregiver
- rebels against adult instruction or authority.
Possible signs of domestic and family violence in school aged children can include:
- defiant behaviour
- rebelliousness
- temper tantrums
- cruelty to pets
- physical abuse of others
- avoidance of peers
- may see violence as a way to resolve conflict
- overly compliant behaviour
- withdrawal or loss of interest in social or school activities
- self-harm
- poor school performance
- child is placed in the role of needing to fulfill specific emotional and physical needs of a parent or caregiver
- rebels against adult instruction or authority.
Possible signs of domestic and family violence in young people can include:
- dropping out of school or academic failure
- delinquency or offending
- eating disorders
- substance misuse
- depression
- suicidal ideation
- use of controlling behaviours
- distrust of adults
- violent behaviours including violence toward a parent (particularly the mother) or other family member
- early pregnancy
- difficulty with social situations.
Possible signs of domestic and family violence in young people can include:
- dropping out of school or academic failure
- delinquency or offending
- eating disorders
- substance misuse
- depression
- suicidal ideation
- use of controlling behaviours
- distrust of adults
- violent behaviours including violence toward a parent (particularly the mother) or other family member
- early pregnancy
- difficulty with social situations.
Signs of physical harm
Physical harm occurs when a child is seriously hurt, or at risk of being seriously hurt, by a parent or carer. This includes injuries caused on purpose or through harsh punishment.
Examples of physically harmful behaviour
A child may be at risk of physical harm when a parent, carer or family member engages in behaviours such as:
- kicking, punching, hitting, for example – with open hands, fists, belts, wooden spoons
- shaking – particularly of young babies
- burning – immersion in scalding water, cigarette burns, irons
- biting
- pulling out hair
- alcohol or other drug misuse – prescribed and illicit drugs
- fabricated or induced illness
- female genital mutilation
- exposure to extreme temperatures for sufficient duration to cause serious harm
- threats to harm or kill a child by parent, carer or other family member.
Signs a child may be experiencing physical harm
Children experiencing physical harm may show physical injuries, changes in behaviour, or both. These signs do not always mean physical harm has occurred, but they may indicate that a child is at risk or needs support. It is important to consider these signs alongside any other concerns about the child's safety and wellbeing.
A child experiencing physical harm may show injuries or other physical signs that could indicate they have been hurt or are at risk of harm, for example:
- bruises or welts on facial areas and other areas of the body, including back, bottom, legs arms and inner thighs
- any bruises or welts in unusual configurations or which resemble the object used to make the injury, for example:
- finger marks
- handprints
- iron
- teeth
- belt buckles
- burns that show the shape of the object used to make them, for example:
- iron
- grill
- cigarette
- burns from boiling water, oil or flames
- fractures of the jaw, nose and limbs, especially those not consistent with the explanation of the cause of the injury – relevant to the child’s age or developmental stage
- cuts and grazes to mouth, lips, gum areas, eye area, genitalia
- human bite marks
- bald patches where hair has been pulled out
- multiple injuries, old and new
- poisoning.
A child experiencing physical harm may show injuries or other physical signs that could indicate they have been hurt or are at risk of harm, for example:
- bruises or welts on facial areas and other areas of the body, including back, bottom, legs arms and inner thighs
- any bruises or welts in unusual configurations or which resemble the object used to make the injury, for example:
- finger marks
- handprints
- iron
- teeth
- belt buckles
- burns that show the shape of the object used to make them, for example:
- iron
- grill
- cigarette
- burns from boiling water, oil or flames
- fractures of the jaw, nose and limbs, especially those not consistent with the explanation of the cause of the injury – relevant to the child’s age or developmental stage
- cuts and grazes to mouth, lips, gum areas, eye area, genitalia
- human bite marks
- bald patches where hair has been pulled out
- multiple injuries, old and new
- poisoning.
A child experiencing physical harm may show behaviours that suggest they are fearful, distressed or trying to hide an injury, for example:
- the child states that an injury has been inflicted by someone else, or offers an unlikely explanation, or ‘can’t remember’ the cause of the injury
- unusual fear of physical contact, for example – flinches when unexpectedly touched
- wears clothes unsuitable for weather conditions to hide injuries
- fear of a caregiver or other family member – reluctance to go home
- little or no emotion when hurt or threatened
- absences from school without explanation – hiding injuries until healed
- overly compliant, shy, passive, withdrawn
- fearfulness when other children cry or shout
- unusually nervous or hyperactive, aggressive, disruptive to self or others
- excessively friendly with strangers
- regressive behaviour, for example – bedwetting
- poor sleeping patterns, fear of the dark or nightmares
- sadness and frequently crying
- poor memory and concentration
- suicide attempts.
