{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T16:12:33Z","timestamp":1792253553314,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"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":["Acta Paediatrica"],"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n Swedish healthcare staff are obliged to immediately report suspected child maltreatment (CM) to child protection services (CPS), but often fail this duty. The use of screening instruments in EDs increases detection of adults with risk factors for CM. Such instruments have previously not been available in Sweden. The aim of the present study was to pilot test a Swedish version of the Dutch \u2018child\u2010check\u2019 instrument, and evaluate a retrospective case series.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Our study was performed in an ED at Sk\u00e5ne University Hospital. The original Dutch instrument was translated with adaptation to national medico\u2010legal context; face validity was obtained by a multidisciplinary expert panel, and it was piloted by a multiprofessional ED team. Following implementation, retrospective data was collected 2021\u20132022 from registries at the hospital ED and one municipal CPS.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The screening instrument identified 295 adult care\u2010seekers with risk factors for CM. Subsequent reports of concern included 131 children, among which 62 (47%) were not known to CPS.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Our study suggests that the Swedish version of the instrument, \u2018child\u2010check adult\u2019, could play an important role for ED personnel in identifying adults with risk factors for CM. We therefore aim to implement it in all Swedish regions.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/apa.70703","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T15:17:42Z","timestamp":1784733462000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Screening Adult Patients in Emergency Departments (\n EDs<\/scp>\n ) for Risk Factors of Child Maltreatment. A Swedish Pilot Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3967-1760","authenticated-orcid":false,"given":"Christoffer","family":"Dovik","sequence":"first","affiliation":[{"name":"Department of Internal Medicine and Emergency Care Sk\u00e5ne University Hospital Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4024-0703","authenticated-orcid":false,"given":"Josefine","family":"Cattell","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Sk\u00e5ne University Hospital, Lund University Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0276-9599","authenticated-orcid":false,"given":"Lisbeth","family":"J\u00f6nsson","sequence":"additional","affiliation":[{"name":"Integrative Health Research, Department of Health Sciences Lund University Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6068-6273","authenticated-orcid":false,"given":"Andreas","family":"Rantala","sequence":"additional","affiliation":[{"name":"Integrative Health Research, Department of Health Sciences Lund University Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0350-440X","authenticated-orcid":false,"given":"Pia","family":"Lundqvist","sequence":"additional","affiliation":[{"name":"Integrative Health Research, Department of Health Sciences Lund University Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6658-6460","authenticated-orcid":false,"given":"Louise","family":"Laurell","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Clinical Sciences Sk\u00e5ne University Hospital, Lund University Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Violence Against Children","author":"World Health Organization","year":"2022"},{"issue":"3","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2015-4079","article-title":"Global Prevalence of Past\u2010Year Violence Against Children: A Systematic Review and Minimum Estimates","volume":"137","author":"Hillis S.","year":"2016","journal-title":"Pediatrics"},{"issue":"9657","key":"e_1_2_13_4_1","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/S0140-6736(08)61706-7","article-title":"Burden and Consequences of Child Maltreatment in High\u2010Income Countries","volume":"373","author":"Gilbert R.","year":"2009","journal-title":"Lancet (London, England)"},{"key":"e_1_2_13_5_1","unstructured":"World Health Organization \u201cResponding to Child Maltreatment: A Clinical Handbook for Health Professionals \u201d2022."},{"key":"e_1_2_13_6_1","unstructured":"United Nations \u201cConvention on the Rights of the Child 1989 \u201dhttps:\/\/treaties.un.org\/pages\/ViewDetails.aspx?src=TREATY&mtdsg_no=IV\u201011&chapter=4&clang=_en."},{"key":"e_1_2_13_7_1","unstructured":"The National Board of Health and Welfare [Socialstyrelsen in Swedish] \u201cAnm\u00e4lningar till socialtj\u00e4nsten om barn och unga\u2010 en unders\u00f6kning om omfattning och regionala skillnader [Notifications to child Protection Services About Children and Youth\u2014A Survey of Scope and Regional Differences] 2012 \u201d."},{"key":"e_1_2_13_8_1","doi-asserted-by":"crossref","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. 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