title: Detection of child abuse in emergency departments: a multi-centre study.
abstract: OBJECTIVE
  This study examines the detection rates of suspected child abuse in the emergency departments of seven Dutch hospitals complying and not complying with screening guidelines for child abuse.
  
  
  METHODS
  Data on demographics, diagnosis and suspected child abuse were collected for all children aged ≤18 years who visited the emergency departments over a 6-month period. The completion of a checklist of warning signs of child abuse in at least 10% of the emergency department visits was considered to be compliance with screening guidelines.
  
  
  RESULTS
  A total of 24 472 visits were analysed, 54% of which took place in an emergency department complying with screening guidelines. Child abuse was suspected in 52 children (0.2%). In 40 (77%) of these 52 cases, a checklist of warning signs had been completed compared with a completion rate of 19% in the total sample. In hospitals complying with screening guidelines for child abuse, the detection rate was higher (0.3%) than in those not complying (0.1%, p<0.001).
  
  
  CONCLUSIONS
  During a 6-month period, emergency department staff suspected child abuse in 0.2% of all children visiting the emergency department of seven Dutch hospitals. The numbers of suspected abuse cases detected were low, but an increase is likely if uniform screening guidelines are widely implemented.
authors.affiliation: Department of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands. e.louwers@erasmusmc.nl
authors.forename: Eveline C F M
authors.initials: EC
authors.lastname: Louwers
authors.forename: Ida J
authors.initials: IJ
authors.lastname: Korfage
authors.forename: Marjo J
authors.initials: MJ
authors.lastname: Affourtit
authors.forename: Dop J H
authors.initials: DJ
authors.lastname: Scheewe
authors.forename: Marjolijn H
authors.initials: MH
authors.lastname: van de Merwe
authors.forename: Francoise A F S R
authors.initials: FA
authors.lastname: Vooijs-Moulaert
authors.forename: Claire M C
authors.initials: CM
authors.lastname: Woltering
authors.forename: Mieke H T M
authors.initials: MH
authors.lastname: Jongejan
authors.forename: Madelon
authors.initials: M
authors.lastname: Ruige
authors.forename: Henriëtte A
authors.initials: HA
authors.lastname: Moll
authors.forename: Harry J
authors.initials: HJ
authors.lastname: De Koning
mesh_terms: D000293:Adolescent; D002648:Child; D002649:Child Abuse / Q000175:diagnosis* / Q000706:statistics & numerical data; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000592:standards*; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000592:standards; D009426:Netherlands / Q000453:epidemiology; D017410:Practice Guidelines as Topic