© 2004 BMJ Publishing Group Ltd, British Association for Accident & Emergency Medicine, & Faculty of Accident & Emergency Medicine
ORIGINAL ARTICLE
Detection of non-accidental injuries presenting at emergency departments
North Western Health Board, Public Health Department, Letterkenny, Republic of Ireland
Correspondence to:
Correspondence to:
Dr A McKinney
Department of Mental Health, Queens University Belfast, Whitla Medical Building, 97 Lisburn Road, Belfast BT9 7BL, UK; adelemckinney{at}hotmail.com
Objectives: To investigate whether cases of possible non-accidental injury as identified using five risk indicators give rise to any subjective concerns of child abuse.
Methods: Questionnaires were completed by the triage nurse and attending doctor for every child attending the general hospitals of the North Western Health Board, with an injury, during a six month period. The questionnaires included an assessment of subjective concerns about the injury occurrence and five risk indicators of child abuse.
Results: Children presenting with an injury who had two or more positive indicators failed to raise subjective concerns in the attending emergency department staff.
Conclusions: The introduction of a policy of identifying positive indicators from the five risk indicators of child abuse needs additional computer support within emergency departments.
Keywords: childhood accidents; non-accidental injuries
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