Dr. Barbara Knox Shares 7 Child Abuse Tips Every Doctor Should Know

 

Child abuse is a serious problem that affects children all over the world. Doctors are often the first professionals who see signs of abuse. Dr. Barbara Knox, a leading child abuse pediatrician, shares seven important tips every doctor should know to help protect children and support families.

1. Always Listen to the Child

The first step is to listen carefully. Many children may not say directly that they are being hurt. They might say things like “I don’t want to go home” or “My mom gets angry a lot.” These small statements can be signs of abuse or neglect. Never ignore what a child says. Give them a safe space to speak without feeling judged or rushed.

2. Know the Common Signs

Doctors should know the common physical and emotional signs of abuse. Bruises on soft parts of the body like thighs, buttocks, or behind the ears can be warning signs. Burns, bite marks, or injuries that don’t match the story given by parents are also red flags. Emotional signs include fearfulness, extreme quietness, sudden changes in behaviour, or anxiety. Watch for poor hygiene, untreated medical needs, or sudden weight loss as signs of neglect.

3. Trust Your Instincts

It is important to trust your instincts. If something feels wrong during an examination or conversation, look deeper. Many cases of child abuse are missed because doctors ignore their gut feeling or assume someone else will report. It is better to investigate and be wrong than to miss a child in danger. Always put the child’s safety first.

4. Ask Open-Ended Questions

Instead of asking “Did someone hit you?”, it is better to ask questions like “Can you tell me how this happened?” or “What happened next?” Open-ended questions help children speak in their own words. This avoids leading them to a yes or no answer and gives doctors a clearer understanding of the situation. Always remain calm, kind, and gentle when asking such questions.

5. Document Everything Clearly

One of the most important things doctors can do is document everything in detail. Write down exactly what the child says, what injuries you see, and what parents tell you. Use simple, clear language. Include dates, times, and direct quotes where possible. If a case goes to court, your notes can play a key role in protecting the child and ensuring justice is served.

6. Know When to Report

Doctors are mandated reporters. This means they have a legal duty to report any suspected abuse. You don’t need to be 100% sure. If you suspect abuse, you must report it to child protection services or local authorities. It is their job to investigate further. Reporting can save a child’s life and connect families to services that can help them change harmful behaviours.

7. Be Supportive, Not Judgemental

Remain supportive and kind. Many parents who harm their children may be struggling with mental health issues, substance abuse, financial stress, or lack of parenting skills. While abuse is never acceptable, showing kindness and support can help families get the help they need to change. Avoid blaming language. Focus on ensuring the child’s safety while helping families find solutions.

Final Thoughts

Dr. Barbara Knox’s work in child abuse pediatrics has helped protect many children. Her simple tips remind us that doctors don’t just treat illness, they also protect their patients from harm. Listening, observing, and acting without delay can make a huge difference in a child’s life.

If you are a doctor, nurse, or health worker, remember these tips in your daily practice. A small action today could save a child from years of pain and trauma.