Characteristics of Fatal Child Maltreatment Associated with Multiple Births in Japan.
Characteristics of Fatal Child Maltreatment Associated with Multiple Births in Japan.
复制标题
日本与多胞胎相关的致命虐待儿童的特征。
DOI：
10.1017/thg.2013.28
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发表时间：
2013
影响因子：
0.9
通讯作者：
Syuichi Ooki
中科院分区：
文献类型：
--
作者：
Al-Khulaidi G;Nakamura K.;Syuichi Ooki
本研究的目的是澄清在日本多胞胎家庭中的致命虐待儿童的特点。进行了详尽的信息搜索，以查找2003年7月至2011年3月期间的多胎分娩病例。在此期间，有437起虐待0至17岁儿童致死的案件，其中14起涉及多胞胎。进行了关键词检索，以创建每个多胎病例的完整资料。14名多胞胎受害者是来自13个家庭的双胞胎。双胞胎和独生子女之间的致命虐待的大多数特征没有显着差异。然而，在双胞胎的情况下，0个月的受害者很少，每个家庭的孩子数量更多。一对双胞胎死于摇晃婴儿综合征。在12起相关案件中，受害者的兄弟姐妹也在6起案件中受到虐待，其中包括所有6名双胞胎。当双胞胎中只有一个受到虐待时，早产、有残疾的同胞胎、生长或发育迟缓以及父母不喜欢往往是虐待的因素。共有四个家庭被判缓刑，其中包括三名单独杀人的母亲（43% = 3/7）。总之，最近的日本全国性数据表明，非特异性的养育子女的负担可能是一个可能的原因，多胞胎与单胞胎相比，儿童虐待的频率更高，两个双胞胎之间的父母比较可能是另一个原因。对虐待儿童致死罪的刑事判决，对双胞胎的罪犯可能比对独生子女的罪犯更宽大。
The purpose of the present study was to clarify the characteristics of fatal child maltreatment in families with multiple births in Japan. An exhaustive information search was performed to find multiple-birth cases between July 2003 and March 2011. There were 437 cases of fatal maltreatment of children aged 0–17 years during this period, including 14 involving multiple-birth children. A keyword search was performed to create a full profile for each multiple-birth case. The 14 multiple-birth victims were twins from 13 families. No significant difference between twins and singletons with fatal maltreatment was observed for most characteristics. However, in the case of twins, 0-month victims were rare, and the number of children per family was larger. One twin died from shaken baby syndrome. The victim's siblings were also maltreated in six out of 12 relevant cases, including all six co-twins. Premature birth, having a disabled co-twin, delay of growth or development, and parental disfavor tended to be factors of maltreatment when only one twin was maltreated. Four families were given suspended sentences in total, including three mothers who acted as solitary murderers (43% = 3/7). In conclusion, recent Japanese nationwide data suggests that the non-specific overburden of child rearing might be one possible reason for higher frequency of child maltreatment for multiples compared with singletons, and parental comparisons between two twins might be another. The penal sentences for fatal child maltreatment might be more lenient for perpetrators of this crime against twins than against singletons.