Department of Pediatrics (H Dubowitz), Division of Child Protection, University of Maryland School of Medicine, Baltimore, Md.
Child Abuse Research Education Service (CARES) Institute (M Finkel), Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ.
Acad Pediatr. 2024 May-Jun;24(4):562-569. doi: 10.1016/j.acap.2023.11.013. Epub 2023 Nov 14.
Primary care professionals (PCPs) can play a valuable role in the initial assessment of possible child sexual abuse (CSA), an all too prevalent problem. PCPs, however, are often reluctant to conduct these assessments. The goal of this paper is to help PCPs be more competent and comfortable playing a limited but key role. This is much needed as there may be no need for further assessment and also because of a relative paucity of medical experts in this area. While some children present with physical problems, the child's history is generally the critical information. This article therefore focuses on practical guidance regarding history-taking when CSA is suspected, incorporating evidence from research on forensic interviewing. We have been mindful of the practical constraints of a busy practice and the role of the public agencies in fully investigating possible CSA. The approach also enables PCPs to support children and their families.
初级保健医生（PCPs）在初步评估可能的儿童性虐待（CSA）方面可以发挥重要作用，这是一个非常普遍的问题。然而，PCPs 往往不愿意进行这些评估。本文的目的是帮助 PCPs 更有能力和更舒适地发挥有限但关键的作用。这是非常必要的，因为可能不需要进一步评估，也因为在这个领域缺乏医学专家。虽然有些儿童存在身体问题，但儿童的病史通常是关键信息。因此，本文侧重于在怀疑 CSA 时进行病史采集的实用指导，结合了法医访谈研究的证据。我们一直关注繁忙实践中的实际限制以及公共机构在全面调查可能的 CSA 方面的作用。这种方法还使 PCPs 能够支持儿童及其家庭。
