Normal Range

• Genital or Reproduction conversations with peer or similar age siblings
• Show me yours/I'll show you mine with peers
• Playing 'doctor"
• Occasional masturbation without penetration
• Imitating seduction (i.e., kissing, flirting)
• Dirty words or jokes within cultural or peer group norm

Yellow Flags

• Preoccupation with sexual themes (especially sexually aggressive)
• Attempting to expose others genitals (i.e., pulling other's skirt up or pants down)
• Sexually explicit conversation with peers
• Sexual graffiti (esp. chronic or impacting individuals)
• Sexual innuendo/teasing/embarrassment of others
• Precocious sexual knowledge
• Single occurrences of peeping/exposing/obscenities/pornographic interest/frottage
• Preoccupation with masturbation
• Mutual masturbation/group masturbation [fn1]
• simulating foreplay with dolls or peers with clothing on (i.e., petting, french kissing)

Red Flags

• Sexually explicit conversations with significant age difference
• Touching genitals of others
• Degradation/humiliation of self or others with sexual themes
• Inducing fear/threats of force
• Sexually explicit proposals/threats including written notes
• Repeated of chronic peeping/exposing/obscenities/pornographic interests/frottage
• Compulsive masturbation/task interruption to masturbate
• Masturbation which includes vaginal or anal penetration
• Simulating intercourse with dolls, peers, animals with clothing on (i.e., humping)

STOP: No Question

• Oral, vaginal, anal penetration of dolls [fn2], children, animals
• Forced exposure of other's genitals[fn3]
• Simulating intercourse with peers with clothing off
• Any genital injury or bleeding not explained by accidental cause

Footnotes

[fn1] - Although mutual or group masturbation is not uncommon among children, the interaction must be evaluated

[fn2] - We need to be concerned about behavior with dolls which may be rehearsals for behavior with peers.

[fn3] - Although restraining an individual in order to pull down pants or expose breasts may occur in the context of hazing among peers, it is clearly abusive

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Related document: Sexual Behavior of Children - Adolescents

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