Types Of Child Maltreatment Research Articles

Sexual orientations in association between childhood maltreatment and depression among undergraduates in mainland of China

BackgroundThere is growing evidence that sexual minorities including lesbian, gay, bisexual and questioning individuals (LGBQ) have significantly higher rates of childhood maltreatment than heterosexuals. However, few studies focused on the association between different type of childhood maltreatment and depression in LGBQs. MethodsCross-sectional study by random sampling was conducted among the undergraduates in mainland of China. A total of 1920 undergraduates from different majors and colleges completed self-report questionnaires to record depression, childhood maltreatment, sexual orientation and other related information. The associations were examined via a set of logistic regression analysis. ResultsCompared to the participants who had never experienced childhood maltreatment, the participants who reported emotional abuse (p < 0.001) and sexual abuse (p < 0.05) had higher odds of depression. The LGBQs have higher risk of being the victims of childhood maltreatment. The prevalence of depression was much higher in the LGBQ than that in the heterosexuals (33.9 % vs 16.1 %, χ2 = 43.627, p < 0.001). Compared to heterosexual adolescents, LGBQs had significantly higher odds of depression (p < 0.001). LimitationsCross-sectional design, self-reported information, and unable to examine underlying protective factors. ConclusionsEmotional abuse, emotional neglect and sexual abuse have stronger association with LGBQ than other kind of childhood maltreatment. Emotional abuse and sexual abuse have stronger association with depression. Sexual abuse has stronger association with depression in LGBQs than heterosexuals. More attention to the mental health should be paid especially in LGBQs to reduce the risk of depression.

Demons Only Virgins Can See: Divination with Child-Mediums as a Medieval Type of Clerical Child Abuse

This article examines the use of child-mediums in divination and magic as a specific medieval understanding of child abuse. Medieval authors believed that children were used in this way by learned men, particularly churchmen. They believed the practice was abusive, causing physiological and psychological harm. Many also thought, for different reasons, that it could produce revelations. This topic provided medieval authors with an opportunity to theorise about a specifically clerical form of child abuse, and it is an example of the kind of ritual magic extant in clerics’ own social worlds that fuelled paranoid conspiratorial fantasies, such as witchcraft.

Protective role of resilience on the associations between childhood maltreatment and internalising and externalising problems.

Different types of childhood maltreatment have negative effects on individual mental and behavioural outcomes. However, most of previous studies investigated their effects separately. Little is known about the effects of co-occurring maltreatment profiles on adolescents' developmental outcomes and the potential protective factor. The current study sought to identify distinct profiles of childhood maltreatment and examine the effects of profiles of childhood maltreatment on internalising and externalising problems and the protective role of resilience based on two-wave longitudinal data, which was collected from a sample of 670 Chinese adolescents (Mage=15.50, SDage=0.75, 48.4% boys). Four profiles of childhood maltreatment, that is, No maltreatment (67.9%), High neglect (23.0%), High abuse and neglect/Low sexual abuse (5.0%), and Multi-maltreatment (4.1%), were identified. Adolescents in High neglect, High abuse and neglect/Low sexual abuse, and Multi-maltreatment profiles were more likely to report internalising and externalising problems. Further, significant moderating effects of resilience only emerged for the association between the High neglect profile and internalising problems, such that high levels of resilience may weaken the association between the High neglect profile and internalising problems. Our findings revealed the importance and utility of identifying maltreatment profiles to tailor treatment based on specific maltreatment experiences. Resilience-oriented intervention could be considered for Chinese adolescents who have experienced high neglect.

Child Maltreatment History, Deployment-Related Traumatic Events, and Past 12-Month Cannabis Use Among Veterans in Canada.

