Child Abuse & Neglect最新文献

{"title":"Child maltreatment detection practices in Israeli pediatric emergency departments: A national study","authors":"Ravit Alfandari ,&nbsp;Tal Solomonica ,&nbsp;Tal Frolinger ,&nbsp;Michal Levy ,&nbsp;Amit Levin Koren ,&nbsp;Bat-El Rehavi Bernstein ,&nbsp;Ido Rivlin ,&nbsp;Asaf Schacham ,&nbsp;Eyal Heiman ,&nbsp;Yuval Barak-Corren","doi":"10.1016/j.chiabu.2025.107813","DOIUrl":"10.1016/j.chiabu.2025.107813","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare is a prominent governmental sector responsible for addressing and preventing child maltreatment. Yet underdetection of child maltreatment in health systems is a longstanding international concern.</div></div><div><h3>Objective</h3><div>This is the first national scale study investigating child maltreatment detection and management practices at hospital pediatric emergency departments in Israel, from the staff point of view. Given the current technological era, particular attention was given to hospital staff experiences using computerized systems.</div></div><div><h3>Participants and setting</h3><div>Participants were 179 healthcare professionals (46 % physicians, 41 % nurses, and 14 % social workers) employed in 22 hospitals around the country.</div></div><div><h3>Methods</h3><div>Participants completed an online questionnaire.</div></div><div><h3>Results</h3><div>Findings indicate several patterns suggesting inadequate and insufficient practice, including underdetection of suspected child maltreatment cases and low confidence in identifying possible child sexual abuse. Being a parent was significantly and negatively associated with staff confidence in detecting physical abuse (β = −0.17, <em>p</em> = .046), sexual abuse (β = −0.19, <em>p</em> = .030), and neglect (β = −0.19, <em>p</em> = .036). The most common practice reported when faced with cases of suspected child maltreatment was to consult with multiprofessional staff members. Although most participants reported having prior academic or departmental training in child maltreatment, findings suggest training did not play a notable role in practice. A key finding was the underuse of computerized systems in hospitals to support practice.</div></div><div><h3>Conclusions</h3><div>Evidence suggests unsatisfactory quality of available computer materials and functions. Policymakers should mandate basic effective computing experience for staff members to improve practice.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107813"},"PeriodicalIF":3.4,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lived experiences of First Nations children in Therapeutic Residential Care","authors":"Kylie Day ,&nbsp;Lynne McPherson ,&nbsp;Antonia Canosa ,&nbsp;Robbie Gilligan ,&nbsp;Kathomi Gatwiri ,&nbsp;Janise Mitchell ,&nbsp;Tim Moore ,&nbsp;Anne Graham","doi":"10.1016/j.chiabu.2025.107816","DOIUrl":"10.1016/j.chiabu.2025.107816","url":null,"abstract":"<div><h3>Background</h3><div>First Nations children and young people are disproportionately represented in residential care in Australia. This overrepresentation is a direct consequence of the enduring legacy of colonialism and assimilation policies that have fractured Indigenous families and communities.</div></div><div><h3>Objective</h3><div>This article examines the lived experiences of First Nations young people living in Therapeutic Residential Care (TRC) settings, exploring what supports their wellbeing and what constrains it.</div></div><div><h3>Participants</h3><div>Sixteen First Nations young people aged 12–18 living in TRC settings across New South Wales, Australia.</div></div><div><h3>Methods</h3><div>Using thematic analysis informed by Critical Race Theory, the study privileges the voices of young people, positioning them as knowledge-holders whose insights are too often marginalised or excluded from policy discourse.</div></div><div><h3>Results</h3><div>Participants identified key enablers of wellbeing, including relational stability, cultural affirmation, and opportunities for autonomy and growth. Constraints included frequent relocations, disempowering routines, fractured identity, and cultural disconnection. Themes of systemic racism and the need for cultural safety emerged strongly. Young people articulated both what the system must stop doing (e.g., disempowering practices) and what it must do more of (e.g., honoring relationships, embedding cultural safety, and enabling agency).