Fatal child maltreatment in england

Abstract

Fatal child maltreatment in England 2 Authors' ContributionsThe original idea for this paper came from Peter Sidebotham, who carried out the primary analysis and wrote the first and subsequent drafts of the paper.Sue Bailey and Pippa Belderson carried out the data extraction and coding and contributed to the analysis and to reviews of drafts of the paper.Marian Brandon had oversight of the main research project and contributed to data analysis and to reviews of drafts of the paper. Conflicts of InterestThe authors are all involved in ongoing analysis of Serious Case Reviews in England. There are no other conflicts of interest. FundingThis project was funded by grants from the Department for Children, Schools and Families (now Department for Education), UK Government. The Department for Children, Schools and Families provided access to all data used in this study. The study design, the interpretation of the results and the decision to submit for publication rested solely with the authors. Fatal child maltreatment in England 3 AbstractObjective: This paper presents comprehensive and up-to-date data covering four years of Serious Case Reviews into fatal child maltreatment in England. Methods: Information on all notified cases of fatal maltreatment between April 2005 and March 2009was examined to obtain case characteristics related to a systemic classification of five broad groups of maltreatment deaths (severe physical assaults; covert homicide/infanticide; overt homicide; extreme neglect/deprivational abuse; deaths related to but not directly caused by maltreatment).Results: A total of 276 cases was recorded giving an incidence of 0.63 cases per 100,000 children (0-17) per year. 246 cases could be classified based on the data available. Of these the commonest specific group was those children who died as a result of severe physical assaults. Apparently deliberate overt and covert homicide was less common, whilst deaths as a direct consequence of neglect were rare. In contrast, some evidence of neglect was found in at least 40% of all cases, though not the direct cause of death.Conclusions: Class characteristics differ between the different categories of death and may suggest the need for different strategies for prevention.

Understanding why children die in high-income countries

“…135 Studies report neglect to be a factor in at least 30-40% of maltreatment deaths, and higher levels of poor parental care, inadequate supervision, and failure to respond to the health needs of a child may be an under-recognised factor in other causes of child death. 135,139 Non-fatal maltreatment in a child is, in itself, a recognised risk factor both for later fatal maltreatment, and for other causes of mortality including accidental deaths. 129,130,130 A past history of maltreatment, including emotional and sexual abuse, is a recognised finding in many cases of adolescent suicide, as is social isolation and peer victimisation.…”

Patterns of child death in England and Wales

“…[53][54][55][56] Patterns of violent death vary across the age spectrum, and do not form a homogeneous group (Box 2). [57][58][59] A study of 267 Serious Case Reviews into fatal cases of maltreatment in…”

“…59 Of these, 108 (40%) were considered to be directly caused by physical abuse or neglect, and in a further 138 (50%) maltreatment was considered a factor in the death, though not the direct cause of death. In as many as 40% of maltreatment-related deaths, low levels of neglect may be a factor.…”

De epidemiologie van kinderdoding in Nederland, 2009-2014

“…Onder daders van deze twee subcategorieën komen psy-chotische stoornissen, depressieve stoornissen en eerdere suïcidaliteit veelvuldig voor (Liem & Koenraadt 2008a). De tweede categorie, tevens de grootste in omvang (Nielssen, Large, Westmore & Lackersteen 2009;Sidebotham, Bailey, Belderson & Brandon 2011;Yasumi & Kageyama 2009), betreft kinderdoding als ongeluk, bijvoorbeeld voortvloeiende uit een ernstige mishandeling waarbij de dood een onbedoeld gevolg is. Hieronder valt tevens het battered child syndrome (Bourget & Bradford 1990).…”