Background: Torture has traditionally been described in the context of politically motivated abuse. Torture of children in the familial context is a less studied phenomenon, with scholarly articles focused on legal or medical viewpoints. Analysis from a frontline professional's perspective is virtually nonexistent in the literature. Objective: The present study seeks to identify the common features of child torture and assist law enforcement, medical, and child protection agencies in earlier identification and inform more effective investigative and intervention strategies. Participants and setting: A convenience sampling method was used to identify and collect cases involving severe child maltreatment consistent with torture. The sample included 42 offenders and 35 victims, representing 20 households. Methods: Researchers reviewed and extracted data from law enforcement case files, to include investigative, medical, and child protective services (CPS) reports, as well as recorded law enforcement interviews of offenders/witnesses and child forensic interviews. Descriptive and frequency statistics were generated. Results: Offenders were often female (57 %), most commonly biological mothers (38 %), with a history of violence (57 %). Prior CPS reports were noted in 85 % of cases, less than half of which were substantiated. In over half of the cases (55 %), law enforcement discovered digital documentation of the torture. Over half (54 %) of the victims died as a result of the torture. Conclusions: This study demonstrated how CT is a distinct form of child maltreatment that is especially severe and pervasive. Recognition, assessment and documentation of the unique constellation of physical and psychological abuse are key to an efficient intervention.
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University of Wisconsin School of Medicine and Public Health, American Family Children’s Hospital, Madison, WIUniversity of Wisconsin School of Medicine and Public Health, American Family Children’s Hospital, Madison, WI
Knox B.L.
Starling S.P.
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Eastern Virginia Medical School, Children’s Hospital of The King’s Daughters, Norfolk, VAUniversity of Wisconsin School of Medicine and Public Health, American Family Children’s Hospital, Madison, WI
Starling S.P.
Feldman K.W.
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University of Washington, and Seattle Children’s Hospital, Seattle, WAUniversity of Wisconsin School of Medicine and Public Health, American Family Children’s Hospital, Madison, WI
Feldman K.W.
Kellogg N.
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University of Texas Health Science Center at San Antonio, San Antonio, TXUniversity of Wisconsin School of Medicine and Public Health, American Family Children’s Hospital, Madison, WI
Kellogg N.
Frasier L.
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Penn State Hershey Medical Center, Penn State College of Medicine, Hershey, PAUniversity of Wisconsin School of Medicine and Public Health, American Family Children’s Hospital, Madison, WI
Frasier L.
Tiapula S.
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Institute on Violence, Abuse & Trauma, San Diego, CAUniversity of Wisconsin School of Medicine and Public Health, American Family Children’s Hospital, Madison, WI
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Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, American Family Children's Hospital, 600 Highland Ave, H4/428 Clinical Science Center, MadisonDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, American Family Children's Hospital, 600 Highland Ave, H4/428 Clinical Science Center, Madison
Knox B.L.
Starling S.P.
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Eastern Virginia Medical School, Children's Hospital of The King's Daughters, Norfolk, VADepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, American Family Children's Hospital, 600 Highland Ave, H4/428 Clinical Science Center, Madison
Starling S.P.
Feldman K.W.
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University of Washington, Seattle Children's Hospital, Seattle, WADepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, American Family Children's Hospital, 600 Highland Ave, H4/428 Clinical Science Center, Madison
Feldman K.W.
Kellogg N.D.
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University of Texas Health Science Center at San Antonio, San Antonio, TXDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, American Family Children's Hospital, 600 Highland Ave, H4/428 Clinical Science Center, Madison
Kellogg N.D.
Frasier L.D.
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Primary Children's Medical Center, University of Utah, Salt Lake City, UTDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, American Family Children's Hospital, 600 Highland Ave, H4/428 Clinical Science Center, Madison
Frasier L.D.
Tiapula S.L.
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National Center for Prosecution of Child Abuse, Alexandria, VADepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, American Family Children's Hospital, 600 Highland Ave, H4/428 Clinical Science Center, Madison
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Division of Child Protection and Forensic Pediatrics, University of Florida-Jacksonville, Jacksonville, FLDivision of Child Protection and Forensic Pediatrics, University of Florida-Jacksonville, Jacksonville, FL
Alexander R.C.
Peña E.
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Division of Child Protection and Forensic Pediatrics, University of Florida-Jacksonville, Jacksonville, FLDivision of Child Protection and Forensic Pediatrics, University of Florida-Jacksonville, Jacksonville, FL
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Open Univ, Fac Social Sci, Forens Psychol Res Grp, Milton Keynes MK7 6AA, Bucks, EnglandOpen Univ, Fac Social Sci, Forens Psychol Res Grp, Milton Keynes MK7 6AA, Bucks, England
Westcott, HL
Kynan, S
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Open Univ, Fac Social Sci, Forens Psychol Res Grp, Milton Keynes MK7 6AA, Bucks, EnglandOpen Univ, Fac Social Sci, Forens Psychol Res Grp, Milton Keynes MK7 6AA, Bucks, England
Kynan, S
Few, C
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Open Univ, Fac Social Sci, Forens Psychol Res Grp, Milton Keynes MK7 6AA, Bucks, EnglandOpen Univ, Fac Social Sci, Forens Psychol Res Grp, Milton Keynes MK7 6AA, Bucks, England