Erroneous concerns about child sexual abuse.
OBJECTIVE
To assess the incidence and nature of concerns about sexual abuse, with particular reference to erroneous concerns of sexual abuse made by children.


METHODS
A review of case notes of all child sexual abuse reports to the Denver Department of Social Services over 12 months. Cases were put into four groups: substantiated, not sexual abuse, inconclusive and erroneous accounts by children.


RESULTS
551 cases were reviewed. Forty-three percent were substantiated, 21% were inconclusive and 34% were not considered to be abuse cases. There were 14 (2.5%) erroneous concerns emanating from children. They comprised three cases of allegations made in collusion with a parent, three cases where an innocent event was misinterpreted as sexual abuse and eight cases (1.5%) of false allegations of sexual abuse.


CONCLUSIONS
Erroneous concern of sexual abuse from children are uncommon. The four categories of concern in this study, in contrast to the simple classification of substantiated and unsubstantiated, provide a means of encouraging open minded assessments of the typical concerns which a child protection agency receives.
Oates
R K
RK
Department of Pediatrics & Child Health, The University of Sydney, The New Children's Hospital, Westmead, NSW, Australia.
Jones
D P
DP
Denson
D
D
Sirotnak
A
A
Gary
N
N
Krugman
R D
RD
D000293:Adolescent; D002648:Child; D002650:Child Abuse, Sexual / Q000175:diagnosis* / Q000517:prevention & control / Q000706:statistics & numerical data; D002669:Child Welfare; D002675:Child, Preschool; D003120:Colorado; D008192:Deception; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008297:Male; D012650:Self Disclosure