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Profile of Children With Child Abuse From Serbia
Maja Zecevic1, Dragoljub Zivanovic2, Tamara Adamovic3
1Clinics of Pediatric Surgery, University Clinical Center Nis, Nis, Serbia. Correspondence to: Dr Maja Zecevic, Clinic for Pediatric Surgery, University Clinical Center Nis Blv. dr Zorana Djinjica 48, 18 000 Nis, Serbia. maja.zecevicmd@gmail.com.
Insights
This study analyzed child abuse cases, finding that peers most often abuse older children, while parents/caregivers abuse younger children. Effective management requires high suspicion and a multidisciplinary approach.
Area of Science:
- Pediatrics
- Child Abuse Research
- Forensic Medicine
Background:
- Child abuse, encompassing physical and sexual abuse, presents significant challenges in identification and management.
- Underreporting is common, necessitating a high index of suspicion among healthcare professionals.
Purpose of the Study:
- To investigate the demographic and clinical characteristics of children presenting with suspected physical or sexual abuse.
- To identify patterns in perpetrators and injury types associated with child abuse.
Main Methods:
- A retrospective analysis was conducted on hospital admission records of children with suspected abuse.
- Data were collected for the period between January 2015 and December 2020.
Main Results:
- Records of 52 children (39 boys, mean age 12.24 years) were reviewed.
- Contusions were the most frequent injury (53.8% in boys, 69.2% in girls).
- Peers were the primary abusers for children aged 8-18 years (70%), while parents/caregivers were perpetrators in 72.7% of younger children.
Conclusions:
- Child abuse is frequently underreported, underscoring the need for heightened clinical awareness.
- A multidisciplinary management strategy is essential for effectively addressing child abuse cases.
Objective:
To study the demographic and clinical profile of children with suspected physical or sexual abuse.
Methods:
Retrospective records of children who were admitted to hospital between January, 2015 to December, 2020 with suspected physical or sexual abuse were evaluated.
Results:
The records of 52 children [mean (SD) age 12.24 (5.32) y, 39 boys] were retrieved. Contusions were the most common injury in 53.8% of boys and 69.2% of girls. The majority (70%) of 8-18 year-old-children were abused by peers, and parents/caregivers were the main perpetrators in 72.7% of younger children.
Conclusion:
Child abuse is often underreported, and requires a high index of suspicion and multidisciplinary approach of management.
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