Abusive head trauma in young children in the Netherlands: evidence for multiple incidents of abuse

Tessa Sieswerda-Hoogendoorn, Rob AC Bilo, Lonneke LBM van Duurling, Wouter A Karst, Jolanda M Maaskant, Wim MC van Aalderen, Rick R van Rijn

Research output: Contribution to journalArticleAcademicpeer-review

17 Citations (Scopus)
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Abstract

Aim
We investigated the prevalence of risk factors for and the prevalence of prior abuse in abusive head trauma victims in the Netherlands.

Methods
We performed a retrospective file review of all abusive head trauma cases in the Netherlands in which forensic medical expertise was requested by the courts, between 2005 and 2010. Outcome measures were risk factors and indicators for prior abuse.

Results
Eighty-nine cases were included; 62% boys, median age 3.5 months. Impact trauma was found in 48% of cases, with a male perpetrator in 79%. Prematurity, dysmaturity and twins/triplets were found in 27%, 23% and 10% of cases, respectively, maternal age under 20 years in 17%. Of the parents, 60% had completed only primary or secondary education, 38% of the families were known to child welfare authorities. There was evidence for prior abuse in 81% of the cases.

Conclusion
The high number of families with prior abuse indicates that both the healthcare system and child welfare authorities failed to protect some of the children that have been in their care. Our results highlight the importance of training healthcare and child welfare professionals in recognizing physical abuse, as well as the importance of optimizing abusive head trauma prevention strategies.
Original languageEnglish
Pages (from-to)e497-e501
JournalActa Paediatrica: Nurturing The Child
Volume102
Issue number11
DOIs
Publication statusPublished - Nov 2013
Externally publishedYes

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