A study published in Pediatric Discovery on February 26, 2025, by researchers from Children’s Hospital Los Angeles and the University of Southern California, has brought to light concerning trends in child physical abuse (CPA) during the COVID-19 pandemic. The research, which analyzed skeletal survey data from 479 pediatric patients between 2019 and 2020, found that while the overall incidence of CPA remained alarmingly consistent, there was a notable decrease in cases of intracranial and retinal hemorrhages, which are typically associated with severe abuse.

The study’s findings indicate that before the pandemic, 59% of suspected CPA cases involved intracranial hemorrhage, and 38% involved retinal hemorrhage. However, during the pandemic, these figures dropped to 25% and 5%, respectively. This shift suggests that while the rate of abuse did not decrease, the types of injuries inflicted or detected may have changed, possibly due to reduced access to healthcare and mandatory reporting during lockdowns.

Dr. Joseph M. Rich, a co-author of the study, emphasized the paradox revealed by the research: the stability in abuse rates alongside a decline in severe injuries. This raises concerns about the potential underdiagnosis of abuse during the pandemic, as stressors such as isolation and economic hardship likely increased the risk of abuse, while school closures and limited in-person medical visits may have hindered its detection.

The study underscores the importance of developing enhanced strategies for detecting child abuse during public health emergencies. Recommendations include improving remote monitoring capabilities, expanding training in telehealth abuse indicators, and strengthening support networks for families. The researchers also highlight the need for longitudinal studies to fully understand the impact of the pandemic on child abuse patterns and to inform future intervention protocols.

For more details on the study, refer to the original publication available at https://doi.org/10.1002/pdi3.2526.

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