Abusive head trauma: the relationship of perpetrators to their victims.
Abusive head trauma: the relationship of perpetrators to their victims.
复制标题
虐待性头部创伤：施暴者与受害者的关系。
DOI：
10.1542/peds.95.2.259
复制
发表时间：
1995
期刊：
影响因子：
8
通讯作者：
Carole Jenny
中科院分区：
文献类型：
--
作者：
S. Starling;James R. Holden;Carole Jenny
目标
虐待性头部创伤是遭受身体虐待的婴儿发病和死亡的最常见原因。有效的预防需要识别潜在的肇事者。没有研究专门探讨虐待性头部创伤（“摇晃婴儿综合症”）的肇事者与其受害者的关系。本研究的目的是确定这些案件中的施虐者及其与受害者的关系。
方法
我们审查了 151 名遭受虐待性头部创伤的婴儿的医疗记录，以确定虐待的肇事者。看护者按照确定性程度进行分类：承认犯罪、采取法律行动或工作人员强烈怀疑。分析了施虐者与受害者的关系。
结果
男性受害者占案件的60.3%。百分之二十三的儿童死亡，尽管男孩和女孩的死亡率差异不大。男性犯罪者与女性犯罪者的比例为2.2:1，其中父亲、继父和母亲的男朋友所实施的犯罪占60%以上。施虐者中，父亲占37%，其次是男友，占20.5%。女性保姆占 17.3%，是一大群此前未被认识的施暴者。母亲只占我们病例的 12.6%。在症状出现时，除了一名已供认的施虐者外，所有施虐者都与孩子在一起。
结论
我们的数据表明，男性看护者虐待婴儿的风险更大。保姆是一个令人担忧的风险群体，因为他们在施虐者中占很大比例，而且他们更容易逃脱起诉。此外，没有针对保姆的预防措施。这些统计数据可能有助于改变预防虐待性头部创伤的工作重点。
OBJECTIVE
Abusive head trauma is the most common cause of morbidity and mortality in physically abused infants. Effective prevention requires the identification of potential perpetrators. No study has specifically addressed the relationship of the perpetrators of abusive head trauma ("shaken baby syndrome") to their victims. The objectives of this study were to identify the abusers and their relationship to victims in these cases.
METHODS
We reviewed the medical charts of 151 infants who suffered abusive head trauma to determine the perpetrator of the abuse. Caretakers were classified by level of certainty: confession to the crime, legal actions taken, or strong suspicion by the staff. The relationship of abusers to victims was analyzed.
RESULTS
Male victims accounted for 60.3% of the cases. Twenty-three percent of the children died, although death rates for boys and girls did not vary significantly. Male perpetrators outnumbered females 2.2:1, with fathers, step-fathers, and mothers' boyfriends committing over 60% of the crimes. Fathers accounted for 37% of the abusers, followed by boyfriends at 20.5%. Female baby-sitters, at 17.3%, were a large, previously unrecognized group of perpetrators. Mothers were responsible for only 12.6% of our cases. All but one of the confessed abusers were with the child at the time of onset of symptoms.
CONCLUSIONS
Our data suggest male caretakers are at greater risk to abuse infants. Baby-sitters are a concerning risk group, because they represent a significant proportion of abusers, and they more easily escape prosecution. In addition, no prevention efforts have been directed at baby-sitters. These statistics could help change the focus of efforts to prevent abusive head trauma.