Cannabis use among veterans in Canada is an understudied public health priority. The current study examined cannabis use prevalence and the relationships between child maltreatment histories and deployment-related traumatic events (DRTEs) with past 12-month cannabis use including sex differences among Canadian veterans. Data were drawn from the 2018 Canadian Armed Forces Members and Veterans Mental Health Follow-up Survey (response rate 68.7%; veterans only n = 1,992). Five child maltreatment types and 9 types of DRTEs were assessed in relation to the past 12-month cannabis use. The prevalence of lifetime and past 12-month cannabis use was 49.4% and 16.7%, respectively. Females were less likely than males to report lifetime cannabis use (41.9% vs. 50.4%; odds ratio [OR] 0.71; 95% CI, - 0.59 to 0.86). No sex differences were noted for past 12-month cannabis use (14.1% vs. 17.0%; OR 0.80; 95% CI, 0.60 to 1.07). Physical abuse, sexual abuse, neglect, any child maltreatment, most individual DRTEs, and any DRTE were associated with increased odds of past 12-month cannabis use after adjusting for sociodemographic and military variables. Some models were attenuated and/or nonsignificant after further adjustments for mental disorders and chronic pain conditions. Sex did not statistically significantly moderate these relationships. Cumulative effects of having experienced both child maltreatment and DRTEs compared to DRTEs alone increased the odds of past 12-month cannabis use. Statistically significant interaction effects between child maltreatment history and DRTE on cannabis use were not found. Child maltreatment histories and DRTEs increased the likelihood of past 12-month cannabis use among Canadian veterans. A history of child maltreatment, compared to DRTEs, indicated a more robust relationship. Understanding the links between child maltreatment, DRTEs, and cannabis use along with mental disorders and chronic pain conditions is important for developing interventions and improving health outcomes among veterans.

Developmental Pathway from Childhood Abuse to Adolescent Peer Victimization: The Role of Rejection Sensitivity and Aggression.

Despite the well-established relationship between early experiences of victimization and later re-victimization, little is known about the exact mechanism of this cycle of victimization. The present study examined whether the route from rejection sensitivity to aggression mediates the associations between different forms of childhood abuse and later peer victimization longitudinally. A total of 3525 adolescents (56.6% male; Mage = 13.21 ± 0.85) participated in this three-wave study, with a 6-month lag and a 9-month lag respectively. The results indicated that the association between childhood emotional abuse and peer victimization were independently mediated by aggression, and sequentially mediated by rejection sensitivity and aggression in both sexes. Sex differences existed regarding the association between childhood physical abuse and aggression, such that only in adolescent boys did physical abuse show significant effect on aggression, resulting in later peer victimization. In general, these findings suggest that maladaptive social-cognitive processes and behavioral patterns are crucial for understanding the mechanism of the vicious cycle of victimization, and sex differences must be considered when examining different types of childhood abuse.

Artificial Intelligence (AI): An Armamentarium of Forensic Odontologist to Discern Child Abuse

Three in every four children has confronted child abuse of one kind or another, and the past few decades have shown a tremendous rise in the tally of such incidents. The most common type of child abuse includes physical, mental, emotional, and psychological abuse. There has been a rapid breakthrough in artificial intelligence technology in recent years, and it has also spread its branches in the field of Forensic Odontology. Forensic Odontologists have significantly used AI technology to decipher bite marks and mandibular morphology and estimate age. Pediatric Forensic Odontology presents significant challenges and opportunities for applying AI. In this article, we discuss the application of AI, particularly concerning recognizing signs of child abuse in head and neck structures. Sixteen papers were selected, keeping their practical relevance in the steps of diagnosis of child abuse in mind. Dental forensic experts should consider an advanced diagnosis of child abuse as it could considerably allow the identification of child abuse cases and early intervention.

Differential Associations of Childhood Abuse and Neglect With Adult Autonomic Regulation and Mood-Related Pathology.

