Confessed versus denied inflicted head injuries in infants: similarities and differences.

Vinchon, Matthieu; Karnoub, Mélodie-Anne; Noulé, N.; Lampin, Marie Emilie

Type de document :

Article dans une revue scientifique: Article original

DOI :

10.1007/s00381-021-05381-8

PMID :

34608530

URL permanente :

http://hdl.handle.net/20.500.12210/92632

Titre :

Confessed versus denied inflicted head injuries in infants: similarities and differences.

Auteur(s) :

Vinchon, Matthieu [Auteur]

425779|||Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille] (VALID)
Karnoub, Mélodie-Anne [Auteur]
Département de Neurochirurgie[Lille]
Noulé, N. [Auteur]
Lampin, Marie Emilie [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]

Titre de la revue :

Childs Nerv Syst

Nom court de la revue :

Childs Nerv Syst

Numéro :

Pagination :

147-152

Date de publication :

2021-10-10

ISSN :

1433-0350

Mot(s)-clé(s) en anglais :

Infantile subdural hematoma
Child abuse
Medicolegal inquiry

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Background and purpose Abusive head injuries (AHI), and in particular shaken baby syndrome (SBS), are common causes of mortality and morbidity in infants. Although SBS is a well-established entity, based on clinical ...
Lire la suite >Background and purpose Abusive head injuries (AHI), and in particular shaken baby syndrome (SBS), are common causes of mortality and morbidity in infants. Although SBS is a well-established entity, based on clinical experience and experimental data, and confirmed by the perpetrators’ confessions, a growing number of publications challenge the diagnostic criteria, and even the validity of the perpetrators’ confession. We decided to study AHI in infants and compare cases with and without confession. Material and methods We collected prospectively all cases of infantile traumatic head injuries hospitalized in our institution between 2001 and 2021. From this database, we selected victims of AHI, comparing cases for which the perpetrator confessed during police inquiry (“confession” group) versus cases without confession (“denial” group). Results We studied 350 cases of AHI in infants; 137 of these (39.1%) were confessed. We found no statistically significant difference between the two groups regarding the child’s previous history, as well as the personality and previous history of the caretakers. However, the “confession” group showed significantly more severe clinical presentation, cerebral lesions, retinal hemorrhages, and a more pejorative outcome. Conclusions We conclude that the diagnosis of AHI was confirmed by the confession in a large number of cases, indicating that the diagnostic criteria of AHI are robust. We also found that denial, although possibly sincere, was likely ill-founded, and that the perpetrators’ decision to confess or deny was markedly influenced by the severity of the inflicted lesions.Lire moins >

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
Inserm
CHU Lille

Collections :

Autres travaux scientifiques

Date de dépôt :

2023-12-13T04:35:06Z
2024-02-21T07:18:42Z
2024-10-16T08:15:44Z

Historique des modifications

Numéro de version	Lien	Date de modification
4	20.500.12210/92632*	2024-10-16T08:12:55Z
2	20.500.12210/92632.2	2024-02-21T07:17:31Z
1	20.500.12210/92632.1	2023-12-13T04:35:06Z

*Version sélectionnée

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