What is child abuse ?

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Child abuse is more than bruises and broken bones. While physical abuse might be the most visible, other types of abuse, such as emotional abuse and neglect, also leave deep, lasting scars. The earlier abused children get help, the greater chance they have to heal and break the cycle—rather than perpetuate it. By learning about common signs of abuse and what you can do to intervene, you can make a huge difference in a child’s life.

abuse

It is true that abused children are more likely to repeat the cycle as adults, unconsciously repeating what they experienced as children. On the other hand, many adult survivors of child abuse have a strong motivation to protect their children against what they went through and become excellent parents.

How do you suspect a child being abused ?

Child abuse is not always obvious. But by learning some of the common warning signs of abuse and neglect, you can catch the problem as early as possible and get both the child and the abuser the help that they need

Warning signs of emotional abuse in children

  • Excessively withdrawn, fearful, or anxious about doing something wrong.
  • Shows extremes in behavior (extremely compliant or extremely demanding; extremely passive or extremely aggressive).
  • Doesn’t seem to be attached to the parent or caregiver.
  • Acts either inappropriately adult (taking care of other children) or inappropriately infantile (rocking, thumb-sucking, throwing tantrums).

Warning signs of physical abuse in children

  • Frequent injuries or unexplained bruises, welts, or cuts.
  • Injuries of different ages and different kinds.
  • Delay presentation
  • Injuries appear to have a pattern such as marks from a hand or belt.
  • Shies away from touch, flinches at sudden movements, or seems afraid to go home.
  • Wears inappropriate clothing to cover up injuries, such as long-sleeved shirts on hot days.

Warning signs of neglect in children

  • Clothes are ill-fitting, filthy, or inappropriate for the weather.
  • Hygiene is consistently bad (unbathed, matted and unwashed hair, noticeable body odor).
  • Untreated illnesses and physical injuries.
  • Is frequently unsupervised or left alone or allowed to play in unsafe situations and environments.
  • Is frequently late or missing from school.

Warning signs of sexual abuse in children

  • Trouble walking or sitting.
  • Displays knowledge or interest in sexual acts inappropriate to his or her age, or even seductive behavior.
  • Makes strong efforts to avoid a specific person, without an obvious reason.
  • Doesn’t want to change clothes in front of others or participate in physical activities.
  • An STD or pregnancy, especially under the age of 14.
  • Runs away from home.

 Risk factors of child abuse are domestic violence, Alcohol and drug abuse, Untreated mental illnesses, Multiple marriage and social situations.

Tips for talking to an abused child

Avoid denial and remain calm. A common reaction to news as unpleasant and shocking as child abuse is denial. However, if you display denial to a child, or show shock or disgust at what they are saying, the child may be afraid to continue and will shut down. As hard as it may be, remain as calm and reassuring as you can.

Don’t interrogate. Let the child explain to you in his or her own words what happened, but don’t interrogate the child or ask leading questions. This may confuse and fluster the child and make it harder for them to continue their story.

Reassure the child that they did nothing wrong. It takes a lot for a child to come forward about abuse. Reassure him or her that you take what is said seriously, and that it is not the child’s fault.

Management of child abuse is multidisplinary approach. It is mandatory to report.
Child may need admission for most of cases and assessment by Judicial medical officer. Blood investigations, x rays photography and accurate documentation is necessary. If home not safe organize relative or holster care in case where admission not necessary.
Management of injuries and complications with appropriate counselling and referral and then   ( Case Conference ) to assess all situation participated by pediatrician, psychiatrist ,Judicial medical officer, police officer, social worker , myself , police officer, nursing officer
Financial support, social worker, family counselor as well as checking other children whether they are safe also important. Avoid stigmatization and long term followup is also necessary.

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