A child experiencing physical harm may show behaviours that suggest they are fearful, distressed or trying to hide an injury, for example:
- the child states that an injury has been inflicted by someone else, or offers an unlikely explanation, or ‘can’t remember’ the cause of the injury
- unusual fear of physical contact, for example – flinches when unexpectedly touched
- wears clothes unsuitable for weather conditions to hide injuries
- fear of a caregiver or other family member – reluctance to go home
- little or no emotion when hurt or threatened
- absences from school without explanation – hiding injuries until healed
- overly compliant, shy, passive, withdrawn
- fearfulness when other children cry or shout
- unusually nervous or hyperactive, aggressive, disruptive to self or others
- excessively friendly with strangers
- regressive behaviour, for example – bedwetting
- poor sleeping patterns, fear of the dark or nightmares
- sadness and frequently crying
- poor memory and concentration
- suicide attempts.
Signs of neglect
Neglect is when a child does not receive the basic care they need on an ongoing basis. This can affect their health, safety, wellbeing, and development.
Types of neglect
A child may experience different types of neglect:
Supervisory neglect
Supervisory neglect is characterised by absence or inattention and can lead to physical harm or injury, sexual abuse or, in an older child, permitting criminal behaviour. Supervisory neglect includes abandonment where a child is left alone for more than a developmentally appropriate time frame.
Physical neglect
Physical neglect is characterised by the caregiver’s failure to provide basic physical necessities, such as safe, clean and adequate housing, clothing, food and health care.
Medical neglect
Medical neglect is characterised by a caregiver’s failure to provide appropriate medical care. This could occur through a failure to acknowledge the seriousness of an illness or condition, or the deliberate withholding of appropriate care.
Emotional neglect
Emotional neglect is characterised by a lack of caregiver warmth, nurturing, encouragement and support, note – emotional neglect is sometimes considered a form of emotional maltreatment.
Signs a child may be experiencing neglect
Children experiencing neglect may show physical, developmental or behavioural signs. These signs do not always mean neglect is occurring, but they may indicate that a child is not receiving the care and support they need. It is important to consider these signs alongside any other concerns about their safety and wellbeing.
A child experiencing neglect may show physical signs that their basic needs are not being met by:
- being consistently:
- dirty and unwashed
- inappropriately dressed for weather conditions
- without adequate supervision and at risk of injury or harm
- hungry, tired and listless, falling asleep in class
- having unattended health problems and lack of routine medical care
- having inadequate shelter and unsafe or unsanitary conditions
- abandonment by parents or caregiver
- having a ‘failure to thrive’ diagnosis
- having a ‘global developmental delay’ diagnosis.
A child experiencing neglect may show physical signs that their basic needs are not being met by:
- being consistently:
- dirty and unwashed
- inappropriately dressed for weather conditions
- without adequate supervision and at risk of injury or harm
- hungry, tired and listless, falling asleep in class
- having unattended health problems and lack of routine medical care
- having inadequate shelter and unsafe or unsanitary conditions
- abandonment by parents or caregiver
- having a ‘failure to thrive’ diagnosis
- having a ‘global developmental delay’ diagnosis.
A child experiencing neglect may behave by:
- begging or stealing food
- gorging when food is available
- an inability to eat when extremely hungry
- experiencing alienation from peers, being withdrawn, listless, pale, thin
- showing aggressive behaviour
- delinquent acts, for example – vandalism, drug and alcohol abuse
- having little positive interaction with parent or caregiver
- appearing irritable or miserable
- having poor socialising habits
- having poor evidence of bonding, little stranger anxiety
- being indiscriminate with affection
- having poor or irregular school attendance.
A child experiencing neglect may behave by:
- begging or stealing food
- gorging when food is available
- an inability to eat when extremely hungry
- experiencing alienation from peers, being withdrawn, listless, pale, thin
- showing aggressive behaviour
- delinquent acts, for example – vandalism, drug and alcohol abuse
- having little positive interaction with parent or caregiver
- appearing irritable or miserable
- having poor socialising habits
- having poor evidence of bonding, little stranger anxiety
- being indiscriminate with affection
- having poor or irregular school attendance.
Signs of psychological and emotional harm
Psychological or emotional harm occurs when a child is repeatedly treated in ways that make them feel afraid, worthless, isolated or controlled. This can affect their emotional wellbeing, confidence and development.
Examples of psychologically or emotionally harming behaviour
A child may experience psychological or emotional harm when a parent, carer or family member repeatedly behaves in ways that frighten, reject, isolate, humiliate or exploit them.
Terrorising – threatening or frightening behaviour
Terrorising behaviour may include consistently:
- saying things or acting in ways that frighten the child
- threatening to harm the child, self, others or pets
- deliberately causing a child to witness traumatic events.
