ArticleChild abuse & neglect2021
A standardized definition of near-fatal child maltreatment: Results of a multidisciplinary Delphi process.
Article in Child abuse & neglect, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 18 citations in OpenAlex.
- Using Natural Language Processing to Examine State Child Maltreatment Policies and Associations With Outcomes: Multistate Cross-Sectional Study.JMIR public health and surveillance · 2026Article
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- Confessions in Cases of Child Physical Abuse-A CAPNET Study.Academic pediatrics · 2026Article
- AHT diagnoses: The influences of clinical presentation and evidence of impact.Child abuse & neglect · 2026Article
- Development of a risk factor framework to inform machine learning prediction of young people's mental health problems: a Delphi study.JAMIA open · 2025Article
- Changes in child placement after child abuse pediatrics consultation for suspected physical abuse.Child abuse & neglect · 2025Article
- Defining child maltreatment for research and surveillance: an international, multi-sectoral, Delphi consensus study in 34 countries in Europe and surrounding regions.The Lancet regional health. Europe · 2025Review
- Consensus pregnancy-related criteria for suicide and unintentional overdoses using a Delphi process.Archives of women's mental health · 2024Article
- Article
- Article
- Occult Abdominal Trauma Screening in the Evaluation of Suspected Child Physical Abuse.Pediatrics open scienceArticle
- Establishing Internationally Accepted Conceptual and Operational Definitions of Social Prescribing Through Expert Consensus: A Delphi Study Protocol.International journal of integrated careArticle
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundThe 2016 Presidential Commission to Eliminate Child Abuse and Neglect Fatalities identified systematic review of all cases of near-fatal child maltreatment as a necessary step towards prevention of child maltreatment fatalities. A critical barrier to adoption of this recommendation is the lack of a standard definition of "near-fatality" in the context of suspected child maltreatment.
objectiveTo develop a consensus definition of near-fatal child maltreatment to be used in practice, policy, and research. PARTICIPANTS AND
settingA multidisciplinary expert panel of 23 individuals from across the U.S. including child abuse pediatricians, pediatric intensivists, pediatric emergency medicine physicians, child welfare administrators, child welfare researchers, and child injury/fatality researchers.
methodsA modified Delphi process reflecting an iterative process of 3 rounds of surveys of expert opinion, statistical summary of survey response, and feedback of summary statistics. Consensus was defined as 75 % of panelists ranking an element as required (≥80 on a scale of 0-100) to meet a definition of near-fatality (75th% threshold).
resultsExperts defined near-fatal child maltreatment as life-threatening cardiopulmonary dysfunction directly attributable to suspected abuse or neglect as evidenced by (a) respiratory insufficiency/failure requiring intubation and mechanical ventilation, (b) respiratory insufficiency/failure requiring medications to reverse effects of toxic ingestion, or (c) cardiac arrhythmia with/without cardiopulmonary resuscitation (CPR).
conclusionsA consensus definition of near-fatal child maltreatment should be introduced in child protective services processes and in child fatality/near-fatality reviews to improve our ability to identify, review, and respond to trends in near-fatal child maltreatment at local, regional, and national levels.
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Registered trials
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