{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T10:18:08Z","timestamp":1783678688379,"version":"3.55.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":190,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp;amp; Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Child maltreatment is a major public health concern, yet identification in emergency department settings remains challenging. Caregiver\u2010focused approaches may help identify families at risk. We describe cases reported to a hospital\u2010based Child Protection Team following caregiver emergency department visits in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a single\u2010center retrospective observational study at an urban tertiary hospital. We included caregiver emergency department visits between January 2022 and December 2024 when the presenting adult was 18\u2009years or older, the visit was reported to the Child Protection Team regarding at least one child under 18\u2009years in that adult's care, and the team subsequently judged that involvement was required. We extracted medical record variables and used descriptive analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 79 index caregivers and 101 emergency department visits. A documented history of mental health conditions was present in 53% of caregivers. Common diagnoses included drug intoxication, alcohol\u2010related disorders, somatic symptom\u2010related or dissociation\u2010related diagnoses, injuries related to domestic violence, and self\u2010inflicted injuries. Neglect was the most common reason for notification. Fifty\u2010seven percent of caregivers had prior involvement with the Child Protection Team or the Council for Children Requiring Care and Support, and 30% required new registration or temporary child protection after the team review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study describes a selected group of caregiver emergency department visits that were reported to a hospital\u2010based Child Protection Team and subsequently judged to require team involvement. Further studies with defined caregiver denominators and comparison groups are needed to evaluate caregiver\u2010focused emergency department assessment pathways.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ams2.70144","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T09:58:18Z","timestamp":1783677498000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and Epidemiological Characteristics of Suspected Child Maltreatment Reported After Caregiver Emergency Department Visits in Japan"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9374-396X","authenticated-orcid":false,"given":"Natsumi","family":"Hata","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Hyogo Prefectural Amagasaki General Medical Center  Amagasaki Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasunori","family":"Nagai","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Hyogo Prefectural Amagasaki General Medical Center  Amagasaki Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takateru","family":"Ihara","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Hyogo Prefectural Amagasaki General Medical Center  Amagasaki Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Child Maltreatment","author":"World Health Organization","year":"2024"},{"key":"e_1_2_11_3_1","volume-title":"Number of Consultations on Child Abuse Handled by Child Guidance Centers in Fiscal Year 2023 (in Japanese)","author":"Children and Families Agency, Japan","year":"2024"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/j.jpeds.2008.07.047","article-title":"Prediction of Child Abuse Risk From Emergency Department Use","volume":"154","author":"Guenther E.","year":"2009","journal-title":"Journal of Pediatrics"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.annemergmed.2015.06.020","article-title":"Barriers and Facilitators to Detecting Child Abuse and Neglect in General Emergency Departments","volume":"66","author":"Tiyyagura G.","year":"2015","journal-title":"Annals of Emergency Medicine"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1186\/1471-2431-12-167","article-title":"Facilitators and Barriers to Screening for Child Abuse in the Emergency Department","volume":"12","author":"Louwers E. C. F. M.","year":"2012","journal-title":"BMC Pediatrics"},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.acap.2012.03.005","article-title":"The SEEK Model of Pediatric Primary Care: Can Child Maltreatment Be Prevented in a Low\u2010Risk Population?","volume":"12","author":"Dubowitz H.","year":"2012","journal-title":"Academic Pediatrics"},{"key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1016\/j.chiabu.2013.04.005","article-title":"A New Protocol for Screening Adults Presenting With Their Own Medical Problems at the Emergency Department to Identify Children at High Risk for Maltreatment","volume":"37","author":"Diderich H. M.","year":"2013","journal-title":"Child Abuse & Neglect"},{"key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1111\/acem.14614","article-title":"Child Safety Assessments During a Caregiver's Evaluation in Emergency Departments After Intimate Partner Violence","volume":"30","author":"Butala N.","year":"2023","journal-title":"Academic Emergency Medicine"},{"key":"e_1_2_11_10_1","volume-title":"Children's Needs\u2013Parenting Capacity: Child Abuse: Parental Mental Illness, Learning Disability, Substance Misuse and Domestic Violence","author":"Cleaver H.","year":"2011"},{"key":"e_1_2_11_11_1","unstructured":"A.Grant S.Lagdon J.Devaney et\u00a0al. \u201cA Study of Health and Social Care Professionals' Family Focused Practice With Parents Who Have Mental Illness Their Children and Families in Northern Ireland \u201dFinal Report (Queen's University Belfast 2018)."},{"key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1111\/cch.12201","article-title":"Support and Monitoring of Families After Child Abuse Detection Based on Parental Characteristics at the Emergency Department","volume":"41","author":"Diderich H. M.","year":"2015","journal-title":"Child: Care, Health and Development"},{"key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1136\/adc.2005.085639","article-title":"Risk Factors for Recurrence of Maltreatment: A Systematic Review","volume":"91","author":"Hindley N.","year":"2006","journal-title":"Archives of Disease in Childhood"}],"container-title":["Acute Medicine &amp; Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.70144","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ams2.70144","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.70144","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T09:58:21Z","timestamp":1783677501000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ams2.70144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ams2.70144"],"URL":"https:\/\/doi.org\/10.1002\/ams2.70144","archive":["Portico"],"relation":{},"ISSN":["2052-8817","2052-8817"],"issn-type":[{"value":"2052-8817","type":"print"},{"value":"2052-8817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-01-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70144"}}