+ Most Popular
Cunninghamia lanceolata plantations in China
Mammalian lairs in paleo ecological studies and palynology
Studies on technological possibilities in utilization of anhydrous milk fat for production of recombined butter-like products
Should right-sided fibroelastomas be operated upon?
Large esophageal lipoma
Apoptosis in the mammalian thymus during normal histogenesis and under various in vitro and in vivo experimental conditions
Poissons characoides nouveaux ou non signales de l'Ilha do Bananal, Bresil
Desensitizing efficacy of Colgate Sensitive Maximum Strength and Fresh Mint Sensodyne dentifrices
Administration of fluid by subcutaneous infusion: revival of a forgotten method
Tundra mosquito control - an impossible dream?
Schizophrenia for primary care providers: how to contribute to the care of a vulnerable patient population
Geochemical pattern analysis; method of describing the Southeastern limestone regional aquifer system
Incidence of low birth weights in a hospital of Mexico City
Graded management intensity of grassland systems for enhancing floristic diversity
Microbiology and biochemistry of cheese and fermented milk
The ember tetra: a new pygmy characid tetra from the Rio das Mortes, Brazil, Hyphessobrycon amandae sp. n. (Pisces, Characoidei)
Risk factors of contrast-induced nephropathy in patients after coronary artery intervention
Renovation of onsite domestic wastewater in a poorly drained soil
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Systolic blood pressure in a population of infants in the first year of life: the Brompton study
Haematological studies in rats fed with metanil yellow
Studies on pasteurellosis. I. A new species of Pasteurella encountered in chronic fowl cholera
Dormancy breaking and germination of Acacia salicina Lindl. seeds
therapy of lupus nephritis. a two-year prospective study

PedHITSS: a Screening Tool to Detect Childhood Abuse in Clinical Settings

PedHITSS: a Screening Tool to Detect Childhood Abuse in Clinical Settings

Family Medicine 50(10): 763-769

ISSN/ISBN: 0742-3225

PMID: 30428105

Though child abuse is prevalent and detrimental, health care providers fail to screen for abuse at sufficient rates to detect or preempt events. Current child abuse screening tools lack brevity and usefulness in clinical settings. To validate the Pediatric Hurt-Insult-Threaten-Scream-Sex (PedHITSS) screening tool, a 5-item questionnaire designed to detect and prompt provider investigation into child abuse in clinical settings, the PedHITSS was compared to the Conflict Tactics Scale: Parent-Child Version (CTSPC) screening measure. Participants included 422 pediatric patients (n=242 nonabused; n=180 abused subsample) recruited from an ambulatory care setting, a medical center at-risk referral clinic, or homeless shelter clinic. Parents were asked to complete a cross-sectional survey, including PedHITSS and CTSPC questionnaires. Concurrent validity of PedHITSS was tested with 242 participants identified as nonabused. Construct validity was assessed with 180 participants previously identified as victims of child abuse. Concurrent validity between the CTSPC and PedHITSS was strong, rs=.70 (P<.01). Sensitivity and specificity for correctly identifying abuse victims (≤12 years) was optimal at a cutpoint of one or greater. There was no significant difference in sensitivity and specificity of HITSS and CTSPC in correctly identifying victims of child abuse. This study indicates that PedHITSS performs as well as CTSPC in identifying and differentiating victims and nonvictims of child abuse. PedHITSS allows health care providers to confidently screen and report suspected cases of child abuse and serves as a mechanism to confirm abuse status through validated means.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 065874536

Download citation: RISBibTeXText

Related references

Pilot testing the detection of elder abuse through emergency care technicians (DETECT) screening tool: results from the DETECT pilot project. Journal of Elder Abuse and Neglect 31(2): 129-145, 2019

Validation of an immunohistochemistry assay to detect turkey coronavirus: a rapid and simple screening tool for limited resource settings. Poultry Science 87(7): 1347-1352, 2008

Validation of an immunohistochemistry assay to detect turkey coronavirus: a rapid and simple screening tool for limited resource settings. Poultry Science 87(7): 1347-1352, 2008

Screening for controlled substance abuse in interventional pain management settings: evaluation of an assessment tool. Pain Physician 6(4): 425-433, 2003

Childhood Sexual Abuse: Identification, Screening, and Treatment Recommendations in Primary Care Settings. Primary Care 43(2): 313-326, 2016

Screening for drug abuse among adolescents in clinical and correctional settings using the Problem-Oriented Screening Instrument for Teenagers. American Journal of Drug and Alcohol Abuse 23(1): 79-98, 1997

Childhood Experience of Care and Abuse Questionnaire (CECA.Q). Validation of a screening instrument for childhood adversity in clinical populations. Social Psychiatry and Psychiatric Epidemiology 37(12): 572-579, 2002

Evaluation of a novel electronic genetic screening and clinical decision support tool in prenatal clinical settings. Maternal and Child Health Journal 18(5): 1233-1245, 2014

A screening tool to detect clinical manganese neurotoxicity. Neurotoxicology 64: 12-18, 2018

START (screening tool to alert doctors to the right treatment)--an evidence-based screening tool to detect prescribing omissions in elderly patients. Age and Ageing 36(6): 632-638, 2007

SAT0588MDHAQ as A Useful Screening Tool for fibromyalgia in Busy Clinical Settings: Table 1. Annals of the Rheumatic Diseases 75(Suppl 2): 882.2-882, 2016

Developing a screening tool to recognise social determinants of health in Australian clinical settings. Public Health Research and Practice 29(4), 2019

Crowdsourcing as a screening tool to detect clinical features of glaucomatous optic neuropathy from digital photography. Plos one 10(2): E0117401, 2015

Development and preliminary validation of the Concise Neuropsychological Screening Inventory (CNSI): A clinical tool for use in psychiatric settings. Journal of Psychopathology and Behavioral Assessment 18(4): 315-330, 1996

An evaluation of screening questions for childhood abuse in 2 community samples: implications for clinical practice. Archives of Internal Medicine 166(18): 2020-2026, 2006