Alienation – turning a child against a parent or family member
Alienation can happen when a parent, carer, or family member says negative things about another parent, carer, or family member to a child, which may affect the child's relationship with that person.
Exploitation or corruption – encouraging harmful or illegal behaviour
Exploiting or corrupting behaviour may include a parent, carer or family member who is involved in illegal or antisocial activity:
- involving the child in this activity
- exposing the child to this activity to the extent that the child or young person normalises illegal or antisocial behaviour as a lifestyle.
Isolation – keeping a child from support and relationships
Isolation of child may include:
- denying emotional responsiveness
- inhibiting the child's relationships with others inside or outside of the family
- consistently ignoring the child’s need for attention or affection.
Constant criticism or hostility
Hostility may include a pattern where:
- everything the child does is criticised
- little or no praise balances the criticism
- the criticism is not constructive or helpful but, rather, is personally attacking.
Rejection
Rejection may include a pattern in which the parent, carer or other family member does not accept the physical or emotional presence of the child, for example – the parent, carer or other family member consistently speaks or acts in ways that convey to the child that they are not wanted or are undeserving of membership in the family.
Humiliating or degrading a child
Degradation may include a parent, carer or other family member humiliating a child for example – name calling, teasing, ridiculing regarding weight, body parts.
Signs a child may be experiencing psychological or emotional harm
Children experiencing psychological or emotional harm may show signs in their behaviour, development or relationships with others. These signs do not always mean harm is occurring, but they may indicate that a child needs support or may be at risk of harm.
Psychological or emotional harm can affect how a child feels, reacts and behaves:
- withdrawing from friends, activities or social events
- play that is dominated by violence or other concerning themes
- extreme separation anxiety
- regression in behaviours such as bedwetting
- being constantly alert, anxious or on edge
- aggressive or violent behaviour
- difficulty managing emotions
- appearing emotionally detached or "shutting down"
- difficulty concentrating
- risk-taking behaviour
- self-harm or suicidal thoughts.
Psychological or emotional harm can affect how a child feels, reacts and behaves:
- withdrawing from friends, activities or social events
- play that is dominated by violence or other concerning themes
- extreme separation anxiety
- regression in behaviours such as bedwetting
- being constantly alert, anxious or on edge
- aggressive or violent behaviour
- difficulty managing emotions
- appearing emotionally detached or "shutting down"
- difficulty concentrating
- risk-taking behaviour
- self-harm or suicidal thoughts.
Psychological or emotional harm can affect a child's learning, development and ability to reach important milestones:
- loss of previously learned skills
- decline in school performance
- delays in speech, learning or other developmental milestones.
Psychological or emotional harm can affect a child's learning, development and ability to reach important milestones:
- loss of previously learned skills
- decline in school performance
- delays in speech, learning or other developmental milestones.
Psychological or emotional harm can affect how a child interacts with other people and builds relationships:
- difficulty forming relationships with adults or peers
- challenging or unpredictable interactions with others
- showing affection to unfamiliar adults without appropriate boundaries
- difficulty trusting other people
- limited empathy for others.
Psychological or emotional harm can affect how a child interacts with other people and builds relationships:
- difficulty forming relationships with adults or peers
- challenging or unpredictable interactions with others
- showing affection to unfamiliar adults without appropriate boundaries
- difficulty trusting other people
- limited empathy for others.
Signs of sexual abuse and grooming
Sexual abuse is when a child is involved in sexual activity or behaviour that they do not fully understand, cannot consent to, or are pressured into by another person. It often involves someone using their position of power or trust to exploit the child.
Grooming is when a person builds trust with a child, or the adults around them to create opportunities for sexual abuse and to help keep it hidden.
Adult behaviours that may be signs of sexual abuse or grooming
People who sexually abuse or groom children often use trust, secrecy, manipulation or special attention to gain access to a child:
- persistently intruding on a child ’s privacy
- child prostitution – engaging in, supporting or coercing
- behaviour suggestive of grooming a child may include:
- buying gifts
- singling out one child from others
- inconsistent reports of activities with the child
- fondling, kissing or holding a child in a sexual manner, exhibitionism, mutual masturbation, oral sex
- penetration of the genital or anal region
- communicating in a sexually explicit way that is not age or developmentally appropriate
- sending obscene messages, phone calls, emails, social media posts to a child
- exposing a child to:
- pornographic films, magazines or photographs
- written information about explicit sexual acts
- having a child pose or perform in a sexual manner to produce child abuse materials
- engaging in online chat rooms or websites posing as a child.
People who sexually abuse children may:
- be from any culture, faith, religion, race, age, sexuality, gender, and be married or single
- be skilled at gaining the trust of adults and children
- seek work in agencies that come into contact with children
- be skilled at identifying children who are less resilient and more vulnerable
- use their professional position to exploit vulnerable adults, children by providing food or financial reward.
