BMJ 1995;310:1066 (22 April)

Letters

Accident and emergency departments need management guidelines

EDITOR,--Judith Dawkins emphasises the importance of doctors' recognition of bullying.1 Accident and emergency departments may be one point of contact between health care services and child victims of bullying. We reviewed the case notes of 305 children presenting to an urban accident and emergency department in the west of Scotland because of incidents at school over 56 weeks in 1993 and 1994. Twenty of the children had attended because of injuries deliberately inflicted by others.

Twelve of the children were boys and eight girls; the group was equally divided between primary and secondary schools. The child had been tripped or pushed in 10 cases, punched or kicked in three, and intentionally struck on the head or face by a brick or stone in three. One child attended after taking a drug overdose after an assault at school. Two further episodes resulted in serious injuries, with one child sustaining a facial . . . [Full text of this article]


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Relevant Article

Bullying in schools: doctors' responsibilities
Judith Dawkins
BMJ 1995 310: 274-275. [Extract] [Full Text]

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