</div></div><div><h3>Conclusions</h3><div>The study highlights the urgent need for structural reform in TRC, grounded in Indigenous perspectives and relational accountability. Elevating the lived expertise of First Nations young people is essential to creating culturally safe, empowering care environments.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107816"},"PeriodicalIF":3.4,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The cumulative effect of childhood trauma and school bullying on non-suicidal self-injury among young adults: An XGBoost model and network analysis","authors":"Yu Jin ,&nbsp;Shicun Xu ,&nbsp;Fangyuan Liu ,&nbsp;Jiaqi Li ,&nbsp;Jinmei Du ,&nbsp;Qiaoqing Zheng ,&nbsp;Yajun Bu ,&nbsp;Yuanyuan Wang","doi":"10.1016/j.chiabu.2025.107790","DOIUrl":"10.1016/j.chiabu.2025.107790","url":null,"abstract":"<div><h3>Background</h3><div>Non-suicidal self-injury (NSSI) is a severe mental health concern, particularly among the youth with experiences of childhood trauma (CT) and school bullying (SB).</div></div><div><h3>Objectives</h3><div>This study aims to examine the cumulative and specific effects of CT and SB on NSSI, and to investigate associations between NSSI-related factors.</div></div><div><h3>Methods</h3><div>A cross-sectional study involving 96,218 students from 63 colleges in Jilin Province, China, used assessments for CT, SB, and NSSI. The entropy-balancing (EB) approach was applied to achieve covariate balance between NSSI and non-NSSI groups. We quantified the cumulative effects of CT and SB on NSSI, applied the XGBoost machine learning model to explore the specific effects of CT and SB subtypes on NSSI, and utilized network analysis to investigate the interactive associations across NSSI-related factors (self-compassion, help-seeking intention, fear of happiness, virtual life orientation, social anxiety) across four subgroups: reference, SB-only, CT-only, and dual exposures.</div></div><div><h3>Results</h3><div>The prevalence of NSSI was 8.64 % (95 % CI = 8.46–8.82 %) among young adults in Jilin province. Youths exposed to both CT and SB had a significantly greater NSSI risk than the non-exposure group (OR = 9.84, 95 % CI = 9.13–10.60, <em>p</em> &lt; 0.001). The predictive model demonstrated good performance (AUC = 0.77; sensitivity = 0.68, specificity = 0.74), identifying emotional abuse, emotional neglect, and sexual abuse as key NSSI predictors. Network analysis revealed that the dual exposure subgroup exhibited stronger associations between “fear of happiness” and “virtual life orientation” and weaker associations between “self-compassion” and “help-seeking” compared to the other subgroups.</div></div><div><h3>Conclusions</h3><div>Individuals with experiences of CT and SB are at higher risk for NSSI. They tend to exhibit virtual life orientation and fear of happiness and are less inclined to seek help. Targeted interventions and appropriate support from authorities and educational institutions are needed to mitigate NSSI risk and improve young adults' quality of life.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107790"},"PeriodicalIF":3.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining bullying perpetration and parent-adolescent conflict in Chinese adolescents: A parallel latent class growth modeling approach","authors":"Ruiping Zhang ,&nbsp;Yanzhen Song ,&nbsp;Linlin Gao ,&nbsp;Yaoguo Geng ,&nbsp;Yajun Li","doi":"10.1016/j.chiabu.2025.107806","DOIUrl":"10.1016/j.chiabu.2025.107806","url":null,"abstract":"<div><h3>Background</h3><div>Although prior studies have addressed the prevalence of bullying perpetration and parent-adolescent conflict, few have examined their co-developmental trajectories.</div></div><div><h3>Objective</h3><div>This study aimed to identify distinct developmental trajectories of bullying perpetration and parent-adolescent conflict, their joint development patterns, and the influence of demographic variables among Chinese adolescents.</div></div><div><h3>Participants and setting</h3><div>Data were collected from 899 middle school students in China (474 females; <em>Mage</em> = 14.55 years, <em>SD</em> = 1.60) across three time points.