Identifying children exposed to maltreatment: a systematic review update
| Autor: | Jennifer C. D. MacGregor, Andrea Gonzalez, Nancy Santesso, Chris McKee, Jill McTavish, Harriet L. MacMillan |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Identification
media_common.quotation_subject Population MEDLINE Poison control PsycINFO Neglect 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Medicine Humans Mass Screening 030212 general & internal medicine Child Abuse Psychological abuse education Child Child maltreatment media_common education.field_of_study business.industry Case-finding lcsh:RJ1-570 lcsh:Pediatrics 16. Peace & justice 3. Good health Physical abuse Sexual abuse Pediatrics Perinatology and Child Health Screening Female business Emergency Service Hospital Clinical psychology Research Article |
| Zdroj: | BMC Pediatrics, Vol 20, Iss 1, Pp 1-14 (2020) BMC Pediatrics |
| ISSN: | 1471-2431 |
| Popis: | Background Child maltreatment affects a significant number of children globally. Strategies have been developed to identify children suspected of having been exposed to maltreatment with the aim of reducing further maltreatment and impairment. This systematic review evaluates the accuracy of strategies for identifying children exposed to maltreatment. Methods We conducted a systematic search of seven databases: Medline, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Cochrane Libraries, Sociological Abstracts and the Education Resources Information Center. We included studies published from 1961 to July 2, 2019 estimating the accuracy of instruments for identifying potential maltreatment of children, including neglect, physical abuse, emotional abuse, and sexual abuse. We extracted data about accuracy and narratively synthesised the evidence. For five studies—where the population and setting matched known prevalence estimates in an emergency department setting—we calculated false positives and negatives. We assessed risk of bias using QUADAS-2. Results We included 32 articles (representing 31 studies) that evaluated various identification strategies, including three screening tools (SPUTOVAMO checklist, Escape instrument, and a 6-item screening questionnaire for child sex trafficking). No studies evaluated the effects of identification strategies on important outcomes for children. All studies were rated as having serious risk of bias (often because of verification bias). The findings suggest that use of the SPUTOVAMO and Escape screening tools at the population level (per 100,000) would result in hundreds of children being missed and thousands of children being over identified. Conclusions There is low to very low certainty evidence that the use of screening tools may result in high numbers of children being falsely suspected or missed. These harms may outweigh the potential benefits of using such tools in practice (PROSPERO 2016:CRD42016039659). |
| Databáze: | OpenAIRE |
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