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Table 1 Educational materials on signs of possible sexual abuse and its key recommendations

From: A sex education program for teachers of preschool children: a quasi-experimental study in Iran

Educational materials• Difficulty walking or sitting
• Withdrawal or chronic depression
• Inappropriate sex play or premature understanding of sex
• Feeling threatened by physical contact, closeness
• Poor self-esteem, lack of confidence
• Peer problems, lack of involvement with friends
• Extreme weight change
• Hysteria, lack of emotional control
• Sudden preschool difficulties
Educational materials• Encourage the child to draw pictures about persons that they like or do not like and then talk about it
• Encourage the child to draw pictures about “good” and “bad” events
• Encourage the child to tell teacher about the “good” and “bad” happenings
• Encourage the child to talk about his/her physical problems
• Remind the child that he or she is not responsible for unpleasant events
• Seeking medical attention if indicated
• Consult with kindergarten psychologist
• Contact parents to inform them about the suspected abuse
• Helping parents to contact social services or social emergency agency
• Instruct the parents for separating the baby from suspicious persons
Educational materials• Teachers should listen carefully to children’s sexual questions because they may be clues
• Children are generally curious about their bodies and explore them
• Touching their own sexual body parts is common and normal
• Children are usually curious about adult bodies
• Children may play games such as “Doctor” and touch one another’s sexual body parts