</div></div><div><h3>Methods</h3><div>Latent class growth analysis identified the trajectories for bullying perpetration and parent-adolescent conflict. Multinomial logistic regression tested the effects of demographic factors, including sex, boarding status, only child status, parental marital status and left-behind status on joint trajectory class membership.</div></div><div><h3>Results</h3><div>Three bullying perpetration trajectories and two parent-adolescent conflict trajectories were identified. Their joint trajectories included: Medium Bullying-Medium Conflict-Decreasing, Medium Bullying-Medium Conflict-Diverging, and High Bullying-Low Conflict-Decreasing. Among the demographic predictors, boarding status significantly influenced trajectory group membership, with boarding students more likely to be classified into the Medium Bullying-Medium Conflict-Diverging group. Only-child status, left-behind status, parental marital status, and sex did not significantly predict group membership, although their potential trends may warrant further investigation.</div></div><div><h3>Conclusions</h3><div>Guided by Family Systems Theory, the findings underscore the interlinked development of parent-adolescent conflict and bullying perpetration among adolescents. The results suggest that family-related processes are closely intertwined with adolescents' bullying trajectories, offering a developmental perspective that may inform prevention and early intervention efforts.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107806"},"PeriodicalIF":3.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of child maltreatment on the costs of health service use and productivity loss: Findings from the Australian child maltreatment study","authors":"Dai Quy Le ,&nbsp;Long Khanh-Dao Le ,&nbsp;Marie Bee Hui Yap ,&nbsp;Divna M. Haslam ,&nbsp;Daryl J. Higgins ,&nbsp;Eva Malacova ,&nbsp;James G. Scott ,&nbsp;David Lawrence ,&nbsp;Ben Mathews ,&nbsp;Cathrine Mihalopoulos","doi":"10.1016/j.chiabu.2025.107818","DOIUrl":"10.1016/j.chiabu.2025.107818","url":null,"abstract":"<div><h3>Background</h3><div>Child maltreatment (CM) poses a substantial health burden, but its impact on healthcare costs and productivity loss in Australia remains unclear.</div></div><div><h3>Objective</h3><div>To estimate the costs of health service use and productivity loss associated with CM in Australia.</div></div><div><h3>Participants</h3><div>Cross-sectional data (<em>N</em> = 8503) from the Australian Child Maltreatment Study were analyzed to identify people with CM, their health service use, and employment status.</div></div><div><h3>Methods</h3><div>Hurdle models estimated in two parts, comprising logistic regression and generalized linear models, were used to estimate differences in health service use and average costs between those with and without CM. Unit costs of health services were sourced from national databases (e.g., Medicare Benefits Schedule). Productivity losses were estimated using the human capital approach. Sensitivity analyses were conducted to examine the robustness of findings.</div></div><div><h3>Results</h3><div>Annual healthcare costs for each individual with CM was A$1670 higher than those without CM. Incremental productivity losses due to unemployment averaged A$2750 per labor force participant with CM annually. The point estimates of these costs increased with the number of CM subtypes experienced and remained highest among those with any neglect, sexual, and emotional abuse. A notable portion of health service use costs was attributed to mental health services. Subgroup analyses also revealed higher health service use costs for females and individuals with diverse gender identities. Findings mostly remained robust across sensitivity analyses. At a population level, CM was associated with annual health service use costs of A$21.6 billion and productivity losses of A$24.1 billion.</div></div><div><h3>Conclusion</h3><div>CM imposes substantial health service use and productivity costs in Australia. Targeted investment in prevention strategies is urgently needed.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107818"},"PeriodicalIF":3.