There are previous reports of abuse or neglect. Multiple injuries are alleged. Previous suspicious injuries are reported. Injuries are alleged to be located on the head, neck, and genitals or internally. Medical attention is needed.
Uncertainty exists regarding the severity of the abuse or neglect.
Instruments are used in the abuse. Incidents have increased in intensity and frequency. The child is immediately accessible to the perpetrator. The child is suicidal. The family is transient or new to the community.