Background

The restraining of children is a pervasive but controversial practice that has resulted in the injury and death of children. Despite this threat of harm, little research has explored what factors contribute to the risk of a child becoming injured during a restraint event.

Objective

This study examined multiple child and restraint factors to better understand what predicts the injury of a child during a restraint event.

Methods

Longitudinal data (794 youth, 13,339 restraint events) from six residential treatment centers in the Midwest were utilized to predict injury associated with restraint using nested hierarchical logistic regression models.

Results

Injuries to the child are a frequent outcome following the use of restraints on a child. Findings show that a child being male and older contributed to the likelihood of an injury, but the race of the child did not predict injury. In addition, three physical hold types—prone, supine, and settle—were associated with a greater likelihood of injury.

Conclusions

Results suggest those who use restraints on children should reevaluate their behavior management plans to reduce their risk of hurting children by restraints. Eliminating or greatly reducing the use of prone, supine, and settle holds will likely lead to a drop in injuries of children.

中文翻译：

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住院心理健康治疗中心与身体约束相关的年轻人伤害的预测因素

背景

约束儿童是一种普遍但有争议的做法，导致儿童受伤和死亡。尽管存在这种危害的威胁，但很少有研究探索哪些因素导致约束事件中儿童受伤的风险。

目的

这项研究检查了多个儿童和约束因素，以更好地了解在约束事件中可预测儿童受伤的原因。

方法

来自中西部六个住宅治疗中心的纵向数据（794名青年，13,339个约束事件）被用于使用嵌套层次Logistic回归模型预测与约束相关的伤害。

结果

对儿童施加约束后，儿童的伤害是常见的后果。研究结果表明，年龄较大的儿童可能会造成伤害，但该儿童的种族并未预测到伤害。另外，俯卧，仰卧和下垂三种身体保持类型与受伤的可能性更大相关。

结论

结果表明，对儿童采取约束措施的人应重新评估其行为管理计划，以减少因约束而伤害儿童的风险。消除或大大减少俯卧，仰卧和安顿棚的使用可能会导致儿童受伤率下降。