Association of perpetrator relationship to abusive head trauma clinical outcomes

Abstract The diagnosis of abusive head trauma (AHT) remains a significant public health problem with limited prevention success. Providing protection from further harm is often challenged by the difficulty in identifying the alleged perpetrator (AP) responsible for this pediatric trauma. The objecti...

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Bibliographic Details
Published in:Child abuse & neglect 2013-10, Vol.37 (10), p.771-777
Main Authors: Scribano, Philip V, Makoroff, Kathi L, Feldman, Kenneth W, Berger, Rachel P
Format: Article
Language:English
Subjects:
Abusive head trauma
Adult and adolescent clinical studies
Age Factors
Biological and medical sciences
Caregivers - psychology
Child
Child Abuse
Child abuse & neglect
Child Abuse - prevention & control
Child Abuse - psychology
Child Abuse - trends
Child care
Child, Preschool
Clinical outcomes
Craniocerebral Trauma - classification
Craniocerebral Trauma - prevention & control
Craniocerebral Trauma - psychology
Demography
Female
Head injuries
Humans
Infant
Infant, Newborn
Injuries of the nervous system and the skull. Diseases due to physical agents
Male
Males
Medical sciences
Mental health
Organic mental disorders. Neuropsychology
Parent-Child Relations
Parents - psychology
Pediatrics
Perpetrator
Poverty
Prevention
Prevention. Health policy. Planification
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Retrospective Studies
Risk Factors
Siblings
Social psychiatry. Ethnopsychiatry
Trauma
Traumas. Diseases due to physical agents
United States - epidemiology
Victimology
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Summary:Abstract The diagnosis of abusive head trauma (AHT) remains a significant public health problem with limited prevention success. Providing protection from further harm is often challenged by the difficulty in identifying the alleged perpetrator (AP) responsible for this pediatric trauma. The objective of this study was to evaluate demographic and clinical characteristics of children with AHT and the relationship between APs and their victims in a large, multi-site sample. Understanding the AHT risks from various caregivers may help to inform current prevention strategies. A retrospective review of all cases of AHT diagnosed by child protection teams (CPT) from 1/1/04 to 6/30/09 at four children's hospitals was conducted. Clinical characteristics of children with AHT injured by non-parental perpetrators (NPP) were compared to parental perpetrators (PP). There were 459 children with AHT; 313 (68%) had an identified AP. The majority of the 313 children were
ISSN:0145-2134
1873-7757
DOI:10.1016/j.chiabu.2013.04.011