What physical signs may indicate an inmate has experienced sexual abuse?

The presence of sexually transmitted infections (STIs) and unexplained pregnancies are significant physical indicators that an inmate may have experienced sexual abuse. STIs can serve as a direct consequence of sexual activity, particularly if the encounter was non-consensual. Additionally, an unexplained pregnancy in a male or female inmate could raise serious concerns regarding prior sexual abuse, especially given the conditions often present in correctional facilities where such abuse might occur.

These physical signs go beyond psychological distress, which can also be a symptom but is not strictly physical in nature. Weight changes could be tied to various factors but are not definitive indicators of sexual abuse on their own. Moreover, excellent health and high energy levels do not correlate with the experience of abuse, which often leads to negative health outcomes. Thus, the physical signs of STIs and unexplained pregnancies are clear markers of potential sexual abuse, making this the most relevant and accurate choice.