The evaluation of child maltreatment among child abuse evaluation clinics in Berlin, Germany - A multicenter study.

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  • Additional Information
    • Source:
      Publisher: Elsevier Science Inc Country of Publication: England NLM ID: 7801702 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-7757 (Electronic) Linking ISSN: 01452134 NLM ISO Abbreviation: Child Abuse Negl Subsets: MEDLINE
    • Publication Information:
      Publication: Oxford : Elsevier Science Inc
      Original Publication: Oxford, Elmsford, N. Y., Pergamon Press.
    • Subject Terms:
      Child Abuse*/diagnosis ; Child Abuse*/statistics & numerical data; Humans ; Child ; Child, Preschool ; Female ; Male ; Infant ; Adolescent ; Berlin ; Infant, Newborn ; Germany
    • Abstract:
      Background: Since child maltreatment can cause severe and lifelong developmental impairment, early evaluation by multidisciplinary child abuse evaluation clinics (CAEC) is recommended. Nevertheless, data on the evaluation outcome is rare to measure and little addressed by existing literature.
      Objective: To assess the evaluation outcome clarified (confirmed or excluded abuse or neglect), not clarified (remains indeterminate) of suspected child maltreatment and to find associated predictors related to a respectively high or low clarification rate.
      Participants and Setting: N = 3056 children between 0 and 17;11 years, who were examined at the six CAEC in Berlin, Germany during 2016-2021, with a total number of N = 4576 assigned suspicions of different types of child maltreatment.
      Method: Statistical analysis of differences between suspected types of child maltreatment, and correlations using diagnostic procedures as predictors and clarification as an outcome.
      Results: CONCLUSIONS: Overall, CAEC are a useful instrument for the evaluation of the suspicion of different types of child maltreatment. The assessment of suspected child maltreatment requires significant resources and multidisciplinary collaboration, especially concerning sexual abuse.
      Competing Interests: Declaration of competing interest All authors are working at the CAEC (clinic or associated research section).
      (Copyright © 2024. Published by Elsevier Ltd.)
    • Contributed Indexing:
      Keywords: Abuse and neglect; Child abuse evaluation clinics; Child maltreatment; Evaluation outcome; Multidisciplinary assessment
    • Publication Date:
      Date Created: 20241110 Date Completed: 20241207 Latest Revision: 20241226
    • Publication Date:
      20241227
    • Accession Number:
      10.1016/j.chiabu.2024.107128
    • Accession Number:
      39522414