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the polyvictimization invasiveness and exploitativeness scale","authors":"Xiaoyuan Han ,&nbsp;Yiming Wang ,&nbsp;Weiyi Xie ,&nbsp;Kewen Wang ,&nbsp;Clifton R. Emery","doi":"10.1016/j.chiabu.2025.107815","DOIUrl":"10.1016/j.chiabu.2025.107815","url":null,"abstract":"<div><h3>Background</h3><div>Polyvictimization refers to the experience of being subjected to multiple types of victimization. While the concept is widely recognized, the definitions and categories of victimization examined in different studies can vary significantly. This inconsistency in how polyvictimization is defined and measured can undermine the scientific impact of this research area. Given the complex nature of child polyvictimization, a reevaluation of the approach is necessary.</div></div><div><h3>Objective</h3><div>The 3-D polyvictimization theory proposes a multiplicative hypothesis between three key concepts: 1) invasiveness, 2) exploitativeness, and 3) severity. We created structured scale measures for invasiveness and exploitativeness to improve previous assessments.</div></div><div><h3>Participants and setting</h3><div>This study examined a Chinese version of the measure, which was translated from English. Expert reviewers (<em>n</em> = 6) evaluated the scale's face validity after developing an initial item pool. From December 2024 to February 2025, the scale was tested in two groups of adolescents from Eastern China (n1 = 495 and n2 = 461) to assess the scale's reliability and validity.</div></div><div><h3>Methods</h3><div>Internal consistency reliability, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and convergent, divergent, and predictive validity were conducted to assess the scale's reliability and validity.</div></div><div><h3>Results</h3><div>Internal consistency reliability was strong (Cronbach's α = 0.95; McDonald's Omega = 0.97). Factor analyses yielded a ten-item two-dimensional scale with a robust model fit (SRMR = 0.04, CFI = 0.99, TLI = 0.99; Model chi-square: <em>p</em> &gt; .05, RMSEA = 0.04). The scale has a strong correlation with established and validated measures of child polyvictimization (JVQ-R2) and shows a significant positive correlation with depression, demonstrating its predictive validity.</div></div><div><h3>Conclusions</h3><div>The Polyvictimization Invasiveness and Exploitativeness Scale (PIES) has strong psychometric properties and will be valuable for assessing interventions related to polyvictimization or conducting studies where polyvictimization is a key concept or primary outcome.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107815"},"PeriodicalIF":3.4,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of COVID-19 pandemic on characteristics, extent, and trends in child maltreatment in 34 Euro-CAN COST Action Countries: a scoping review of the literature","authors":"Eva Anna Mora-Theuer ,&nbsp;Aideen Naughton ,&nbsp;Sinem Cankardas ,&nbsp;Clarissa Sammut-Scerri ,&nbsp;Chryssa Grylli ,&nbsp;Anastasia Pantazidou ,&nbsp;Jolanta Pivoriene ,&nbsp;Melanie Loiseau ,&nbsp;Brigitta Kariene ,&nbsp;Johanna Schöggl ,&nbsp;Nara Tagiyeva ,&nbsp;Catherine Quantin","doi":"10.1016/j.chiabu.2025.107810","DOIUrl":"10.1016/j.chiabu.2025.107810","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic intensified known risk factors for child maltreatment (CM). Yet, globally inconsistent trends were reported. Little is known about CM trends across Europe, given varying surveillance systems.</div></div><div><h3>Objective</h3><div>This scoping review systematically examined evidence on CM trends during the pandemic in 34 European countries in the COST Action Euro-CAN network.</div><div>Participants and Setting.</div><div>CM (physical, sexual, psychological abuse, neglect, and online harms) across various settings (population, healthcare, social care including NGOs, child protection services, judicial/police).</div></div><div><h3>Methods</h3><div>We searched PubMed, EMBASE, PsycINFO, Scopus, Web of Science, OPENGREY, and Google Scholar (January 2020–November 2024). Eligible studies included primary research and systematic or narrative reviews. Two reviewers independently screened and extracted data. Findings were synthesized narratively by CM type, sector, country, and study design, and reported following the PRISMA-ScR.</div></div><div><h3>Results</h3><div>Of 4658 records screened, 87 records were included (72 primary research, 15 reviews). Most studies used quantitative methods (<em>n</em> = 64, 89 %) and reported healthcare and population-based data. Physical abuse was the most frequently reported type (<em>n</em> = 42, 58 %). Results were mixed, showing increase, decrease, or no change in CM. The most consistent signal was an increase in physical abuse identified in French hospital datasets. Qualitative studies highlighted concerns about children's safety during school closures and changes in referral patterns.