Pediatrics. 1996 Nov;98(5):991-1001.
For many years, it has been routine to treat victims of child abuse, suicide attempts, and sexual assault via multidisciplinary care protocols. Although violently injured adolescents have become commonplace in our nation's emergency departments, no care guidelines exist that address the unique needs of these patients. The American Academy of Pediatrics convened a task force to develop such guidelines for providers of hospital-based pediatric emergency and trauma care. The work of the task force was guided by the premise that comprehensive care of violently injured adolescents must address their psychosocial needs as well as their physical injuries. This task force report summarizes the epidemiology of violent injury in adolescence and its physical and emotional consequences ("Part I"), and it outlines appropriate care for the victims from their arrival in the emergency department to their discharge from the hospital ("Part II"). Care of violently injured adolescents that follows these guidelines is likely to promote full recovery and to reduce the risks of reinjury and reactive perpetration.
多年来，通过多学科护理方案来治疗虐待儿童、自杀未遂和性侵犯的受害者已成为惯例。尽管在我国的急诊科，遭受暴力伤害的青少年已屡见不鲜，但尚无针对这些患者独特需求的护理指南。美国儿科学会召集了一个特别工作组，为提供医院儿科急诊和创伤护理的人员制定此类指南。特别工作组的工作基于这样一个前提，即对遭受暴力伤害的青少年进行全面护理必须兼顾他们的心理社会需求以及身体损伤。这份特别工作组报告总结了青少年暴力伤害的流行病学及其身体和情感后果（“第一部分”），并概述了从受害者抵达急诊科到出院期间的适当护理（“第二部分”）。遵循这些指南对遭受暴力伤害的青少年进行护理，可能会促进其完全康复，并降低再次受伤和报复性犯罪的风险。
