Child physical abuse in Bahrain: a 10-year study, 2000–2009

To improve the understanding of child physical abuse, assess its magnitude, and identify the presentations and the characteristics of the victims, their families and the offenders, we carried out a retrospective review of 237 child physical abuse cases evaluated over 10 years (2000-2009) in a tertiary hospital in Bahrain. Mean age of the children was 7 years, 58% were males. The annual number of reported cases increased from 11 in 2000 to 54 in 2009. Skin manifestations were seen in 59.0%, fractures in 10.5% and head injuries in 9.7%. The perpetrators were adults (89%), males (64%) and known to the child (98%). Referral to law enforcement was made in 48% of the cases. About 10% of the children were removed from the abusive environment. The increase in reported cases of child physical abuse calls for strengthening of child protection services.