</div></div><div><h3>Conclusion</h3><div>This is the first comprehensive review of CM trends in Europe during the pandemic, covering the longest timeframe. Fragmented evidence reflects heterogeneous definitions, reliance on institutional data and underrepresentation of vulnerable groups. Findings stress for harmonised definitions and resilient surveillance systems.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107810"},"PeriodicalIF":3.4,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of pediatric injury reports to CPS by healthcare professionals","authors":"Molly C. Berkoff ,&nbsp;Sara J. Honaker ,&nbsp;Meghan E. Shanahan ,&nbsp;Anna E. Austin","doi":"10.1016/j.chiabu.2025.107814","DOIUrl":"10.1016/j.chiabu.2025.107814","url":null,"abstract":"<div><h3>Background</h3><div>Mandated reporting laws to child protective services (CPS) exist in all states and US territories. Concerns exist for the lack of confidence and education for general healthcare professionals when making reports to CPS.</div></div><div><h3>Objectives</h3><div>We aimed to describe both the common injury characteristics and reasons for reports of suspected maltreatment to CPS by healthcare professionals.</div></div><div><h3>Methods</h3><div>We reviewed narrative intake reports of young children (≤3 y) with poorly explained/unexplained injuries from a single state database from July 1, 2023, through December 31, 2023. Child characteristics and reporter characteristics were identified. Reports were coded for understanding maltreatment concerns, reason for report and possible distractors in reports.</div></div><div><h3>Results</h3><div>A total of 213 reports met criteria for inclusion. More than half of the reports were made for children younger than 12 months of age (62 %). The most common injury reported was a fracture (50 %) followed by bruise (33 %). Most reports were missing a specific maltreatment type of concern (70 %) and 4 % specifically stated no maltreatment concerns. When listed, the most common reason for healthcare professionals reporting was an unexplained/vague explanation for the injury (23 %). Distractors were noted and included 19 % of reports commenting on positive interactions of the family as well as 13 % stating the child was able to be discharged.</div></div><div><h3>Conclusions</h3><div>Narrative accounts of healthcare professional reports to CPS for young children with injuries lacked a clear understanding of the maltreatment concern. This can leave CPS with uncertainty in how to plan for safety of a child at initiation of an investigation. Improved collaboration between child welfare and healthcare professionals should include how to report and what to report at intake. This can ensure a clear understanding of the concerns for CPS and ultimately improve safety outcomes for children and families.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107814"},"PeriodicalIF":3.4,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sibling sexual abuse: What do we know about professional responses? Stage 2 analysis of a 2-stage scoping review","authors":"Stephanie Cain ,&nbsp;Peter Yates ,&nbsp;Eve Mullins ,&nbsp;Amy Adams","doi":"10.1016/j.chiabu.2025.107808","DOIUrl":"10.1016/j.chiabu.2025.107808","url":null,"abstract":"<div><h3>Background</h3><div>When responding to concerns of sibling sexual abuse, collaborative, whole-family, trauma-informed, and multi-disciplinary approaches are essential. Yet professional responses and offers of support remain varied and inconsistent.</div></div><div><h3>Objective</h3><div>This scoping review asked the question: Of the 104 empirical papers identified in Stage 1 analysis of a 2-stage scoping review (P. <span><span>Yates et al., 2024</span></span>) what is known about professional responses and interventions available to professionals when working with sibling sexual abuse cases.</div></div><div><h3>Method</h3><div>Using the guidelines of <span><span>Arksey and O'Malley (2005)</span></span> and 11 academic databases, 3 grey literature databases, journal hand search and Google, identified 91 empirical papers for review. An updated search identified a further 13 papers thus, a sub-sample of 32 papers were identified for this review.