This study assessed whether different types of childhood maltreatment (i.e., abuse versus neglect) had differential relationships with heart rate variability (HRV) and baroreflex sensitivity. In addition, this study tested the indirect effect of maltreatment subtypes on adult mood-related psychopathology via HRV, and whether these relationships differed in those with HRV above and below established clinical cutoffs. Secondary analysis was performed using the Midlife Development in the United States data set ( N = 967; Mage = 55; 58.4% female; 75.9% White). In a single study visit, autonomic measurements were captured at rest, during two cognitive stressors (Stroop and MATH tasks), and during recovery after the tasks. Structural equation modeling was used to assess the relationships between key variables during all three measurement periods. Resting pathways from abuse and neglect to baroreflex sensitivity were nonsignificant, as was the pathway from HRV to mood-related pathology. Notably, greater abuse was significantly predictive of lower HRV (standardized β = -0.42, p = .009), whereas greater neglect was significantly predictive of higher HRV (standardized β = 0.32, p = .034). In addition, higher abuse was significantly predictive of greater adult symptoms (standardized β = 0.39, p < .001), but neglect was not found to be related to adult mood-related pathology. Significant relationships between variables were only found in those with low HRV. Although cross-sectional, our findings provide further evidence that low HRV may be a transdiagnostic endophenotype for mood-related pathology and suggest that greater differentiation between abuse and neglect is appropriate when investigating the impact of childhood maltreatment on adult health outcomes.

Emotional neglect and posttraumatic growth among Chinese adolescents: A moderated mediation model of psychological suzhi and school engagement

AbstractEmotional neglect is an under‐recognized but relatively common type of childhood maltreatment. Although it has been reported that adolescents will facilitate positive growth after experiencing childhood maltreatment, such as sexual abuse, it is unknown whether adolescents could also get a promotion after experiencing emotional neglect. Thus, we aimed to examine the association between emotional neglect and posttraumatic growth (PTG) and further explored the potential influence factors underlying such association. Six hundred and thirty‐five adolescents (55.2% female, Mage = 14.12 years old, SD = 1.47) were asked to complete self‐report questionnaires regarding emotional neglect, school engagement, psychological suzhi, and PTG. Results showed that emotional neglect was negatively associated with PTG, and school engagement mediated such association. Further, psychological suzhi moderated the direct pathway from emotional neglect to PTG in which the deleterious effect of emotional neglect on PTG was weaker for adolescents who reported higher psychological suzhi. Meanwhile, psychological suzhi moderated the indirect pathway from emotional neglect to school engagement in the mediated model in which the deleterious effect of emotional neglect on school engagement was weaker for adolescents who reported higher psychological suzhi. Overall, the current study advances our understanding of the relationship between emotional neglect and PTG, and further tests the potential roles of school engagement and psychological suzhi in this relationship.

An Investigation of the Mediating Roles of Emotion Regulation Difficulties, Distress Tolerance, Self-Compassion, and Self-Disgust in the Association Between Childhood Trauma and Nonsuicidal Self-Injury

Objective Childhood maltreatment has been associated as a risk factor with the development of nonsuicidal self-injury (NSSI), with difficulty in emotion regulation explaining the association. However, little is known about the potential factors that make some individuals with maltreatment history more vulnerable to difficulties in emotion regulation and, in turn, engage in NSSI. The current study aimed to examine the roles of distress tolerance, self-compassion, and self-disgust in the association between childhood maltreatment types and emotion regulation difficulty, which was expected to predict NSSI. Method The sample included 397 university students between the ages of 18 and 30. Participants completed self-report scales assessing childhood maltreatment, emotion regulation difficulty, distress tolerance, self-compassion, self-disgust, and NSSI using the paper-pencil and online methods. The mediation model suggested for the association between childhood maltreatment types and NSSI was tested using path analysis. Results Low distress tolerance, low self-compassion, high self-disgust, and resulting high emotion regulation difficulty mediated the indirect effect of emotional neglect on NSSI. Conclusion The current study sheds light on various factors in the development and maintenance of NSSI and reveals three developmental pathways from emotional neglect in childhood to engaging in NSSI. HIGHLIGHTS Emotional neglect may be a distal risk factor for nonsuicidal self-injury (NSSI). Low distress tolerance and self-compassion and high self-disgust may increase the risk of NSSI. Emotion regulation difficulty may make people engage in NSSI to regulate emotions.

A Study on User-Oriented Subjects of Child Abuse on Wikipedia: Temporal Analysis of Wikipedia History Versions and Traffic Data.

