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Related Experiment Video

Updated: Jan 21, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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Confessions in Cases of Child Physical Abuse-A CAPNET Study.

Margaret Russell1, Antoinette L Laskey2, Henry T Puls3

  • 1Department of Pediatrics (MR Russell and CR McNamara), UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, PA.

Academic Pediatrics
|January 19, 2026
PubMed
Summary
This summary is machine-generated.

Confessions of child physical abuse (PA) are rare but associated with severe injuries and out-of-home placements. Agency responses to these confessions varied, raising concerns about equitable treatment.

Keywords:
child abuse pediatricschild physical abuseconfessionoutcomes

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Area of Science:

  • Pediatric medicine
  • Child abuse research
  • Forensic pediatrics

Background:

  • Limited understanding of factors influencing child physical abuse (PA) confessions.
  • Unclear impact of PA confessions on case outcomes and agency responses.

Purpose of the Study:

  • Investigate conditions associated with PA confessions in children.
  • Examine how PA confessions influence case outcomes, including out-of-home placements and arrests.

Main Methods:

  • Cross-sectional study of children under 10 with suspected PA across 10 centers.
  • Focused on cases where a confession of inflicted injury was known to Child Abuse Pediatricians (CAPs).
  • Compared characteristics and outcomes between cases with and without confessions using multivariable GEE models.

Main Results:

  • Confessions known to CAPs occurred in 2.7% of cases, with significant site variability.
  • Confessions were more likely with high-specificity injuries, near-fatality, and older children.
  • Out-of-home placements and arrests were more frequent in cases with confessions.
  • Race/ethnicity did not influence CAP awareness of confessions, OOH placements, or arrests.

Conclusions:

  • PA confessions are linked to specific case characteristics and more severe outcomes.
  • Agency responses to confessions may be influenced by child characteristics, warranting further investigation into equitable practices.