» long absence from participation in extracurricular activities
» dissociation--a child's existence is dependent on his/her ability to separate from the pain, which, in the most repulsive cases, may result in multiple personalities
» risky behaviours such as firestarting, stealing and other delinquencies
» animal cruelty
» alcohol and drug abuse
Adults who were sexually abused when they were children are at greater risk for developing serious medical conditions. In a study published in The American Journal of Preventative Medicine , researchers investigated the association between adolescent sexual abuse and type 2 diabetes. Data findings on lifetime sexual abuse in 2001 and the risk of diabetes from 1989 to 2005 from the Nurses' Health Study II were used for the study. The results of the study showed that 34 percent of the 67,853 women participants reported childhood sexual abuse. Thus, moderate to severe physical and sexual abuse in adolescence was associated with the risk of developing type 2 diabetes among women.
Sexual abuse has been identified among animals as well; for example, among the Adélie penguins . 
As an advocate, support person or someone working with a survivor of sexual assault, helping to identify and normalize these reactions can be important.
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Other related issues that may emerge are eating disorders, sexual difficulties, physical changes, substance abuse, self-harm, suicidality, anger, and mood disorders such as depression and post-traumatic stress.