Walter Teresa, Fegert Jörg M, Jud Andreas
Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Universitätsklinikum Ulm, Steinhövelstraße 3, 89075, Ulm, Deutschland.
Kompetenzzentrum Kinderschutz in der Medizin Baden-Württemberg (com.can; Competence Center Child Abuse and Neglect), Ulm, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2025 Feb;68(2):150-159. doi: 10.1007/s00103-024-04002-4. Epub 2025 Jan 14.
Child maltreatment is a significant problem in Germany. Hospital data on child maltreatment serve as a crucial foundation for planning effective prevention measures. These data enable an assessment of the extent to which at-risk children and adolescents are identified, supported, and protected. A systematic evaluation and classification of all hospital data relevant to child maltreatment in Germany is still lacking. Therefore, the aim of this article is to gain an overview of the data in this field and thus bridge the gap.
Descriptive analyses of (partially) inpatient data on child abuse and neglect (secondary diagnosis in ICD-10: T74.0, T74.1, T74.2, T74.3, T74.8, T74.9) + (procedure OPS: 1‑945.0, 1‑945.1) from the 2019-2023 data collection period. The variables age, gender, and main diagnoses relevant to maltreatment are considered in each case. The data were analyzed via the publicly accessible data browser of the Institute for the Hospital Remuneration System (InEK).
The number of diagnosed cases of child maltreatment of (partially) inpatients is detached from prevalence rates in the population; in consequence, there is a significant underreporting of all forms of maltreatment, with boys and girls being recognized differently for different forms of maltreatment. In addition, the frequent lack of a link between child maltreatment-related diagnoses and procedures performed becomes apparent.
In addition to raising awareness, training, and further education of healthcare professionals, there is also a need for investment in political change.
儿童虐待在德国是一个重大问题。有关儿童虐待的医院数据是规划有效预防措施的关键基础。这些数据有助于评估高危儿童和青少年在多大程度上得到识别、支持和保护。德国仍缺乏对所有与儿童虐待相关的医院数据进行系统评估和分类的情况。因此，本文旨在概述该领域的数据，从而弥补这一差距。
对2019 - 2023年数据收集期间（部分）住院儿童虐待和忽视（国际疾病分类第10版中的二级诊断：T74.0、T74.1、T74.2、T74.3、T74.8、T74.9）+（手术操作编码：1 - 945.0、1 - 945.1）的住院数据进行描述性分析。每种情况下都考虑年龄、性别以及与虐待相关的主要诊断等变量。数据通过医院薪酬系统研究所（InEK）的公开数据浏览器进行分析。
（部分）住院患者中确诊的儿童虐待病例数与人群中的患病率脱节；因此，所有形式的虐待都存在严重漏报情况，不同形式的虐待对男孩和女孩的识别方式不同。此外，与儿童虐待相关的诊断和所进行的操作之间经常缺乏关联这一情况也很明显。
除了提高医护人员的意识、培训和继续教育外，还需要在政治变革方面进行投入。
