title: Development of a prediction model for child maltreatment recurrence in Japan: A historical cohort study using data from a Child Guidance Center.
abstract: To develop a prediction model for the first recurrence of child maltreatment within the first year after the initial report, we carried out a historical cohort study using administrative data from 716 incident cases of child maltreatment (physical abuse, psychological abuse, or neglect) not receiving support services, reported between April 1, 1996 through March 31, 2011 to Shiga Central Child Guidance Center, Japan. In total, 23 items related to characteristics of the child, the maltreatment, the offender, household, and other related factors were selected as predictive variables and analyzed by multivariate logistic regression model for association with first recurrence of maltreatment. According to the stepwise selection procedure six factors were identified that include 9-13year age of child (AOR=3.43/95%CI=1.52-7.72), <40year age of the offender (AOR=1.65/95%CI=1.09-2.51), offender's history of maltreatment during childhood (AOR=2.56/95%CI=1.31-4.99), household financial instability or poverty (AOR=1.64/95%CI=1.10-2.45), absence of someone in the community who could watch over the child (AOR=1.68/95%CI=1.16-2.44), and the organization as the referral source (AOR=2.21/95%CI=1.24-3.93). Using these six predictors, we generated a linear prediction model with a sensitivity and specificity of 45.2% and 82.4%, respectively. The model may be useful to assess the risk of further maltreatment and help the child and family welfare administrations to develop preventive strategies for recurrence.
authors: Shiga Prefectural Mental Health and Welfare Center, Mureyama-so House, Kasayama 8-Chome 5-130, Kusatsu City, Shiga, 525-0072, Japan; Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Science Frontier Laboratory Room 204, Yoshida Konoe-cho, Sakyo-ku, Kyoto, 606-8501, Japan. Electronic address: hhh@kf7.so-net.ne.jp.
authors: Hiroyuki
authors: H
authors: Horikawa
authors: Center for Medical Education, Graduate School of Medicine, Kyoto University, Faculty of Medicine Building E Room 109, Yoshida Konoe-cho, Sakyo-ku, Kyoto, 606-8501, Japan; Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Science Frontier Laboratory Room 204, Yoshida Konoe-cho, Sakyo-ku, Kyoto, 606-8501, Japan. Electronic address: suguimoto.pilar.2w@kyoto-u.ac.jp.
authors: S Pilar
authors: SP
authors: Suguimoto
authors: Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Science Frontier Laboratory Room 204, Yoshida Konoe-cho, Sakyo-ku, Kyoto, 606-8501, Japan. Electronic address: patoumus@yahoo.fr.
authors: Patou Masika
authors: PM
authors: Musumari
authors: Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Science Frontier Laboratory Room 204, Yoshida Konoe-cho, Sakyo-ku, Kyoto, 606-8501, Japan. Electronic address: techasrivichien.teeranee.2a@kyoto-u.ac.jp.
authors: Teeranee
authors: T
authors: Techasrivichien
authors: Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Science Frontier Laboratory Room 204, Yoshida Konoe-cho, Sakyo-ku, Kyoto, 606-8501, Japan. Electronic address: kihara.masako.2u@kyoto-u.ac.jp.
authors: Masako
authors: M
authors: Ono-Kihara
authors: Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Science Frontier Laboratory Room 204, Yoshida Konoe-cho, Sakyo-ku, Kyoto, 606-8501, Japan. Electronic address: kihara.masahiro.4n@kyoto-u.ac.jp.
authors: Masahiro
authors: M
authors: Kihara
mesh_terms: D054523:Adult Survivors of Child Abuse / Q000523:psychology; D002648:Child; D002649:Child Abuse / Q000523:psychology / Q000639:trends*; D002660:Child Guidance; D002675:Child, Preschool; D015331:Cohort Studies; D016208:Databases, Factual; D005260:Female; D005544:Forecasting; D006801:Humans; D007564:Japan; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders; D008962:Models, Theoretical; D012008:Recurrence; D012307:Risk Factors
keywords: Child abuse; Child maltreatment; Japan; Maltreatment recurrence; Risk assessment