Physical abuse and neglect of children.
Child maltreatment includes physical abuse and neglect, and happens in all countries and cultures. Child maltreatment usually results from interactions between several risk factors (such as parental depression, stress, and social isolation). Physicians can incorporate methods to screen for risk factors into their usual appointments with the family. Detection of physical abuse is dependent on the doctor's ability to recognise suspicious injuries, such as bruising, bite marks, burns, bone fractures, or trauma to the head or abdomen. Neglect is the most common form of child maltreatment in the USA. It can be caused by insufficient parental knowledge; intentional negligence is rare. Suspected cases of child abuse should be well documented and reported to the appropriate public agency which should assess the situation and help to protect the child.
Dubowitz
Howard
H
Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD 21201, USA. Electronic address: hdubowitz@peds.umaryland.edu.
Bennett
Susan
S
Department of Pediatrics and Psychiatry, University of Ottawa, Ottawa, Canada.
D001733:Bites and Stings / Q000209:etiology; D002056:Burns / Q000145:classification; D002649:Child Abuse / Q000145:classification / Q000175:diagnosis / Q000517:prevention & control; D002675:Child, Preschool; D050723:Fractures, Bone / Q000145:classification / Q000209:etiology; D006801:Humans; D010819:Physician's Role; D015995:Prevalence; D012307:Risk Factors