</div></div><div><h3>Results</h3><div>Using the PAGER framework (<span><span>Bradbury-Jones et al., 2022</span></span>), we identify fragmented professional responses to sibling sexual abuse, shaped by inconsistent training, taboo beliefs, limited resources, and conflicting attitudes. These factors hinder appropriate language use and decision-making. Holistic, family-oriented approaches are recommended but are difficult to implement amid cultural differences and family complexities. Rigid victim–perpetrator models overlook children with dual experiences and non-abused siblings, leading to inconsistent and inadequate support.</div></div><div><h3>Conclusion</h3><div>Despite growing recognition of the complexity of sibling sexual abuse, professional responses remain inconsistent and under-supported. To improve outcomes for all those affected, there is an urgent need for coherent guidance, cross-sector training, and the adoption of consistent, trauma-informed, whole-family approaches that reflect the nuanced realities of these cases.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107808"},"PeriodicalIF":3.4,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fracture patterns in suspected non-accidental injury across neurodevelopmental milestones: A systematic review and evidence-informed plausibility framework","authors":"Daniela Alessia Marletta ,&nbsp;Gabriele Giuca ,&nbsp;Danilo Leonetti ,&nbsp;Federico Chiodini ,&nbsp;Maurizio De Pellegrin ,&nbsp;Nicola Guindani","doi":"10.1016/j.chiabu.2025.107807","DOIUrl":"10.1016/j.chiabu.2025.107807","url":null,"abstract":"<div><h3>Background</h3><div>Determining whether a pediatric fracture is congruent with the reported mechanism is challenging even with age-based guidance. We synthesize fracture evidence by neurodevelopmental milestones to organize plausibility judgments that augment, not replace, multidisciplinary abuse evaluations.</div></div><div><h3>Objective</h3><div>To synthesize evidence linking fracture patterns to developmental milestones in children ≤36 months evaluated for suspected non-accidental injury (NAI) and to propose a milestone-anchored, evidence-informed plausibility framework.</div></div><div><h3>Methods</h3><div>Following PRISMA 2020, we searched PubMed, Embase and Scopus from inception to 19 August 2025. Two reviewers independently screened/extracted data and assessed risk of bias (Newcastle–Ottawa Scale for cohort/case-control). Protocol registration: PROSPERO CRD420251120765. Eligibility required data linking fracture type/location to age or explicit motor milestones (e.g., pre-rolling, crawling and walking). Quantitative synthesis was restricted to within-cohort strata: we calculated stratum-specific odds ratios, a Mantel–Haenszel within-cohort stratified pooled estimate across long-bone strata and (where informative) Bayesian Beta–Binomial posterior summaries; cross-cohort pooling was avoided because of cohort overlap and heterogeneous abuse determination.</div></div><div><h3>Results</h3><div>Across primary studies, non-ambulatory infants with long-bone (diaphyseal) fractures had markedly higher odds of abuse than ambulatory toddlers (within-cohort pooled OR 15.12, 95 % CI 2.88–79.36). Infants &lt;12 months with rib fractures had abuse prevalences 67–82 % when motor-vehicle crashes and bone disease were included and ~91 % when excluded; rib fracture location was not independently associated with abuse likelihood. Classic metaphyseal lesions (CMLs) are highly suggestive, though not pathognomonic, of abuse in non-ambulatory infants. In one cohort, multiple fractures were present in 84 % (16/19) of children reported as suspected abuse. Collectively, findings support a milestone-aware approach to plausibility.</div></div><div><h3>Conclusions</h3><div>Fracture patterns correlate with developmental capabilities. Organized by milestones, these data inform, but do not determine, abuse evaluations and should be integrated with history, examination, guideline-concordant imaging, differential for bone fragility when indicated and multidisciplinary assessment.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"171 ","pages":"Article 107807"},"PeriodicalIF":3.4,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}