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Pediatric Self-Harm Injuries and Child Protection Histories
Rebecca Rebbe1, Jeannie S Huang2, Cynthia L Kuelbs3
1School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Insights
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.
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.
Abstract:
We assessed the child protective services (CPS) histories of children with medical encounters for self-harm (SH) using linked medical and CPS data. Most children with SH had prior CPS reports (61.0%), but few had foster care placements (5.9%). CPS histories may be important to understand, treat, and prevent pediatric SH.
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