Evidence map›Paper›PMID 39981499›Full record

ReviewThe Lancet regional health. Europe2025

Defining child maltreatment for research and surveillance: an international, multi-sectoral, Delphi consensus study in 34 countries in Europe and surrounding regions.

Laura Elizabeth Cowley, Diogo Lamela, Katarzyna Drabarek, Leonor Bettencourt Rodrigues, Athanasios Ntinapogias, Aideen Naughton, Geoff Debelle, Ravit Alfandari, Andreas Jud, Gabriel Otterman and 9 more

Abstract readReview
In one paragraph

Review in The Lancet regional health. Europe, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Laura Elizabeth CowleyPopulation Data Science, Swansea University Medical School, Swansea University, UK.
Diogo LamelaDigital Human-Environment Interaction Lab (HEI-LAB), Lusófona University, Porto, Portugal.
Katarzyna DrabarekEmpowering Children Foundation, Warsaw, Poland.
Leonor Bettencourt RodriguesProChild CoLAB Against Child Poverty and Social Exclusion, Guimarães, Braga, Portugal.
Athanasios NtinapogiasDepartment of Mental Health and Social Welfare, Institute of Child Health, Athens, Greece.
Aideen NaughtonPublic Health Wales NHS Trust, Cardiff, UK.
Geoff DebelleBirmingham Women and Children's Hospital, Birmingham, UK.
Ravit AlfandariSchool of Social Work, University of Haifa, Haifa, Israel.
Andreas JudClinic of Child and Adolescent Psychiatry, University Hospital Ulm, Ulm, Germany.
Gabriel OttermanBarnafrid and Department of Biomedical and Clinical Sciences, Linköping University, Linkoping, Sweden.
Taina LaajasaloSafety and Protection Unit, Finnish Institute of Health and Welfare, Helsinki, Finland.
Cindy W ChristianDepartment of Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Vaska Stancheva-PopkostadinovaDepartment of Medical Social Sciences, South-West University Neofit Rilski, Blagoevgrad, Bulgaria.
Luciana CaenazzoDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Virginia SoldinoUniversity Research Institute of Criminology and Criminal Science, University of Valencia, Valencia, Spain.
Rachael VaughanChildren's Social Care Research and Development Centre (CASCADE), Cardiff University, Cardiff, UK.
Alison KempDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Ulugbek NurmatovDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Lisa HurtDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Child maltreatment is a complex public health issue that has consequences across the life-course. Studies to quantify child maltreatment and identify interventions and services are constrained by a lack of uniform definitions. We conducted a European Delphi study to reach consensus on types and characteristics of child maltreatment for use in surveillance and research. Statements were developed following a scoping review and identification of key concepts by an international expert team (n = 19). A multidisciplinary expert panel (n = 70) from 34 countries completed three rounds of an online survey. We defined consensus as ≥70% agreement or disagreement with each statement after the final round. Consensus was reached on 26/31 statements (participant retention rate 94%). From the statements, we propose a unified definition of child maltreatment to improve measurement and surveillance in Europe. Concerted efforts are now required to test and refine the definition further prior to real-world operationalisation.

Indexed as

Child maltreatmentDefinitionsDelphi studyEuropePublic health surveillance

Identifiers

PMID39981499
PMCPMC11840198

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.