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Sexual abuse disclosure – must report — RACP Paediatrics MCQ

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ModerateEmergencySexual abuse disclosure – must reportRACP Paediatrics

A 14-year-old discloses sexual abuse by a family member during a consultation. She begs you not to tell anyone. What is the correct action?

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Correct answer: E — Mandatory report to child protection

Sexual abuse disclosure by a child requires mandatory reporting regardless of the child's wishes. While the child's trust must be handled sensitively, the doctor has a legal obligation to report. The child should be told honestly that the information must be shared with people who can help keep her safe. A forensic medical examination should be offered (but not insisted upon).

Reference: RCH Melbourne – 2023 – Child Abuse CPG; RACP Paediatric Curriculum – Child Protection