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Child Torture Perpetrated by a Caregiver: Identification, Evaluation, and Management
1Nemours CARE Program, Department of General Pediatrics, Nemours Children's Health, Wilmington, DE, USA; Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, PA, USA.
Pediatric Clinics of North America
|May 7, 2025
Summary
Child torture by caregivers involves physical abuse, psychological abuse, and neglect, often in isolated households. This review covers medical evaluations and medico-legal challenges for child abuse cases.
Area of Science:
- Pediatrics
- Child Abuse
- Forensic Medicine
Background:
- Nonpolitical child torture by caregivers is a severe form of abuse.
- It often involves physical abuse, psychological abuse, and neglect, including deprivation of basic necessities.
- Such abuse frequently occurs in socially isolated environments with multiple aware or involved household members.
Purpose of the Study:
- To review and discuss common features of child torture.
- To outline components of a thorough medical evaluation for child torture victims.
- To provide guidance on communication with child torture victims and investigators.
Main Methods:
- Literature review of child torture cases.
- Analysis of medical evaluation protocols.
- Discussion of medico-legal aspects and advocacy.
Main Results:
- Identified common characteristics of nonpolitical child torture.
- Detailed essential elements for medical assessment of abused children.
- Highlighted communication strategies and medico-legal considerations.
Conclusions:
- Understanding the multifaceted nature of child torture is crucial for effective intervention.
- Standardized medical evaluations are vital for documenting abuse and supporting victims.
- Addressing medico-legal challenges can improve advocacy and legal outcomes for child torture survivors.
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