The ethics of researching child abuse

Written by
Aya Waheed

There are different kinds of ways we can use to find information about child abuse cases, BUT surveying remains one of the most effective methods.

To survey child abuse, a complex process that requires strict ethical protocols and specialized methods, researchers must prioritize the safety and well-being of participants. A survey can target the prevalence of abuse in a population or be used for screening and clinical assessment in healthcare settings.

HOWEVER, there are many ethical considerations before conducting such research such as age, anonymity


General considerations for research surveys

To make research surveys effective we need to prioritize ethics and safety. Moreover, we have to minimize the risk of retrauma and distress. This includes clear consent processes, guaranteed confidentiality (with necessary limits for immediate danger), and providing access to support services. Below are three ways in which we can design surveys that both effective and ethical.


Frame the survey carefully: Surveys should be introduced to children and parents as being about "child safety," "well-being," or "health," rather than using potentially frightening terms like "child abuse".


Ensure data quality: Use consistent, validated measures and trained interviewers to increase the accuracy of responses. For instance, questions should focus on specific behaviors rather than asking about vague definitions of abuse.


Utilize appropriate methods: Computer-Assisted Self-Interviewing (CASI) is often used for older children and young people. This electronic format can increase feelings of privacy and control, leading to more honest answers.


Surveying different age groups

Not every surveying method is effective with all age groups, before conducting a survey there must be an understanding of the age group being surveyed to build trust, here are some tips to get the best results from the different age groups.

Older children and young people (e.g., ages 11–25):

Self-report surveys: This is a common and effective method for gathering lifetime and recent data. Research shows that youth can accurately and reliably report on their experiences.


Anonymous platforms: Anonymity is crucial, as it can reduce the fear of retaliation and increase truthfulness. However, surveys must also include a confidential process for participants to request help or report disclosures of harm.


Comprehensive instruments: Validated questionnaires like the Conflict Tactics Scales which is a 39-item measure of individual engagement in or experience of physical or psychological violence and the Juvenile Victimization Questionnaire (JVQ-R2) which can be used in a variety of clinical, research, and community settings to help document the true burden of victimization experienced by youth. ask about a range of topics, including specific experiences of physical, emotional, and sexual violence.


Younger children (under 10):

For younger children surveys are not recommended. This is because younger children often lack the cognitive development and reliable memory to report accurately on experiences of maltreatment. Clinical assessments and observation are used instead. This is because professionals rely on other methods, including thorough medical history, physical examinations, and observation of the child's behavior, in addition to information from caregivers.

Surveying adults about childhood abuse

Self-report measures: Adult survivors of child abuse are often surveyed to understand prevalence and health outcomes. These surveys may be integrated into broader health studies. Retrospective reporting considerations: When surveying adults about childhood experiences, researchers must consider the potential for recall bias and distress.

Qualitative information: To provide appropriate treatment in clinical settings, trauma assessments often focus on qualitative, subjective information about a client's experiences, thoughts, and feelings related to the abuse.

Surveying professionals

Healthcare providers: Surveys of healthcare providers can identify training needs and barriers to diagnosing child abuse. For example, a 2023 study in Saudi Arabia found that challenges for physicians included inexperience, inadequate time, and lack of diagnostic protocols.

Interdisciplinary teams: The best practice approach to child abuse involves a multidisciplinary team (MDT). Surveys of these teams can assess the effectiveness of their collaborative practices.



Closure:

the ethics surrounding the surveying of child abuse necessitate a careful balance between the need for data collection and the imperative of safeguarding vulnerable populations. Ethical considerations must prioritize the well-being of children, ensuring that their rights and dignity are upheld throughout the research process. This includes obtaining informed consent from guardians, utilizing sensitive questioning techniques, and providing support services for participants. Researchers have a duty to mitigate the potential psychological impact of disclosing abuse and to adhere to strict confidentiality measures. Additionally, collaboration with child protection agencies can enhance the ethical integrity of the study. As we advance our understanding of child abuse through research, it is critical to maintain a commitment to ethical standards that protect those who are most at risk. By embracing these ethical principles, we can contribute to a more nuanced understanding of the issue while prioritizing the safety and welfare of children.

Examples of large-scale surveys

Violence Against Children Surveys (VACS): Supported by the Centers for Disease Control and Prevention and UNICEF, these are nationally representative household surveys of young people aged 13–24. They use a standard methodology for face-to-face interviews to gather high-quality data on childhood violence.

UK child abuse prevalence surveys: The UK Office for National Statistics has conducted feasibility studies for child abuse prevalence surveys among young people. The studies suggest using electronic, self-completed surveys within schools for ages 11–15 and online for ages 16–25.



resources:


https://learning.nspcc.org.uk/research-resources/briefings/research-with-children-ethics-safety-promoting-inclusion


https://pmc.ncbi.nlm.nih.gov/articles/PMC5833635/


https://www.ons.gov.uk/peoplepopulationandcommunity/crimeandjustice/articles/exploringthefeasibilityofasurveymeasuringchildabuseintheuk/june2024


https://www.ncbi.nlm.nih.gov/books/NBK459146/


https://pmc.ncbi.nlm.nih.gov/articles/PMC6534473/


https://www.research.ed.ac.uk/en/publications/development-of-a-child-abuse-prevalence-survey-amp-safeguarding-p


https://childethics.com/case-studies/child-protection-and-confidentiality-surveying-childrens-experiences-of-violence-abuse-and-neglect-by-lorraine-radford/


https://www.ojp.gov/pdffiles1/ojjdp/186027.pdf


https://conservancy.umn.edu/server/api/core/bitstreams/0ef8d32f-1ca7-4398-aab9-174454eb45ae/content


https://learning.nspcc.org.uk/statistics-child-abuse

https://fada.birzeit.edu/handle/20.500.11889/741


https://www.futurity.org/thoughts-of-suicide-emotional-violence-2087722-2/#:~:text=The%20researchers%20reviewed%20national%20data%20drawn%20from,governments%2C%20and%20other%20bilateral%20and%20multilateral%20organizations.


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