Victim, perpetrator, family, and incident characteristics of 32 infant maltreatment deaths in the United States Air Force

Brewster, Albert L; Nelson, John P.; Hymel, Kent P.; Colby, Donald R.; Lucas, D R; McCanne, Thomas R.; Milner, Joel S.

doi:10.1016/s0145-2134(97)00132-4

Cited by 110 publications

(52 citation statements)

References 17 publications

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“…19 In another study of 32 infant deaths caused by abuse, 58% of the perpetrators reported that the infant's crying triggered the fatal outburst. 8 Finally, the age-specific incidences of abusive head injuries resulting from shaking exhibit a pattern similar to the normal infant crying curve, which is a graph showing the number of hours per day an infant cries as a function of age. 20 Significant crying and the appearance of shaking injuries both start at 2 to 3 weeks, have clear peaks, and then decrease to relatively stable low levels by ϳ36 weeks, which continue through the first year of life.…”

Section: Discussion What Causes An Adult To Shake An Infant?mentioning

confidence: 85%

“…7 Shaking typically is triggered by the caregiver's inability to stop the infant from crying. 8 To prevent such injuries, a consortium of 20 hospitals in the New York State Hudson Valley region initiated a prevention program to teach parents about the dangers of shaking an infant and how to cope safely with an infant's crying. The program was designed to educate parents at the moment of greatest potential impact, that is, in the hospital shortly after the birth of their infant.…”

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confidence: 99%

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Parent Education by Maternity Nurses and Prevention of Abusive Head Trauma

et al. 2011

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WHAT'S KNOWN ON THIS SUBJECT:Approximately 20 per 100 000 infants per year experience abusive head injuries resulting from shaking, typically triggered by a caregiver's inability to stop the infant's crying. Hospital-based parent education immediately after the infant's birth has shown promise as a prevention strategy. WHAT THIS STUDY ADDS:Results of this study provide strong corroborating evidence that a low-cost prevention program delivered by maternity nurses can substantially reduce newborns' risk of sustaining an abusive head injury resulting from shaking during the first year of life.abstract OBJECTIVE: A consortium of the 19 community hospitals and 1 tertiary care children's hospital that provide maternity care in the New York State Hudson Valley region implemented a program to teach parents about the dangers of shaking infants and how to cope safely with an infant's crying. This study evaluated the effectiveness of the program in reducing the frequency of shaking injuries. METHODS:The educational program, which was delivered by maternity nurses, included a leaflet explaining abusive head trauma ("shaken baby syndrome") and how to prevent it, an 8-minute video on the subject, and a statement signed by parents acknowledging receipt of the information and agreeing to share it with others who will care for the infant. Poisson regression analysis was used to compare the frequency of shaking injuries during the 3 years after program implementation with the frequency during a 5-year historical control period. RESULTS:Sixteen infants who were born in the region during the 8-year study period were treated at the children's hospital for shaking injuries sustained during their first year of life. Of those infants, 14 were born during the 5-year control period and 2 during the 3-year postimplementation period. The decrease from 2.8 injuries per year (14 cases in 5 years) to 0.7 injuries per year (2 cases in 3 years) represents a 75.0% reduction (P ϭ .03). CONCLUSIONS:Parent education delivered in the hospital by maternity nurses reduces newborns' risks of sustaining an abusive head injury resulting from shaking during the first year of life. Pediatrics

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Section: Discussion What Causes An Adult To Shake An Infant?mentioning

confidence: 85%

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confidence: 99%

Parent Education by Maternity Nurses and Prevention of Abusive Head Trauma

et al. 2011

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“…are some of the reported examples. Brewster, Nelson and Hymel (1998), in their study on the incidents of infanticides, observed that the infant-victim had been alone with the caretaker-perpetrator (in 86% of the cases), crying (in 58% of the cases), on the weekend (in 47% of the cases), during around noon time and at the home (in 71% of the cases). Crying, as a factor that could trigger abusive behaviour in the perpetrator was mentioned by Flaherty (2006) too.…”

Section: Family Climatementioning

confidence: 99%

A Review on The Perpetrators of Child Abuse

Santhosh¹

2016

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A review of the studies related to the perpetrators of child abuse revealed that each minimal unit of human being has the potential to perpetrate. Based on this, the present study aimed to comprehend the factors of vulnerability among the perpetrators of the child abuse. The study followed a method of investigating through the reviews of articles and research papers, on the issues of child abuse and perpetrations, published between 1994 and 2015, open source. The identified factors of vulnerability included age, family climate, personality, victim-to-victimizer cycle and opponent process hypothesis. However, identification of the factors shall not mislead anybody to consider the potential to be vulnerable or to be good as dichotomous, because it is multidimensional. Notably, the vulnerable individuals are a risk to the society, for it may generate a victim at any instant. There is a gap in the current literature regarding the methods that could be introduced to reduce the vulnerability to perpetrate. To fill this gap, first thing that has to be done is to have a shift in focus. Current literature is giving more focus on strengthening the potential victims. Instead, methods to intensify the value strengths of the perpetrators are to be focused here after. A model that may become the base of such an approach is designed and presented on the basis of Values in Action classification.

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“…12,13 In 1 study of infants who suffered abusive head trauma, almost all of the parents had sought help for their infant's crying previously from their primary care physician. 14 All infants cry; crying generally begins in the first month of life, and the duration of crying increases and peaks between 2 and 4 months of age.…”

Section: Triggersmentioning

confidence: 99%

The Pediatrician's Role in Child Maltreatment Prevention

Flaherty¹,

Stirling²,

Neglect³

2010

Pediatrics

148

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It is the pediatrician's role to promote the child's well-being and to help parents raise healthy, well-adjusted children. Pediatricians, therefore, can play an important role in the prevention of child maltreatment. Previous clinical reports and policy statements from the American Academy of Pediatrics have focused on improving the identification and management of child maltreatment. This clinical report outlines how the pediatrician can help to strengthen families and promote safe, stable, nurturing relationships with the aim of preventing maltreatment. After describing some of the triggers and factors that place children at risk for maltreatment, the report describes how pediatricians can identify family strengths, recognize risk factors, provide helpful guidance, and refer families to programs and other resources with the goal of strengthening families, preventing child maltreatment, and enhancing child development.

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Victim, perpetrator, family, and incident characteristics of 32 infant maltreatment deaths in the United States Air Force

Cited by 110 publications

References 17 publications

Parent Education by Maternity Nurses and Prevention of Abusive Head Trauma

Parent Education by Maternity Nurses and Prevention of Abusive Head Trauma

A Review on The Perpetrators of Child Abuse

The Pediatrician's Role in Child Maltreatment Prevention

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