Many people turn to online open encyclopedias such as Wikipedia to seek knowledge about child abuse. However, the information available on this website is often disorganized and incomplete. The aim of this study is to analyze Wikipedia's coverage of child abuse and provide a more accessible way for users to browse child abuse-related content. The study explored the main themes and subjects related to child abuse on Wikipedia and proposed a multilayer user-oriented subject schema from the general users' perspective. The knowledge of child abuse on Wikipedia is presented in the child abuse-related articles on it. The study analyzed child abuse-related articles on Wikipedia, examining their history versions and yearly page views data to reveal the evolution of content and popularity. The themes and subjects were identified from the articles' text using the open coding, self-organizing map, and n-gram approaches. The subjects in different periods were compared to reveal changes in content. This study collected and investigated 241 associated Wikipedia articles and their history versions and traffic data. Four facets were identified: (1) maltreatment behavior (n=118, 48.9%); (2) people and environment (n=28, 11.6%); (3) problems and risks (n=33, 13.7%); and (4) protection and support (n=62, 25.7%). A total of 8 themes and 51 subjects were generated from the text, and a user-oriented subject schema linking the facets, themes, subjects, and articles was created. Maltreatment behavior (number of total views = 1.15 × 108) was the most popular facet viewed by users, while people and environment (number of total views = 2.42 × 107) was the least popular. The popularity of child abuse increased from 2010 to 2014 but decreased after that. The user-oriented subject schema provides an easier way for users to seek information and learn about child abuse. The knowledge of child abuse on Wikipedia covers the harms done to children, the problems caused by child abuse, the protection of children, and the people involved in child abuse. However, there was an inconsistency between the interests of general users and Wikipedia editors, and the child abuse knowledge on Wikipedia was found to be deficient, lacking content about typical child abuse types. To meet users' needs, health information creators need to generate more information to fill the knowledge gap.

The Indirect Effect of Avoidant Motives for Sex on the Pathways From Childhood Maltreatment to Risky Sex Behaviors.

Literature supports a strong link between engagement in risky sex and childhood maltreatment, with engagement in risky sexual behavior proposed as a manifestation of avoidant coping. Sex motives refer to underlying motivations for engaging in sex such as increased intimacy, or peer pressure. Limited research has examined the role of sex motives on the relationship between childhood maltreatment and risky sex. This study sought to examine this path between childhood maltreatment types and later engagement in risky sex through sex motivations that seek to avoid or reduce negative affect (i.e., sex to cope and sex to affirm self-esteem). A sample of sexually active undergraduate women (n = 551) completed a series of questionnaires on childhood maltreatment, risky sexual behavior, and motivations for sexual intercourse as part of a larger parent study on revictimization. Path analysis was conducted to examine differential indirect effects of childhood maltreatment on risky sex (i.e., sex with a stranger and hookup behaviors). Results suggested sex to cope with negative affect mediated the relationship between emotional abuse, sexual abuse, physical neglect, and hookup behavior. Only an indirect path between childhood emotional abuse and sex with a stranger was identified through sex to cope. Emotional abuse was the only maltreatment to predict sex to affirm, but sex to affirm did not predict risky sex outcomes. Findings provide support for differential pathways from various forms of childhood maltreatment, specifically sexual abuse, emotional abuse, and physical neglect, to increased risky sex as a manifestation of avoidant coping. Furthermore, results support the call for more inclusion of nonsexual forms of childhood maltreatment in studies of risky sex and avoidant coping as a potential intervention target for risky sexual behavior regardless of childhood maltreatment type.

Has the relationship between community poverty and child maltreatment report rates become stronger or weaker over time?

