Violence by Parents Against Their Children: Reporting of Maltreatment Suspicions, Child Protection, and Risk in Mental Illness.
Psychiatrists are mandated to report suspicions of child abuse in America. Potential for harm to children should be considered when one is treating parents who are at risk. Although it is the commonly held wisdom that mental illness itself is a major risk factor for child abuse, there are methodologic issues with studies purporting to demonstrate this. Rather, the risk from an individual parent must be considered. Substance abuse and personality disorder pose a separate risk than serious mental illness. Violence risk from mental illness is dynamic, rather than static. When severe mental illness is well-treated, the risk is decreased. However, these families are in need of social support.
Department of Psychological Medicine, University of Auckland, Room 12.003, Level 12, Auckland Hospital Support Building, Grafton, Auckland 1142, New Zealand.
Miranda
M
McEwan
Department of Psychological Medicine, University of Auckland, Room 12.003, Level 12, Auckland Hospital Support Building, Grafton, Auckland 1142, New Zealand. Electronic address: sh.friedman@auckland.ac.nz.
Susan Hatters
SH
Friedman
D002648:Child; D002649:Child Abuse / Q000517:prevention & control*; D000068216:Child Protective Services / Q000706:statistics & numerical data; D006801:Humans; D019221:Mandatory Reporting; D001523:Mental Disorders / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D011570:Psychiatry; D012307:Risk Factors; D012944:Social Support; D019966:Substance-Related Disorders; D014481:United States; D014754:Violence / Q000517:prevention & control* / Q000523:psychology
Child abuse; Child maltreatment; Child neglect; Depression; Mental illness; Schizophrenia