Back to Search
Start Over
Assessment of caregiver responsibility in unintentional child injury deaths: challenges for injury prevention.
- Source :
-
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention [Inj Prev] 2011 Feb; Vol. 17 Suppl 1, pp. i45-54. - Publication Year :
- 2011
-
Abstract
- Most unintentional injury deaths among young children result from inadequate supervision or failure by caregivers to protect the child from potential hazards. Determining whether inadequate supervision or failure to protect could be classified as child neglect is a component of child death review (CDR) in most states. However, establishing that an unintentional injury death was neglect related can be challenging as differing definitions, lack of standards regarding supervision, and changing norms make consensus difficult. The purpose of this study was to assess CDR team members' categorisation of the extent to which unintentional injury deaths were neglect related. CDR team members were surveyed and asked to classify 20 vignettes-presented in 10 pairs-that described the circumstances of unintentional injury deaths among children. Vignette pairs differed by an attribute that might affect classification, such as poverty or intent. Categories for classifying vignettes were: (1) caregiver not responsible/not neglect related; (2) some caregiver responsibility/somewhat neglect related; (3) caregiver responsible /definitely neglect related. CDR team members from five states (287) completed surveys. Respondents assigned the child's caregiver at least some responsibility for the death in 18 vignettes (90%). A majority of respondents classified the caregiver as definitely responsible for the child's death in eight vignettes (40%). This study documents attributes that influence CDR team members' decisions when assessing caregiver responsibility in unintentional injury deaths, including supervision, intent, failure to use safety devices, and a pattern of previous neglectful behaviour. The findings offer insight for incorporating injury prevention into CDR more effectively.
- Subjects :
- Accidents statistics & numerical data
Adolescent
Adult
Cause of Death
Child
Child Abuse classification
Child Abuse prevention & control
Child, Preschool
Death Certificates
Female
Health Planning Guidelines
Humans
Infant
Infant, Newborn
Male
Middle Aged
Parenting
Wounds and Injuries classification
Wounds and Injuries prevention & control
Accidents mortality
Caregivers statistics & numerical data
Child Abuse mortality
Protective Devices statistics & numerical data
Wounds and Injuries mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1475-5785
- Volume :
- 17 Suppl 1
- Database :
- MEDLINE
- Journal :
- Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
- Publication Type :
- Academic Journal
- Accession number :
- 21278098
- Full Text :
- https://doi.org/10.1136/ip.2010.027094