According to American Humane the symptoms of sexual abuse in older children and adolescents include:

  1. Depression
  2. Nightmares or sleep disturbances
  3. Poor school performance
  4. Promiscuity
  5. Substance abuse
  6. Aggression
  7. Running away from home
  8. Fear of attack recurring
  9. Eating disturbances
  10. Early pregnancy or marriage
  11. Suicidal gestures
  12. Anger about being forced into situation beyond one’s control
  13. Pseudo-mature behaviors