Citation

Rosholm M, Bodilsen ST, Michel B, Nielsen AS. PLoS One 2024; 19(7): e0305974.

Copyright

(Copyright © 2024, Public Library of Science)

DOI

10.1371/journal.pone.0305974

PMID

38985689

PMCID

PMC11236184

Abstract

Child maltreatment is a widespread problem with significant costs for both victims and society. In this retrospective cohort study, we develop predictive risk models using Danish administrative data to predict removal decisions among referred children and assess the effectiveness of caseworkers in identifying children at risk of maltreatment. The study analyzes 195,639 referrals involving 102,309 children Danish Child Protection Services received from April 2016 to December 2017. We implement four machine learning models of increasing complexity, incorporating extensive background information on each child and their family. Our best-performing model exhibits robust predictive power, with an AUC-ROC score exceeding 87%, indicating its ability to consistently rank referred children based on their likelihood of being removed. Additionally, we find strong positive correlations between the model's predictions and various adverse child outcomes, such as crime, physical and mental health issues, and school absenteeism. Furthermore, we demonstrate that predictive risk models can enhance caseworkers' decision-making processes by reducing classification errors and identifying at-risk children at an earlier stage, enabling timely interventions and potentially improving outcomes for vulnerable children.

Language: en

Keywords

Humans; Child; Child, Preschool; Infant; Female; Male; Adolescent; Retrospective Studies; Machine Learning; Risk Assessment/methods; Child Protective Services; *Child Abuse/statistics & numerical data; *Decision Making; Denmark/epidemiology