A 27-year-old woman presents to the ED with recurrent injuri…
A 27-year-old woman presents to the ED with recurrent injuries over the past six months. She reports she “fell again.” She declines to give a home address, has no ID, and becomes visibly anxious when asked about work. Her phone repeatedly receives messages labeled “Where are you?” from a contact saved as “Manager.” She refuses to let staff photograph injuries.What red flag most strongly suggests sex trafficking rather than intimate partner violence (IPV)?