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1: Child Maltreat. 2001 Feb;6(1):31-6.
Evolution of a classification scale: medical evaluation of
suspected child sexual abuse.
Adams JA.
Related Articles, Links
Division of Primary Care Pediatrics and Adolescent Medicine, University of California,
San Diego, USA. jadams@ucsd.edu
This article presents a revision of a system for classifying examination findings,
laboratory findings, and children's statements and behaviors as to their possible
relationship to sexual abuse. The revisions are based on published research studies and
current recommendations from the American Academy of Pediatrics Committee on
Child Abuse and Neglect, and the American Professional Society on the Abuse of
Children. Part 1 of the classification system lists genital and anal findings that can be
considered normal or nonrelated to abuse, nonspecific for abuse, concerning for abuse,
and clear evidence of blunt force or penetrating trauma. Under Part 2, the overall
classification of the likelihood of abuse is broken into four categories: no evidence of
abuse, possible abuse, probable abuse, and definite evidence of abuse or penetrating
trauma. Cautions in the use of the classification system, as well as controversies
concerning a few medical findings, are discussed.
Publication Types:
❍ Validation Studies
PMID: 11217168 [PubMed - indexed for MEDLINE]
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http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11217168&dopt=Abstract (1 of 2) [6/5/2005 8:53:25 PM]