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Characteristics of Child Abuse Cases Referred to a Hospital-Based Child Protection Teams in Korea and the Role of Psychiatric Intervention

Authors
 Tae Sun Han  ;  Yeon Sik Bang  ;  Dong Ho Song  ;  Junghan Lee  ;  Keun-Ah Cheon 
Citation
 YONSEI MEDICAL JOURNAL, Vol.66(9) : 556-563, 2025-09 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2025-09
MeSH
0
Keywords
Adolescent ; Child ; Child Abuse* / prevention & control ; Child Abuse* / psychology ; Child Abuse* / statistics & numerical data ; Child Protective Services* / statistics & numerical data ; Child, Preschool ; Female ; Humans ; Infant ; Male ; Republic of Korea / epidemiology ; Retrospective Studies
Abstract
Child abuse ; child protective services ; psychiatric emergency services
Article Number
 10.3349/ymj.2024.0270 
DOI
Purpose: Child protection teams (CPTs) have been implemented in hospital settings to effectively intervene in cases of child abuse. We investigated the changes in child abuse reporting rates and examined whether there was an increase in follow-up psychiatric outpatient visits. Furthermore, we aimed to identify the characteristics of children referred to CPTs and the factors that significantly influenced psychiatric outpatient visits. Materials and methods: We retrospectively reviewed cases of patients under 18 years old who were referred to the CPT from 2014 to 2021. We examined the demographic and clinical characteristics of the abused children, reporting rates, and linkage to psychiatric outpatient visits. Results: This study included 108 child abuse cases. The average age was 7.3 years, with the highest incidence among adolescents (40.7%) and infants & toddlers (39.8%). Physical abuse was the most common abuse type (75.9%). In the infant & toddler group, the injuries resulting from abuse were more severe compared to other groups. There was a significant increase in both the number of child abuse interventions and reports to the National Child Protection Agency (p<0.01). However, psychiatric outpatient visits did not increase proportionally. Psychiatric intervention within the CPT was a significant predictor of subsequent psychiatric outpatient visits (odds ratio=17.985, p=0.006). Conclusion: CPTs have enhanced the reporting and management of child abuse cases in Korean hospitals. Psychiatric intervention within CPT plays a crucial role for subsequent psychiatric outpatient visits. Since the infant and toddler group is more vulnerable to severe injuries, psychiatric intervention within the CPT should be conducted for all age groups.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Song, Dong Ho(송동호) ORCID logo https://orcid.org/0000-0002-9647-3130
Lee, Junghan(이정한)
Cheon, Keun Ah(천근아) ORCID logo https://orcid.org/0000-0001-7113-9286
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/207511
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