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Summary
This summary is machine-generated.

Most children experiencing self-harm (SH) have prior child protective services (CPS) involvement, though few are placed in foster care. Understanding CPS histories is crucial for preventing and treating pediatric self-harm.

Keywords:
COVID-19child maltreatmentchild protectioninjurypandemicself-harm

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Area of Science:

  • Pediatrics
  • Child Welfare
  • Mental Health

Background:

  • Self-harm (SH) is a significant concern in pediatric populations.
  • Understanding the intersection of child protective services (CPS) involvement and pediatric SH is critical for effective intervention.
  • Existing research has not fully elucidated the patterns of CPS history among children presenting with SH.

Purpose of the Study:

  • To examine the prevalence of child protective services (CPS) histories in children with medical encounters for self-harm (SH).
  • To determine the types of CPS involvement (reports vs. foster care placements) among these children.

Main Methods:

  • Utilized linked medical encounter data and child protective services (CPS) records.
  • Analyzed data for children with documented medical encounters for self-harm (SH).
  • Assessed the proportion of children with prior CPS reports and foster care placements.

Main Results:

  • A majority of children with SH had a documented history of CPS reports (61.0%).
  • A smaller proportion of children with SH had experienced foster care placements (5.9%).
  • Indicates significant prior interaction with child welfare systems for most children presenting with SH.

Conclusions:

  • Child protective services (CPS) histories are common among children experiencing self-harm (SH).
  • These histories represent a potentially vital data source for identifying at-risk youth.
  • Integrating CPS data may enhance strategies for understanding, treating, and preventing pediatric SH.