转介至医院儿童保护小组的儿童受虐个案的特点及精神科干预的作用。

IF 2.8 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Tae Sun Han, Yeon Sik Bang, Dong Ho Song, Junghan Lee, Keun-Ah Cheon
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引用次数: 0

摘要

目的:在医院环境中设立了儿童保护小组,以有效干预虐待儿童的案件。我们调查了儿童虐待报告率的变化,并检查了随访精神科门诊就诊是否有所增加。此外,我们旨在确定转介到CPTs的儿童的特征和显著影响精神科门诊就诊的因素。材料和方法:我们回顾性分析了2014年至2021年在CPT就诊的18岁以下患者的病例。我们检查了受虐儿童的人口学和临床特征、报告率以及与精神科门诊就诊的联系。结果:本研究纳入108例虐待儿童案例。平均年龄7.3岁,以青少年(40.7%)和婴幼儿(39.8%)发病率最高。身体虐待是最常见的虐待类型(75.9%)。在婴幼儿组中,虐待造成的伤害比其他组更严重。对虐待儿童的干预和向国家儿童保护局报告的数量都有显著增加(pp=0.006)。结论:CPTs加强了韩国医院虐待儿童案件的报告和管理。CPT内的精神病学干预对后续的精神病学门诊就诊起着至关重要的作用。由于婴幼儿群体更容易受到严重伤害,CPT中的精神病学干预应针对所有年龄组。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Characteristics of Child Abuse Cases Referred to a Hospital-Based Child Protection Teams in Korea and the Role of Psychiatric Intervention.

Characteristics of Child Abuse Cases Referred to a Hospital-Based Child Protection Teams in Korea and the Role of Psychiatric Intervention.

Characteristics of Child Abuse Cases Referred to a Hospital-Based Child Protection Teams in Korea and the Role of Psychiatric Intervention.

Characteristics of Child Abuse Cases Referred to a Hospital-Based Child Protection Teams in Korea and the Role of Psychiatric Intervention.

Purpose: Child protection teams (CPTs) have been implemented in hospital settings to effectively intervene in cases of child abuse. We investigated the changes in child abuse reporting rates and examined whether there was an increase in follow-up psychiatric outpatient visits. Furthermore, we aimed to identify the characteristics of children referred to CPTs and the factors that significantly influenced psychiatric outpatient visits.

Materials and methods: We retrospectively reviewed cases of patients under 18 years old who were referred to the CPT from 2014 to 2021. We examined the demographic and clinical characteristics of the abused children, reporting rates, and linkage to psychiatric outpatient visits.

Results: This study included 108 child abuse cases. The average age was 7.3 years, with the highest incidence among adolescents (40.7%) and infants & toddlers (39.8%). Physical abuse was the most common abuse type (75.9%). In the infant & toddler group, the injuries resulting from abuse were more severe compared to other groups. There was a significant increase in both the number of child abuse interventions and reports to the National Child Protection Agency (p<0.01). However, psychiatric outpatient visits did not increase proportionally. Psychiatric intervention within the CPT was a significant predictor of subsequent psychiatric outpatient visits (odds ratio=17.985, p=0.006).

Conclusion: CPTs have enhanced the reporting and management of child abuse cases in Korean hospitals. Psychiatric intervention within CPT plays a crucial role for subsequent psychiatric outpatient visits. Since the infant and toddler group is more vulnerable to severe injuries, psychiatric intervention within the CPT should be conducted for all age groups.

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来源期刊
Yonsei Medical Journal
Yonsei Medical Journal 医学-医学:内科
CiteScore
4.50
自引率
0.00%
发文量
167
审稿时长
3 months
期刊介绍: The goal of the Yonsei Medical Journal (YMJ) is to publish high quality manuscripts dedicated to clinical or basic research. Any authors affiliated with an accredited biomedical institution may submit manuscripts of original articles, review articles, case reports, brief communications, and letters to the Editor.
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