The needs of the sexually abused child

The incidence of sexual abuse in childhood, and its short and long term effects dictate that paediatricians increase their awareness of the needs of the sexually abused child. Case examples are given from experience at one children's hospital illustrating a range of situations which vary with the relationship of the abuser to the child. Factors thought to influence outcome are described. The needs demonstrated are correlated with management recommendations, including those made in a recent Australian report.