Signs a child may be experiencing sexual abuse
A child experiencing sexual abuse may show a range of physical or behavioural signs. While these signs do not always indicate sexual abuse, they can be a warning sign, especially when seen alongside other concerning changes in a child's behaviour, health or wellbeing.
A child experiencing sexual abuse may show physical signs, injuries or health concerns that require further attention:
- injury to the genital or rectal area such as bruising or bleeding
- vaginal or anal bleeding or discharge
- discomfort in urinating or defecating
- presence of foreign bodies in vagina or rectum
- inflammation of the genital area
- sexually transmitted infections
- pregnancy – especially in very young adolescents
- bruising and other injury to breasts, buttocks, thighs
- anxiety related illnesses, such as anorexia or bulimia
- frequent urinary tract infections
- frequent rocking, sucking and biting
- poor self-care or personal hygiene.
A child experiencing sexual abuse may show physical signs, injuries or health concerns that require further attention:
- injury to the genital or rectal area such as bruising or bleeding
- vaginal or anal bleeding or discharge
- discomfort in urinating or defecating
- presence of foreign bodies in vagina or rectum
- inflammation of the genital area
- sexually transmitted infections
- pregnancy – especially in very young adolescents
- bruising and other injury to breasts, buttocks, thighs
- anxiety related illnesses, such as anorexia or bulimia
- frequent urinary tract infections
- frequent rocking, sucking and biting
- poor self-care or personal hygiene.
A child experiencing sexual abuse may show changes in behaviour, emotions, relationships or participation in daily activities:
- the child discloses abuse – see Responding to disclosure
- persistent and age-inappropriate sexual activity, including:
- excessive masturbation with objects
- rubbing genitals against adults
- playing games that act out a sexually abusive event
- a fear of home, a specific place, a specific adult
- poor or deteriorating relations with adults and peers
- arriving at school early and leaving late
- complaining of headache, stomach aches, pains nausea without a physiological basis
- sleeping difficulties
- reluctance to participate in physical or recreational activities
- regressive behaviour – for example bed wetting or speech loss
- sudden accumulation of money or gifts
- truancy or running away from home
- delinquent or aggressive behaviour
- self-injurious behaviour, such as drug or alcohol abuse
- prostitution, self-harm or attempted suicide
- sudden decline in academic performance, poor memory and concentration
- wearing of provocative clothing or layers of clothes
- promiscuity.
A child experiencing sexual abuse may show changes in behaviour, emotions, relationships or participation in daily activities:
- the child discloses abuse – see Responding to disclosure
- persistent and age-inappropriate sexual activity, including:
- excessive masturbation with objects
- rubbing genitals against adults
- playing games that act out a sexually abusive event
- a fear of home, a specific place, a specific adult
- poor or deteriorating relations with adults and peers
- arriving at school early and leaving late
- complaining of headache, stomach aches, pains nausea without a physiological basis
- sleeping difficulties
- reluctance to participate in physical or recreational activities
- regressive behaviour – for example bed wetting or speech loss
- sudden accumulation of money or gifts
- truancy or running away from home
- delinquent or aggressive behaviour
- self-injurious behaviour, such as drug or alcohol abuse
- prostitution, self-harm or attempted suicide
- sudden decline in academic performance, poor memory and concentration
- wearing of provocative clothing or layers of clothes
- promiscuity.
Substance abuse and mental health concerns
When a parent or carer experiences substance abuse or mental health concerns, it can affect their ability to provide stable care, meet a child's needs and maintain important routines, for example – school attendance, bedtimes and social commitments.
This may have a negative impact on a child's safety, wellbeing and development.
Signs a parent or carer may be struggling with substance use or mental health concerns
The parent or carer:
- expresses ideas that are out of touch with reality
- does not provide even minimal emotional support for child
- threatens or attempts suicide, homicide, harms pets
- behaviour is extremely erratic and/or unpredictable.
If you are concerned about a child
If you recognise signs that a child may be at risk of harm, it is important to take your concerns seriously.
You do not need proof that a child is being harmed before taking action.
You may have reasonable grounds to be concerned when:
- a child tells you they are at risk or have been harmed
- your observations of a child's behaviour, wellbeing or injuries raise concern they are at risk or have been harmed
- a child tells you someone else is at risk or has been harmed
- a person provides reliable information that raises concerns about a child's safety.
If you are concerned about a child's safety or wellbeing, contact the Child Abuse Report Line (CARL) on 13 14 78. To learn more about your reporting responsibilities and options below.
- Responding to a disclosure – what to do if a child tells you about harm or abuse.
- Making a report – when and how to report your concerns.
- Understanding mandatory reporting – who must report and their legal responsibilities.