Brecht A, Bentz L, Olaya Mantilla D, Hoffmann A, Ibbeken G, Willner H, von Bismark S, Berthold O, Winter S M
Charité - Universitätsmedizin Berlin, Department of Child and Adolescent Psychiatry, Charité- Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität zu Berlin and Berlin Insitute of Health, 13353 Berlin, Germany.
Helios Hospital Berlin-Buch, Department for Pediatrics, Schwanebecker Chaussee 50, 13215 Berlin, Germany.
Child Abuse Negl. 2024 Dec;158:107128. doi: 10.1016/j.chiabu.2024.107128. Epub 2024 Nov 9.
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.
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.
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.
Statistical analysis of differences between suspected types of child maltreatment, and correlations using diagnostic procedures as predictors and clarification as an outcome.
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.
由于儿童虐待会导致严重且终身的发育障碍，因此建议由多学科儿童虐待评估诊所（CAEC）进行早期评估。然而，关于评估结果的数据很难衡量，现有文献也很少涉及。
评估疑似儿童虐待的评估结果（明确为确认或排除虐待或忽视、不明确为仍不确定），并找出与高低明确率相关的预测因素。
N = 3056名0至17岁11个月的儿童，他们于2016年至2021年期间在德国柏林的六家CAEC接受检查，共有N = 4576起不同类型儿童虐待的疑似案件。
对疑似儿童虐待类型之间的差异进行统计分析，并以诊断程序作为预测因素、明确结果作为结果进行相关性分析。
结论：总体而言，CAEC是评估不同类型儿童虐待疑似案件的有用工具。对疑似儿童虐待的评估需要大量资源和多学科合作，尤其是在性虐待方面。
