Elderly sexual assault is victimization of persons over the age of 60, most of whom suffer from decreased functionality, frailty and weakness, and therefore are reliant on caretakers. Only 30 percent of people age 65 or older who are victimized report the assault to the police. The most common assailants are caretakers, adult children, spouses and fellow facility residents. Signs that an elder is being assaulted include increased vaginal tearing, bleeding, bruising, infection, pelvic injury, soft tissue or bone injury. Also, an altered mood might be an indication of sexual assault. These symptoms include extreme agitation, post-traumatic stress disorder, withdrawal, panic attacks, STDs, exacerbation of existing illness, sleep disturbances and longer recovery times.