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. 2020 Apr 16;21(3):549–554. doi: 10.5811/westjem.2020.1.41690

Table.

Red Flag Indicators of Potential Human Trafficking.17

Poor Mental Health or Abnormal Behavior:
The individual(s) in question:
  • Is fearful, anxious, depressed, submissive, tense, or nervous/paranoid

  • Exhibits unusually fearful or anxious behavior after bringing up law enforcement

  • Avoids eye contact

Poor Physical Health:
The individual(s) in question:
  • Lacks health care

  • Appears malnourished

  • Shows signs of physical and/or sexual abuse, physical restraint, confinement, or torture

Lack of Control:
The individual(s) in question:
  • Has few or no personal possessions

  • Is not in control of his/her own money, no financial records, or bank account

  • Is not in control of his/her own identification documents (ID or passport)

  • Is not allowed or able to speak for themselves (a third party may insist on being present and/or translating)

Common Work and Living Conditions:
The individual(s) in question:
  • Is not free to leave or come and go as he/she wishes

  • Is under 18 and is providing commercial sex acts

  • Is in the commercial sex industry and has a pimp/manager

  • Is unpaid, paid very little, or paid only through tips

  • Works excessively long and/or unusual hours

  • Is not allowed breaks or suffers under unusual restrictions at work

  • Owes a large debt and is unable to pay it off

  • Was recruited through false promises concerning the nature and conditions of his/her work

  • High security measures exist in the work and/or living locations (e.g., opaque windows, boarded up windows, bars on windows, barbed wire, security cameras, etc.)

Other:
The individual(s) in question:
  • Claims of just visiting and inability to clarify where he/she is staying/address

  • Lack of knowledge of whereabouts and/or do not know what city he/she is in

  • Loss of sense of time

  • Has numerous inconsistencies in his/her story