Evolution of a Classification Scale: Medical Evaluation of Suspected Child Sexual Abuse

Child Maltreatment - Tập 6 Số 1 - Trang 31-36 - 2001
Joyce A. Adams1
1Division of Primary Care Pediatrics and Adolescent Medicine, University of California, San Diego, USA. [email protected]

Tóm tắt

This article presents a revision of a system for classifying examination findings, laboratory findings, and children's statements and behaviors as to their possible relationship to sexual abuse. The revisions are based on published research studies and current recommendations from the American Academy of Pediatrics Committee on Child Abuse and Neglect, and the American Professional Society on the Abuse of Children. Part 1 of the classification system lists genital and anal findings that can be considered normal or nonrelated to abuse, nonspecific for abuse, concerning for abuse, and clear evidence of blunt force or penetrating trauma. Under Part 2, the overall classification of the likelihood of abuse is broken into four categories: no evidence of abuse, possible abuse, probable abuse, and definite evidence of abuse or penetrating trauma. Cautions in the use of the classification system, as well as controversies concerning a few medical findings, are discussed.

Từ khóa


Tài liệu tham khảo

10.1001/archpedi.1996.02170330076013

10.3928/0090-4481-19970501-07

10.1016/S0932-8610(19)80070-1

Adams, J. A., 1994, Pediatrics, 94, 310, 10.1542/peds.94.3.310

American Academy of Pediatrics, 1991, Pediatrics, 87, 254, 10.1542/peds.87.2.254

10.1542/peds.103.1.186

American Professional Society on the Abuse of Children, Glossary of terms and the interpretations of findings for child sexual abuse evidentiary examinations

Berenson, A., 1991, Pediatrics, 87, 458, 10.1542/peds.87.4.458

Berenson, A., 1992, Pediatrics, 89, 387, 10.1542/peds.89.3.387

10.1016/S0002-9378(00)70331-0

Heger, A., Evaluation of the sexually abused child: A medical textbook and photographic atlas, 2

Kellogg, N., 1991, Pediatrics, 87, 926, 10.1542/peds.87.6.926

Kerns, D. L., 1992, Pediatrics, 90, 265, 10.1542/peds.90.2.265

McCann, J., 1993, Pediatrics, 89, 307

McCann, J., 1992, Pediatrics, 89, 307

10.1016/0145-2134(89)90005-7

McCann, J., 1990, Pediatrics, 86, 428, 10.1542/peds.86.3.428

10.1016/S0932-8610(12)80173-3

Thông tin
Thông tin xuất bản

Child Maltreatment

Tập 6 Số 1

31-36

Thông tin tác giả