BackgroundPoverty is among the most powerful predictors of child maltreatment risk and reporting. To date, however, there have been no studies assessing the stability of this relationship over time. ObjectiveTo examine whether the county-level relationship between child poverty rates and child maltreatment report (CMR) rates changed over time in the United States in 2009–2018, overall and across of child age, sex, race/ethnicity, and maltreatment type. Participants and settingU.S. Counties in 2009–2018. MethodsLinear multilevel models estimated this relationship and its longitudinal change, while controlling for potential confounding variables. ResultsWe found that the county-level relationship between child poverty rates and CMR rates had intensified almost linearly from 2009 to 2018. Per one-percentage-point increase in child poverty rates, CMR rates significantly increased by 1.26 per 1000 children in 2009 and by 1.74 per 1000 children in 2018, indicating an almost 40 % increase in the poverty-CMR relationship. This increasing trend was also found within all subgroups of child age and sex. This trend was found among White and Black children, but not among Latino children. This trend was strong among neglect reports, weaker among physical abuse reports, and not found among sexual abuse reports. ConclusionsOur findings highlight the continued, perhaps increasing importance of poverty as a predictor of CMR. To the degree that our findings can be replicated, they could be interpreted as supporting an increased emphasis on reducing child maltreatment incidents and reports through poverty amelioration efforts and the provision of material family supports.

Emotional Processing and Maltreatment During Childhood as Factors of Vulnerability to Alcohol Abuse in Young Adults

AbstractDifferent studies suggest a strong association between childhood abuse and alcohol use disorders (AUDs). The modulation of the startle response has been used to assess emotional processing in AUDs. The main objective of the study was to investigate the startle reflex responses to different stimuli in young adults with varying types of childhood abuse in comparison with a control group according to their current alcohol consumption and the presence of a parent with alcohol dependence or not. A clinical sample of 606 adolescents, divided into five groups: no abuse, physical neglect, emotional neglect, emotional abuse, physical abuse, and sexual abuse, were assessed on their pattern of alcohol consumption and their family history of alcoholism. The proportion of participants with at least one alcohol-dependent parent was higher in all types of abuse. The proportion of heavy drinkers and alcohol-dependent participants was higher in the groups with physical neglect and sexual abuse. Heavy drinkers and alcohol dependents showed a lower startle reflex response to emotional pictures, especially alcohol-related ones. Adolescents exposed to physical and sexual abuse during childhood showed a mitigated startle response to appetitive and alcohol-related pictures. The results of this exploratory study reveal that childhood maltreatment modulates emotional processing to alcohol-related stimuli during adolescence. The evaluation of these patients’ startle response could be considered a prognostic biomarker for establishing personalized preventive strategies during the adolescent stage to avoid, to a large extent, future problems derived from alcohol consumption.

Assess the Knowledge Regarding Child Abuse among Mothers of Children under 12 Years of Age

Child abuse is one of the most significant social problems affecting children. Violence by a husband toward a pregnant wife may be a type of prenatal child abuse, on a conscious or subconscious level. The abuse may kill or handicap the child. Post natal child abuse or neglect is one of the most serious problem confronting the physician and nurse who care for children. Child abuse can also occur in day care centers, school and child care agencies. Abused children may have had an earlier diagnosis of failure to thrive. (Barbara A Redding 2009) Child abuse is the physical, sexual, emotional maltreatment or neglect of children. In the US the centre for disease control and prevention (CDC) define child maltreatment as any act and series of act of commission or omission by a parent or other caregiver that result in harm, potential for harm or threat of harm to a child. Child abuse is a complex phenomenon with multiple causes. Parents who physically abuse their spouse are more likely than others to physically abuse their children. However it is impossible to whether marital stress is cause of child abuse are caused by tendencies in their abuser. Materials and Methods: A non-experimental descriptive design was used to assess the knowledge regarding child abuse among mothers of children under 12 years of age.The study conducted on 80 samples. Data was collected using semi structured interview schedule. Results: Knowledge of mothers regarding child abuse was divided into three categories for easy understanding. The result of the study revealed that 1(1.25%) of mother had adequate knowledge level regarding child abuse, 3(3.75%) of them had moderate knowledge and 76(95%) of them had inadequate knowledge. The overall knowledge rated with the maximum possible score of 120. It was ranged between 27-100 with mean of 38.08 and SD percentage of 12.31%, the mean score percentage of overall knowledge was 32.2%.there is no significant relationship between knowledge of mothers on child abuse with age, religion, education, type of family, income, number of children, and mothers injured their children but there was significant relationship with occupation, previous knowledge and witness of child abuse. Conclusion: The conclusion drawn from the findings of the study. 95% subjects had inadequate knowledge regarding child abuse. Knowledge of mothers regarding child abuse was significant with occupation, previous knowledge and witness of child abuse.

