The fatal consequences of CAN syndrome – scoping review
Authors:
I. Olecká 1; P. Dobríková 2; J. Slaný 2,3
Authors‘ workplace:
Katedra křesťanské sociální práce, Cyrilometodějská teologická fakulta, Univerzita Palackého, Olomouc
1; Fakulta zdravotníctva a sociálnej práce, Trnavská univerzita, Trnava, Slovensko
2; Klinika pediatrie, Fakultná nemocnica v Trnave, Slovensko
3
Published in:
Čes-slov Pediat 2021; 76 (5): 276-285.
Category:
Review
Overview
To date studies exploring fatal forms of maltreatment, neglect or abuse of children have only been treated as peripheral issues. The aim of the presented study is to identify CAN syndrome risk factors with fatal consequences based on the analysis of primary texts. The Ebsco and Web of Science databases formed the sources for the search. Full-text versions of studies were reviewed for relevance at two stages of the research by two independent assessors. Finally, after the application of all the criteria for exclusion, 10 studies were included in the analysis.
The studies consistently confirm that the most frequent perpetrators of maltreatment, neglect or abuse of children are the parents. Fathers tend to cause the death of their children more often by fatal abuse, whereas mothers tend to be guilty of fatal neglect. Mothers are liable for the death of younger children, and fathers are more frequently responsible for the death of older children. In terms of social-demographic profile, the studies analyzed led us to identify the following basic risk factors: low social-economic status, the mother being the sole breadwinner, and infant children with a younger mother. A direct correlation was drawn mainly between a child’s death and cases of physical trauma.
A hypothesis can be extrapolated from the analyzed studies that the age of the abused children affects both the mechanism and the relationship between the perpetrators and their victims. The fact that the conclusions of studies agree that fatal consequences of maltreatment are not being duly identified as risky early enough by the relevant authorities is a very debatable finding.
Keywords:
child – CAN syndrome – fatal abuse – fatal neglect
Sources
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Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2021 Issue 5
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