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Related Experiment Videos

When is childhood drowning neglect?

K W Feldman1, C Monastersky, G K Feldman

  • 1University of Washington School of Medicine, Department of Pediatrics, Children's Hospital and Medical Center, Seattle, WA.

Child Abuse & Neglect
|May 1, 1993
PubMed
Summary
This summary is machine-generated.

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Child drowning cases are rarely reported to Children

Area of Science:

  • Pediatrics
  • Child Welfare
  • Public Health

Background:

  • Drowning is a significant cause of childhood injury and mortality.
  • There is concern regarding the frequent classification of drowning incidents as neglectful, leading to referrals to Children's Protective Services (CPS).
  • Understanding the factors influencing these referrals is crucial for accurate child protection assessments.

Purpose of the Study:

  • To determine the frequency of drowning and near-drowning cases reported to CPS.
  • To identify associations between case characteristics and the decision to report to CPS.
  • To explore healthcare professionals' perceptions of neglect in drowning scenarios.

Main Methods:

  • Retrospective review of 95 hospitalized childhood drowning/near-drowning victims (1981-1987).

Related Experiment Videos

  • Solicitation of reactions from 14 nurses, 27 physicians, and 13 social workers to 4 case scenarios.
  • Analysis of referral patterns based on child, family, and incident characteristics.

    • Main Results:

    • Only 8% of drowning cases were reported to CPS.
    • Referrals were more likely for younger, nonwhite children, impoverished families, bathtub injuries, and prior CPS involvement.
    • Perceptions of neglect varied among clinicians, with intoxicated supervision deemed most neglectful.

    Conclusions:

    • Childhood drowning incidents are infrequently reported to CPS, despite concerns.
    • Referral decisions are influenced by a complex interplay of socioeconomic, demographic, and situational factors.
    • Clinicians face stress in determining neglect in drowning cases, highlighting a need for clearer guidelines.