Gender-specific associations between types of childhood maltreatment and major depressive disorder: A matched case-control study.

Major depressive disorder (MDD) has been found to be nearly twice as prevalent in females as in males. One hypothesis proposed that abused females were particularly prone to MDD. We aim to examine the sex-specific associations between various types of childhood trauma and MDD. In this study, 290 outpatients diagnosed with MDD were recruited from Beijing Anding Hospital, and 290 healthy volunteers were recruited from neighborhoods nearby the hospital, with sex, age, and family history matched. Childhood Trauma Questionnaire-Short Form (CTQ-SF) developed by Bernstein et al. was used to assess the severity of five different types of childhood abuse and neglect. McNemar's test and conditional logistic regression models with potential confounders (i.e., marital status, educational level, and body mass index) controlled were used to explore the sex-specific associations between different types of childhood maltreatment and MDD. In the full sample, patients with MDD showed a significant higher rate of any childhood maltreatment (i.e., emotional abuse, sexual abuse, physical abuse, emotional neglect, and physical neglect). Among females, all types of childhood abuse were statistically significant. For males, significant differences were only found in emotional abuse and in emotional neglect. It would appear that MDD in the outpatients is associated with any type of childhood trauma in women and emotional abuse or neglect in men.

Childhood abuse and association with adult depressive symptoms among people with cardiovascular disease.

To study the association between the total/different types of childhood abuse and adult depressive symptoms in people with cardiovascular disease (CVD). The subjects were people with CVD who continuously participated in the China Health and Retirement Longitudinal Study (CHARLS) life history survey and the 2018 wave of the CHARLS national baseline Survey. Multi-level logistic regression models were used to analyze the relationship between emotional neglect, physical neglect, physical abuse and adult depressive symptoms. A total of 4,823 respondents were included in this study. The incidence of childhood abuse (existed emotional neglect, physical neglect or physical abuse) was 43.58% among people over 45 years old with CVD, which was higher than that of the general population (36.62%, p < 0.05). Adjusted model showed that overall childhood abuse was associated with adult depressive symptoms (OR = 1.230, 95%CI:1.094-1.383). Among different types of childhood abuse, only physical abuse was associated with depressive symptoms in adulthood (OR = 1.345, 95%CI:1.184-1.528). Compared with that of the general population, the incidence of childhood abuse in CVD population is higher. Physical abuse in childhood increased the risk of depressive symptoms in adulthood. It suggested that the occurrence of depressive symptoms was the result of related factors in the whole life course. In order to prevent the depressive symptoms, childhood abuse also needs to be considered. It is very important to identify and prevent the continuation of childhood abuse in time.

Associations of different types of child maltreatment and diabetes in adulthood – the mediating effect of personality functioning: Findings from a population-based representative German sample

Associations of different types of child maltreatment and diabetes in adulthood – the mediating effect of personality functioning: Findings from a population-based representative German sample

Child protection services during COVID-19 in Oman, child protection workers views

