Adolescents as victims of family violence. Council on Scientific Affairs, American Medical Association
Adolescents experience maltreatment at rates equal to or exceeding those of
younger children. Recent increases in reported cases of maltreatment have
occurred disproportionately among older children and adolescents. However,
adolescents are less likely to be reported to child protective services and
are more likely to be perceived as responsible for their maltreatment.
Adolescent girls are reported as victims more often than boys, especially
in sexual abuse. However, boys may be less likely to be identified or
reported and often are abused by nonfamily members. Parents of adolescent
victims have higher average income and educational levels and are less
likely to have a parental history of abuse than parents of younger
children. A wide range of serious adolescent risk behaviors is associated
with maltreatment. These include increased risk of premature sexual
activity, unintended pregnancy, emotional disorders, suicide attempts,
eating disorders, alcohol and other drug abuse, and delinquent behavior.
Incarcerated youth, homeless or runaway youth, and youth who victimize
siblings or assault parents have been shown to have high rates of prior
maltreatment. Signs of maltreatment are often ambiguous for adolescents.
Screening questions have been effective in prompting self-disclosure of
abuse. Adolescents also experience problems in the child welfare system
that offers fewer and less appropriate services for this age group.
Recommendations are made regarding screening of adolescents for
maltreatment, the development of better services for adolescents, research
on parenting to prevent maltreatment, and training of school staff to
identify and refer victims of maltreatment.
