Physical health indicators - Signs of physical abuse or unexplained injuries
- Bruising
- Burns
- Cuts or wounds
- Blunt force trauma
- Fractures
- Broken teeth
- Signs of torture
- Neurologic conditions
- Traumatic brain injury
- Headaches or migraines
- Unexplained memory loss
- Vertigo of unknown etiology
- Insomnia
- Difficulty concentrating
- Cardiovascular/respiratory conditions that appear to be caused or worsened by stress, such as:
- Arrhythmia
- High blood pressure
- Acute respiratory distress
- Gastrointestinal conditions that appear to be caused or worsened by stress, such as:
- Constipation
- Irritable bowel syndrome
- Dietary health issues
- Severe weight loss
- Malnutrition
- Loss of appetite
- Reproductive issues
- Sexually-transmitted infections
- Genitourinary issues
- Repeated unwanted pregnancies
- Forced or pressured abortions
- Genital trauma
- Sexual dysfunction
- Retained foreign body
- Substance use disorders
- Other health issues
- Effects of prolonged exposure to extreme temperatures
- Effects of prolonged exposure to industrial or agricultural chemicals
- Somatic complaints
| Mental health indicators - Depression
- Suicidal ideation
- Self-harming behaviors
- Anxiety
- Post-traumatic stress disorder
- Nightmares
- Flashbacks
- Lack of emotional responsiveness
- Feelings of shame or guilt
- Hypervigilance
- Hostility
- Attachment disorders
- Lack of or difficulty in engaging in social interactions
- Signs of withdrawal, fear, sadness, or irritability
- Depersonalization or derealization
- Feeling like an outside observer of themselves, as if watching themselves in a movie
- Emotional or physical numbness of senses
- Feeling alienated from or unfamiliar with their surroundings
- Distortions in perception of time
- Dissociation disorders
- Memory loss
- A sense of being detached from themselves
- A lack of a sense of self-identity, or switching between alternate identities
- A perception of the people and things around them as distorted or unreal
Social or developmental indicators - Increased engagement in high-risk behaviors, such as running away or early sexual initiation if a minor
- Trauma bonding with trafficker or other victims (eg, Stockholm syndrome)
- Difficulty establishing or maintaining healthy relationships
- Delayed physical or cognitive development
- Impaired social skills
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