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Master Thesis

Repérage d’une situation à risque de maltraitance intrafamiliale chez le mineur en médecine générale : élaboration d’un score par méthode Delphi

Abstract : Introduction: Intra-familial child abuse is a serious public health problem, and has an important impact on child’s overall health and his futur. Prevention is essential and begins with the identification of risk situations. Aim: Rate the risk factors (RF) identified in order to set up a score to identify a situation at risk of intra-familial child abuse in general practice. Method: A formalized consensus of experts by rounds Delphi was conducted between November 2019 and April 2020. The included experts work in connection with child protection. 25 risk factors proposed were identified by a literature review published in 2016. A standardized 1 to 5-point risk scale was used. Results: A three-round Delphi approach was conducted including 40 experts. The 25 risk factors proposed reached a consensual quotation allowing the development of an identifying score for a situation at risk of intra-familial child abuse for the general practitioner. The RF with the highest 5-point score were domestic violence, parent-child attachment disorders, previous child, sibling or parental mistreatment, and alcohol abuse or parent's drug use. Conclusion: In addition, the experts comments allowed to refocus the score in the global context by highlighting the importance of an RF association for the identification of a risk situation, the existence of mistreatment in all socio-economic circles, and the role of transgenerational parent- child link disorders. Following this work, further studies are needed to assess the applicability of this score in general practice and his its help in identification of risk situations.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03034141
Contributor : Jean-Hugues Morneau <>
Submitted on : Tuesday, December 1, 2020 - 4:15:53 PM
Last modification on : Thursday, December 3, 2020 - 3:18:38 AM

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  • HAL Id : dumas-03034141, version 1

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Oumeyma Mouzali. Repérage d’une situation à risque de maltraitance intrafamiliale chez le mineur en médecine générale : élaboration d’un score par méthode Delphi. Médecine humaine et pathologie. 2020. ⟨dumas-03034141⟩

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