Introduction: Child Protection Services (CPSs) are dedicated to providing protection and responding to any threats a child could face as children worldwide could be abused. Recently, the COVID-19 pandemic affected all aspects of life. Procedures implemented to restrict the spread of the disease (such as reduced access to services, school closure, and social distancing measures) had an impact on child life and maltreatment. Therefore, it is important to know the impact of this pandemic on child abuse and protection. Aim and rationales: This study aimed to assess the impact of COVID-19 on CPSs in Oman by studying the change in the number of reported cases of child abuse and the change in the reporting procedure at the Ministry of Social Development (MOSD). In addition, know the impact of the restriction measures on child rights and risk factors of child maltreatment based on CPSs workers’ opinions and experience. To understand the adaptation of the CPSs to the change in work and life environment imposed by COVID-19. Method: A cross-section study was conducted using a semi-structured questionnaire, that was distributed to the workers involved in the CPSs at the MOSD in Oman. Data also were collected from the statistical bulletins on the Ministry’s website. Results: COVID-19 pandemic was not found associated with a significant change in the number and type of child abuse cases reported to the MOSD. The reporting procedures also did not change. In addition, the pattern of child abuse types did not change before and during the pandemic, as neglect cases were the most. The participants judged the restriction measures affecting family life through separation, cyber abuse, and reduced educational support. With regard to intervention and follow-up procedures, the main difference was in the communication processes by using online communication methods and reducing the fieldwork for mild cases. Conclusion: CPSs in Oman were not much affected by the COVID-19 pandemic, which may reflect the success of this system in dealing with the restriction measures. However, more solutions should be developed to adapt to these circumstances in the future altogether.

Gender difference in the associations of childhood maltreatment and non-suicidal self-injury among adolescents with mood disorders.

Non-suicidal self-injury (NSSI) is a common feature among adolescents with mood disorders. Although childhood maltreatment has shown to be associated with non-suicidal self-injury (NSSI), previous studies have yielded mixed results in terms of different subtypes of childhood maltreatment and only few studies have investigated the effects of gender. The present cross-sectional study investigated effects of different types of childhood maltreatment on NSSI, as well as the role of gender in these effects. In this cross-sectional study, a total of 142 Chinese adolescent inpatients with mood disorders (37 males and 105 females) were consecutively recruited within a psychiatric hospital. Demographic and clinical characteristics were collected. Participants were administered the Childhood Trauma Questionnaire (CTQ), the Functional Assessment of Self-Mutilation (FASM). 76.8% of the sample reported engaging NSSI in the previous 12 months. Female participants were more likely to engage in NSSI than males (p < 0.001). Participants in the NSSI group reported significantly more experiences of emotional abuse (p < 0.001) and emotional neglect (p = 0.005). With regards to gender differences, female participants who have experienced emotional abuse were more likely to engage in NSSI (p = 0.03). As a whole, NSSI represents a frequent phenomenon among adolescent clinical populations and females were more likely to engage in NSSI than males. NSSI was significantly related to experiences of childhood maltreatment and specifically related to emotional abuse and emotional neglect over and above other types of childhood maltreatment. Females were more sensitive to emotional abuse than males. Our study highlights the importance of screening for subtypes of childhood maltreatment as well as considering the effects of gender.

What Frontline Professionals Need to Combat Child Maltreatment Online

Rapid technological advances in the late twentieth and early twenty-first centuries have changed the landscape of child maltreatment worldwide. Whereas historically a child was most likely to be maltreated within the family or community systems, now children can be abused by thousands of unknown and unidentified persons from anywhere on the planet. Trafficking in child sexual abuse material (CSAM), luring, grooming, and other predatory behaviors existed before the Internet. However, modern technologies have changed abusers’ points of access to children and the number of abusers who can participate in the maltreatment of a victim. New types of child maltreatment are also being invented with new technologies, such as livestreamed child sexual exploitation. In addition, the volume of certain types of child abuse has exploded exponentially such as has been documented with the trafficking in CSAM, as well as the severity of the abuse being recorded on younger and younger victims, including infants and toddlers. These changes have created challenges at all points along the child maltreatment continuum—from prevention to effective treatment leading to the full physical and psychological recovery and social reintegration of victims and survivors as are mandated by international law for many survivors. Recent research into the experiences and perspectives of frontline professionals combatting technology-facilitated child maltreatment makes clear that more training and supports are needed, such as technological resources, research into effective therapeutic treatments for survivors, consistent and accurate terminology and concepts, a modernization of the legal framework in which these crimes are investigated and prosecuted, and robust mental health supports for frontline providers. As the Kempe Center for the Prevention and Treatment of Child Abuse and Neglect provides education and training to thousands of frontline providers worldwide each year, Kempe is uniquely situated to provide leadership in preparing frontline providers to combat child abuse effectively in these new environments.