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Abusive Head Trauma through Shaking: Examination of the Perpetrators According to Dating of the Traumatic Event.

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Title: Abusive Head Trauma through Shaking: Examination of the Perpetrators According to Dating of the Traumatic Event.
Authors: Laurent‐Vannier, Anne, Bernard, Jonathan Y., Chevignard, Mathilde
Source: Child Abuse Review. Jul/Aug2021, Vol. 30 Issue 4, p283-299. 17p. 3 Diagrams, 4 Charts.
Subjects: Prevention of child abuse, Head injury prevention, Caregivers, Acquisition of data methodology, Child behavior, T-test (Statistics), Medical records, Chi-squared test, Descriptive statistics, Shaken baby syndrome, Data analysis software, Forensic sciences, Parents, Behavior modification, Longitudinal method, Police, Symptoms, Children
Abstract: Effective prevention of abusive head trauma (AHT) requires the identification of potential perpetrators. Current evidence suggests that infant shaking, as a mechanism of AHT, produces immediate symptoms, allowing for the dating of the event based on clinical symptoms. Determining precisely when symptoms occurred may help law enforcement to identify the perpetrator. We retrieved written legal statements and medical records from birth to age at diagnosis of 100 infants consecutively diagnosed with AHT through shaking (2011–17), using forensic expertise files. Timing of abuse allowed for the identification of perpetrators in 91 cases. All abusive events occurred inside a home (parent's or nanny's), never outdoors or in a public place, and always in the presence of only one adult. Approximately one‐third (n = 32) of the perpetrators were males (31 fathers) and two‐thirds (n = 59) were females: 49 of them were the infant's nanny and ten were the infant's mother. Infants were not described as crying habitually. Better knowledge of the context of AHT events and risk situations, including recent implementation of a new or unusual modality of childcare, and being the only adult in a home with an infant, should facilitate prevention, including targeted training and avoidance of situations associated with risk. Key Practitioner Messages: Abusive events occur in the presence of a single adult, within the privacy of a home.First signs of abuse most commonly occur in a recent, therefore unusual, form of childcare.With rare exceptions, the perpetrator is either the nanny or one of the parents.Identification of the perpetrator and better knowledge of the context of abuse should allow improving targeted prevention. [ABSTRACT FROM AUTHOR]
Copyright of Child Abuse Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Abusive Head Trauma through Shaking: Examination of the Perpetrators According to Dating of the Traumatic Event.
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  Data: Effective prevention of abusive head trauma (AHT) requires the identification of potential perpetrators. Current evidence suggests that infant shaking, as a mechanism of AHT, produces immediate symptoms, allowing for the dating of the event based on clinical symptoms. Determining precisely when symptoms occurred may help law enforcement to identify the perpetrator. We retrieved written legal statements and medical records from birth to age at diagnosis of 100 infants consecutively diagnosed with AHT through shaking (2011–17), using forensic expertise files. Timing of abuse allowed for the identification of perpetrators in 91 cases. All abusive events occurred inside a home (parent's or nanny's), never outdoors or in a public place, and always in the presence of only one adult. Approximately one‐third (n = 32) of the perpetrators were males (31 fathers) and two‐thirds (n = 59) were females: 49 of them were the infant's nanny and ten were the infant's mother. Infants were not described as crying habitually. Better knowledge of the context of AHT events and risk situations, including recent implementation of a new or unusual modality of childcare, and being the only adult in a home with an infant, should facilitate prevention, including targeted training and avoidance of situations associated with risk. Key Practitioner Messages: Abusive events occur in the presence of a single adult, within the privacy of a home.First signs of abuse most commonly occur in a recent, therefore unusual, form of childcare.With rare exceptions, the perpetrator is either the nanny or one of the parents.Identification of the perpetrator and better knowledge of the context of abuse should allow improving targeted prevention. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Child Abuse Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/car.2694
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        Text: English
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      Pagination:
        PageCount: 17
        StartPage: 283
    Subjects:
      – SubjectFull: Prevention of child abuse
        Type: general
      – SubjectFull: Head injury prevention
        Type: general
      – SubjectFull: Caregivers
        Type: general
      – SubjectFull: Acquisition of data methodology
        Type: general
      – SubjectFull: Child behavior
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Shaken baby syndrome
        Type: general
      – SubjectFull: Data analysis software
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      – SubjectFull: Forensic sciences
        Type: general
      – SubjectFull: Parents
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      – SubjectFull: Behavior modification
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      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Police
        Type: general
      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Children
        Type: general
    Titles:
      – TitleFull: Abusive Head Trauma through Shaking: Examination of the Perpetrators According to Dating of the Traumatic Event.
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            NameFull: Laurent‐Vannier, Anne
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            NameFull: Bernard, Jonathan Y.
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              M: 07
              Text: Jul/Aug2021
              Type: published
              Y: 2021
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