The Consequences of Child Abuse

Rokach, Ami; Clayton, Shauna

doi:10.3390/healthcare11111650

Cited by 3 publications

(1 citation statement)

References 99 publications

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“…The biggest limitation was the limited use of CT abdomen and pelvis scans on patients with concerning physical examination findings, hematuria, or elevated transaminases. Though we must consider healthcare costs and exposure to radiation in these patients, confirming and demonstrating the severity of injuries is important as doing so may impact follow-up, placement, prevention of further abuse, morbidity/mortality, and long-term psychosocial outcomes 16 …”

Section: Discussionmentioning

confidence: 99%

Urinalysis in Suspected Child Abuse Evaluation in the Emergency Department

Singh,

Lichtsinn,

Ray

et al. 2024

Pediatr Emer Care

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Background Intra-abdominal injury (IAI) is the second leading cause of mortality in abused children. It is challenging to identify in young patients due to their limited verbal skills, delayed symptoms, less muscular abdominal wall, and limited bruising. Methods We conducted a retrospective cohort study of children aged 0 to 12 months who were evaluated in the emergency department for suspected child abuse with a skeletal survey and urinalysis between January 1, 2015, and December 31, 2017. Our primary objective was to identify the proportion of IAI cases identified by urinalysis alone (>10 RBC/HPF) and not by examination findings or other laboratory results. A secondary objective was to quantify potential delay in disposition while waiting for urinalysis results, calculated as the length of time between receiving skeletal survey and laboratory results and receiving urinalysis results. Results Six hundred thirteen subjects met our inclusion criteria; two subjects had hematuria, one of whom had a urinary tract infection. The other was determined to have blood from a catheterized urine specimen. One subject was found to have an IAI. We further found that urinalysis was delayed for 78% of subjects and took a median of 93 [interquartile range, 46–153] minutes longer than imaging and/or laboratories. Conclusions No subjects were diagnosed with abdominal trauma based on urinalysis during evaluation in the emergency department who would not have been identified by other standard testing. In addition, patients' disposition was delayed while waiting for urinalysis.

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Section: Discussionmentioning

confidence: 99%

Urinalysis in Suspected Child Abuse Evaluation in the Emergency Department

Singh,

Lichtsinn,

Ray

et al. 2024

Pediatr Emer Care

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Early sexual or physical abuse in female and male mood disorder patients

Visioli,

Tondo,

Miola

et al. 2023

Journal of Psychiatric Research

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Vulnerable Childhood in the Context of Children’s Well-Being

Garifulina,

Telitsyna

2024

Psychology and Law

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<p style="text-align: justify;">This study aims to clarify the concept of “vulnerable childhood” within the context of child well-being. In modern society, children are exposed to various risks that can negatively impact their physical, emotional, and social development. The article explores diverse aspects of children’s vulnerability, such as socio-economic inequalities, violations of children’s rights, adverse family conditions, and the impact of traumatic events. The authors employ an interdisciplinary approach that encompasses the analysis of sociological, psychological, economic, and legal aspects. The article provides an overview of existing research that emphasizes the importance of understanding the factors contributing towards children’s vulnerability, as well as the consequences it may have on their future well-being. Focusing on governmental and other programs aimed at enhancing child well-being, the authors offer recommendations to ensure the protection of vulnerable children. These include the implementation of inclusive educational programs, strengthening the family social support system, refining legislation concerning children’s rights, and creating effective mechanisms for responding to crisis situations. The article offers an analysis of the influence of the concept of a “vulnerable childhood” on children’s well-being, and presents specific steps for ensuring the protection and support of children at risk.</p>

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The Consequences of Child Abuse

Cited by 3 publications

References 99 publications

Urinalysis in Suspected Child Abuse Evaluation in the Emergency Department

Urinalysis in Suspected Child Abuse Evaluation in the Emergency Department

Early sexual or physical abuse in female and male mood disorder patients

Vulnerable Childhood in the Context of Children’s Well-Being

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