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首页> 外文期刊>South African medical journal: Suid-Afrikaanse tydskrif vir geneeskunde >Developing an understanding of fatal child abuse and neglect: Results from the South African child death review pilot study
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Developing an understanding of fatal child abuse and neglect: Results from the South African child death review pilot study

机译：制定对致命虐待儿童虐待和忽视的理解：南非子女死亡审查试点研究的结果

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摘要

Fatal child abuse is the severest consequence of violence against children. Yet, little is known about this phenomenon, as routine data do not describe it. Child death review (CDR) teams have been established to systematically review deaths from birth to adolescence as a public health response to better identify child abuse deaths, to develop policy and to improve the child protection response. This article describes the incidence of fatal child abuse and injury patterns associated with such deaths. CDR teams reviewed all child fatalities from 1 January to 31 December 2014 at two pilot sites in South Africa (SA). Data were collected on demographics, causes and circumstances of the death, and family social context. We assessed the feasibility of CDR teams in the SA setting to strengthen the identification of child abuse deaths and influence practice. A total of 707 cases were reviewed. Over half (52.4%) of the deaths were due to natural causes. A third were caused by murder, with nearly half (94%) of all murders attributed to fatal child abuse. The burden of fatal child abuse and neglect was found among the 1-year age group. Abandonment at birth was most common, followed by blunt force injuries and strangulation/asphyxiation deaths. CDR teams are effective in better identifying deaths due to child abuse and neglect via a multidisciplinary approach and regular case reviews.
机译：致命的虐待儿童是暴力对儿童暴力的最严重的后果。然而，对于这种现象而言，众所周知，因为常规数据没有描述它。已经建立了儿童死亡审查（CDR）团队以系统地审查从出生到青春期作为公共卫生反应，以更好地识别儿童虐待死亡，以制定政策，并改善儿童保护应对。本文介绍了与此类死亡相关的致命虐待儿童虐待和伤害模式的发生率。 CDR团队于2014年1月1日至12月31日审查了所有儿童死亡事件，在南非的两个试点（SA）。收集数据的人口统计数据，死因和情况以及家庭社会环境。我们评估了CDR团队在SA环境中的可行性，以加强虐待儿童虐待死亡和影响实践。共有707例审查。超过一半（52.4％）的死亡是由于天然原因。三分之一是由谋杀造成的，近一半（94％）归因于致命的虐待儿童虐待。致命的虐待儿童虐待和忽视的负担在1年龄组中发现。出生时的遗弃是最常见的，其次是钝力伤害和扼杀/窒息死亡。 CDR团队在更好地识别由于虐待儿童虐待和通过多学科方法和定期案例评论而忽视死亡。

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