National Family Safety Program, King Abdulaziz Medical City for the National Guard, Riyadh, Saudi Arabia.
Child Abuse Negl. 2010 Jan;34(1):28-33. doi: 10.1016/j.chiabu.2009.08.011. Epub 2010 Jan 25.
To describe increased child abuse and neglect (CAN) reporting and the characteristics of the reports in the context of the development of a system of intervention for one of the hospital-based child protection centers in Riyadh, Saudi Arabia aligned with the United Nations Convention on the Rights of the Child (CRC) Article 19.
A retroprospective collection of data on all children evaluated by the Suspected Child Abuse and Neglect (SCAN) team in King Abdulaziz Medical City for the National Guard from 2000 to 2008. The cases were further divided into 3 subgroups corresponding to the years 2000-2004, 2005-2006, and 2007-2008 parallel to the stages of development of the national child protection system.
During the study period, there were a total of 188 referrals to the SCAN team. Of these 133 (70.7%) were further investigated as CAN cases. The total number of referred cases increased 10-fold from 6.4 cases per year in the first period to 61.5 cases per year in the third period. The mean age was 5 years, evenly represented by males and females. Physical abuse was the most common form of abuse in the first (2000-2004) period at 61% and second (2005-2006) period at 76%, which changed to neglect (41.6%) as the most common form of maltreatment in the third (2007-2008) period. Parents were the perpetrators in 48.9% of cases throughout the 3 periods. Overall fatality rates were 4.4%, 14.3%, and 7.9% in the first, second, and third periods respectively.
Recognition of CAN is expanding in Saudi Arabia. This is due to the successful adoption of a system of intervention consisting of child protection centers in the medical facilities, in conjunction with mandatory reporting and data collection strategies. In addition, the changes in public attitudes towards a better understanding of CAN enhanced further recognition and reporting of neglect and milder forms of abuse. We believe that the number of reported CAN cases in Saudi Arabia will continue to rise, hence adequate multi-sectoral services for the abuse victims require further development and improvements throughout the country.
描述在沙特阿拉伯利雅得的一家医院设立儿童保护中心干预系统发展的背景下，儿童虐待和忽视（CAN）报告的增加情况，以及报告的特征，该系统符合《联合国儿童权利公约》（CRC）第 19 条。
对 2000 年至 2008 年期间国民警卫队在阿卜杜勒阿齐兹国王医疗城接受可疑儿童虐待和忽视（SCAN）团队评估的所有儿童的数据进行回顾性收集。这些病例进一步分为 3 个亚组，分别对应于国家儿童保护系统发展的 2000-2004 年、2005-2006 年和 2007-2008 年阶段。
在研究期间，共有 188 例转介至 SCAN 团队。其中 133 例（70.7%）进一步调查为 CAN 病例。从第一个时期每年 6.4 例，到第三个时期每年 61.5 例，转介病例的总数增加了 10 倍。平均年龄为 5 岁，男女比例均衡。在第一个时期（2000-2004 年），身体虐待是最常见的虐待形式，占 61%，在第二个时期（2005-2006 年），占 76%，而在第三个时期（2007-2008 年），忽视则成为最常见的虐待形式，占 41.6%。在三个时期中，父母均为犯罪者，占 48.9%。总的死亡率分别为第一、第二和第三时期的 4.4%、14.3%和 7.9%。
在沙特阿拉伯，儿童虐待和忽视的识别正在扩大。这是由于成功采用了一个由医疗设施中的儿童保护中心组成的干预系统，同时还采用了强制性报告和数据收集策略。此外，公众对儿童虐待和忽视的态度发生了变化，进一步提高了对虐待和轻度虐待形式的认识和报告。我们相信，沙特阿拉伯报告的儿童虐待和忽视案件数量将继续增加，因此需要在全国范围内进一步发展和改进针对虐待受害者的多部门服务。
