Emergency Department Presentations for Injuries Following Agency-Notified Child Maltreatment: Results From the Childhood Adversity and Lifetime Morbidity (CALM) Study

被引：3

作者：

Trott, Mike ^{[1
,2
,8
]}

Bull, Claudia ^{[1
,2
,3
]}

Arnautovska, Urska ^{[1
,2
]}

Siskind, Dan ^{[1
,2
]}

Warren, Nicola ^{[1
,2
]}

Najman, Jake M. ^{[4
,5
]}

Kisely, Steve ^{[1
,2
,3
,6
,7
]}

机构：

[1] Univ Queensland, Princess Alexandra Hosp, Greater Brisbane Clin Sch, Med Sch,Southside Clin Unit, Brisbane, Qld, Australia

[2] Metro South Addict & Mental Hlth Serv, Brisbane, Qld, Australia

[3] ALIVE Natl Ctr Mental Hlth Res Translat, Brisbane, Qld, Australia

[4] Univ Queensland, Sch Publ Hlth, Brisbane, Qld, Australia

[5] Univ Queensland, Sch Social Sci, Brisbane, Qld, Australia

[6] Dalhousie Univ, Dept Psychiat, Halifax, NS, Canada

[7] Dalhousie Univ, Dept Community Hlth & Epidemiol, Halifax, NS, Canada

[8] Princess Alexandria Hosp, Queensland Ctr Mental Hlth Res, Bldg 33,Ipswich Rd, Woolloongabba, Qld 4201, Australia

来源：

CHILD MALTREATMENT | 2024年

基金：

澳大利亚国家健康与医学研究理事会;

关键词：

child abuse; cohort studies; domestic/intimate partner violence; epidemiology; injury prevention; DELIBERATE SELF-HARM; SEXUAL-ABUSE; POPULATION; PREVALENCE; VIOLENCE; VICTIMIZATION; ASSOCIATION; DISORDERS; GENDER; COHORT;

D O I：

10.1177/10775595241264009

中图分类号：

D669 [社会生活与社会问题]; C913 [社会生活与社会问题];

学科分类号：

1204 ;

摘要：

Child maltreatment (CM) is associated with negative health outcomes in adulthood, including deliberate self-harm (DSH), suicidal behaviours, and victimisation. It is unknown if associations extend to emergency department (ED) presentations for non-DSH related injuries. Birth cohort study data was linked to administrative health data, including ED presentations for non DSH related injuries and agency-reported and substantiated notifications for CM. Adjusted analyses (n = 6087) showed that any type of agency-reported notification for CM was significantly associated with increased odds of ED presentation for injuries (aOR = 1.57; 95% CI 1.32-1.87). In moderation analyses, women yielded significantly higher odds of notified and substantiated physical abuse, substantiated emotional abuse, and being subject to more than one type of substantiated abuse than males. ED presentations for injuries could be a proxy for risky behaviours, disguised DSH/suicidal behaviours, or physical abuse. The consistent findings in women may point to victimisation via interpersonal violence.

引用

页数：9

共 45 条

[1] Childhood maltreatment and adulthood domestic and sexual violence victimisation among people with severe mental illness [J].