Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey

Dallar, Yıldız; oral, resmiye; DİLLİ, Dilek; TIRAŞ, Ülkü

Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey

Ülkü TIRAŞ, (Ankara Eğitim ve Araştırma Hastanesi, Pediatri Kliniği, Ankara, Türkiye)

Dilek DİLLİ, (Ankara Eğitim ve Araştırma Hastanesi, Pediatri Kliniği, Ankara, Türkiye)

Yıldız DALLAR, (Ankara Eğitim ve Araştırma Hastanesi, Pediatri Kliniği, Ankara, Türkiye)

Resmiye ORAL (Ankara Eğitim ve Araştırma Hastanesi, Pediatri Kliniği, Ankara, Türkiye)

Turkish Journal of Medical Sciences

6 3

Yıl: 2009 Cilt: 39 Sayı: 6 Sayfa Aralığı: 969 - 977 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey

Öz:

Amaç: Türkiye’de çocuk istismarının nadir görüldüğü düşünülmektedir. Bu çalışmada ülkemizdeki çocuk istismarı sıklığı ve ağırlığı hakkında bilgi edinilmesi amaçlandı. Yöntem ve gereç: Ocak 2001-Aralık 2005 tarihleri arasında Sağlık Bakanlığı Ankara Eğitim ve Araştırma Hastanesi’nde multidisipliner Çocuk Koruma Grubu tarafından izlenen 215 olgu değerlendirildi. İstismara uğrayan çocuklar ve istismara neden olan şahısların özellikleri, demografik bilgileri, istismar türü, tıbbi bulguları, mortalite hızı ve olguların sonucu kaydedildi. Bulgular: Tüm çocukların ortalama yaşı 6,8 ± 5,8 olup % 58,1’i kızdı. İstismara neden olan şahıslar, olguların % 53’ünde baba, % 18,6’sında anne, ve % 28.4’ünde diğerleri olarak belirlendi. İstismar türü; % 39,5 ihmal, % 29,8 fiziksel istismar, %21,4 psikolojik istismar ve %9,3 oranında cinsel istismar idi. Toplam 120 olgu (% 55,3) yerel Sosyal Servis Kurumu tarafından etkin bir şekilde izlendi. Olguların % 8,3’ünün tekrar istismara uğradığı bildirildi. İstismara neden olduğu belirlenen ve polis tarafından Adli Tıp’a bildirilen şahıslar üzerinde yapılan soruşturma sonucunda, 84 şahıstan % 17,8’i gözaltına alındı, % 11,9’u tutuklandı. Diğer şahıslara ise herhangi bir yasal işlem uygulanmadı. Sonuç: Çocuk ihmal ve istismarının tanısında hekimin bilgi ve deneyimi çok büyük önem taşır. Bu çalışma çocuk ihmal ve istismarından kuşku duyulması durumunda grup çalışmasının tanı ve bildirim sürecini iyileştirdiğini göstermektedir.

Anahtar Kelime: Aile içi şiddet Suç Çocuk istismarı, cinsel Çocuğun savunulması Demografi Çocuk istismarı

Konular: Cerrahi

Türkiye’de üçüncü basamak bir hastanede çocuk ihmal ve istismarı tanısı alan olguların değerlendirilmesi ve izlemi

Öz:

Aim: Data on child maltreatment in Turkey would appear to be scarce. This manuscript aims to address the prevalence and severity of child maltreatment in Turkey. Materials and methods: We report on 215 cases at the Ministry of Health’s Ankara Training and Research Hospital that were followed-up by the multidisciplinary Child Protection Team (CPT) between 1 January 2001 and 31 December 2005. The data collected on subjects included characteristics of the victims and the perpetrators, family demographics, maltreatment types, medical findings, mortality rate, and outcomes for the victim and the perpetrator. Results: Age and gender distribution of the victims were 6.8 ± 5.8 years and 58.1% girls. The perpetrators in 53.0% of the cases were the fathers, in 18.6% the mothers, and others in 28.4%. The categories of maltreatment were neglect in 39.5% of cases, physical abuse in 29.8%, psychological abuse in 21.4%, and sexual abuse in 9.3%. One hundred twenty cases (55.3%) were efficiently followed-up by the regional Social Service Agency (SSA). Re-abuse was reported in 8.3% of them. Following initial investigation of the 84 perpetrators, who were reported to the Forensic Medicine Institution by the Police Department, 17.8% were acquitted, 11.9% were convicted, and no legal action was taken for the rest. Conclusion: The knowledge and experience of the physician are extremely important for the diagnosis of child abuse and neglect. This study shows that a team approach to suspected cases of child abuse and neglect improves recognition and the reporting process.

Anahtar Kelime: Demography Child Abuse Domestic Violence Crime Child Abuse, Sexual Child Advocacy

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	TIRAŞ Ü, DİLLİ D, Dallar Y, oral r (2009). Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey. , 969 - 977.
Chicago	TIRAŞ Ülkü,DİLLİ Dilek,Dallar Yıldız,oral resmiye Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey. (2009): 969 - 977.
MLA	TIRAŞ Ülkü,DİLLİ Dilek,Dallar Yıldız,oral resmiye Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey. , 2009, ss.969 - 977.
AMA	TIRAŞ Ü,DİLLİ D,Dallar Y,oral r Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey. . 2009; 969 - 977.
Vancouver	TIRAŞ Ü,DİLLİ D,Dallar Y,oral r Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey. . 2009; 969 - 977.
IEEE	TIRAŞ Ü,DİLLİ D,Dallar Y,oral r "Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey." , ss.969 - 977, 2009.
ISNAD	TIRAŞ, Ülkü vd. "Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey". (2009), 969-977.

APA	TIRAŞ Ü, DİLLİ D, Dallar Y, oral r (2009). Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey. Turkish Journal of Medical Sciences, 39(6), 969 - 977.
Chicago	TIRAŞ Ülkü,DİLLİ Dilek,Dallar Yıldız,oral resmiye Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey. Turkish Journal of Medical Sciences 39, no.6 (2009): 969 - 977.
MLA	TIRAŞ Ülkü,DİLLİ Dilek,Dallar Yıldız,oral resmiye Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey. Turkish Journal of Medical Sciences, vol.39, no.6, 2009, ss.969 - 977.
AMA	TIRAŞ Ü,DİLLİ D,Dallar Y,oral r Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey. Turkish Journal of Medical Sciences. 2009; 39(6): 969 - 977.
Vancouver	TIRAŞ Ü,DİLLİ D,Dallar Y,oral r Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey. Turkish Journal of Medical Sciences. 2009; 39(6): 969 - 977.
IEEE	TIRAŞ Ü,DİLLİ D,Dallar Y,oral r "Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey." Turkish Journal of Medical Sciences, 39, ss.969 - 977, 2009.
ISNAD	TIRAŞ, Ülkü vd. "Evaluation and follow-up of cases diagnosed as child abuse and neglect at a tertiary hospital in Turkey". Turkish Journal of Medical Sciences 39/6 (2009), 969-977.