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Affiliation
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Departments of Emergency Medicine and Psychiatry, College of Medicine ,Seoul National University, Seoul, Korea; Child Protection Team, Seoul National University Children’s Hospital. |
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Abstract
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Purpose: To review and determine the complications in 76 child abuse cases recorded by a multidisciplinary hospital- based child protection team between 1987 and 2007.
Methods: We retrospectively reviewed the reports and medical records of child abuse cases maintained by a university hospital-based child protection team. We devised a questionnaire for standardized interviews with the victims’ guardians to determine the current physical and mental status of the children; questionnaires were answered by social workers of the child protection team who interviewed the present fosterers of 24 (35.8%) children.
Results: Of the 76 children, 6 were infants, 10 were 1-3 years old, were 3–10 years old, and 19 were over 10 years old. Seven children (9.2%) were neglected and 27 (35.5%) and 44 (57.9%) were sexually and physically abused, respectively. In more than half of the cases, the perpetrators were the father or mother of the children. Most children (41 cases, 53.9%) were abused at their homes. The mean follow-up duration from the time of abuse infliction was 54.3±49.2 months, and the current mean age of the children was 8.3±6.4 years. Moderate and severe developmental delay and physical disability were observed in 6 (25.0%) and 3 (12.5%) cases, respectively. In 13 children (54.2%), the Global Assessment of Functioning Scale (GAF) score was less than 60, which indicates mild mental disability.
Conclusion: A hospital-based child protection team may witness the different proportion of abuse types and patterns by conducting a nation-wide survey of child abuse cases.
Language: ko |