Screening Adult Patients in Emergency Departments ( <scp>EDs</scp> ) for Risk Factors of Child Maltreatment. A Swedish Pilot Study

AIM: 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 'child-check' instrument, and evaluate a retrospective case series. METHODS: Our study was performed in an ED at Skåne University Hospital. The original Dutch instrument was translated with adaptation to national medico-legal 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 2021-2022 from registries at the hospital ED and one municipal CPS. RESULTS: The screening instrument identified 295 adult care-seekers with risk factors for CM. Subsequent reports of concern included 131 children, among which 62 (47%) were not known to CPS. CONCLUSION: Our study suggests that the Swedish version of the instrument, 'child-check adult', 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.