Jonathan David Thackeray

Learn More
The barriers that professionals face when screening victims for intimate partner violence (IPV) are well studied. The specific barriers that victims face however when being screened are not. The authors sought to identify characteristics of the screener and screening environment that make a victim feel more or less comfortable when disclosing a history of(More)
CONTEXT The legal and social sequelae of interpreting genital findings as indicative of sexual abuse are significant. While the absence of genital trauma does not rule out sexual abuse, the physical examination can identify genital findings compatible with sexual abuse. OBJECTIVES To determine the diagnostic utility of the genital examination in(More)
OBJECTIVE To determine whether there is seasonal variation (by season and month of year) in homicides among young children. STUDY DESIGN Homicide deaths in children<or=5 years (n=797), as identified in death certificates from 5 states (Indiana, Ohio, Missouri, Oklahoma, and Washington), were analyzed for a seasonality effect in the years 1999-2006. Season(More)
The American Academy of Pediatrics and its members recognize the importance of improving the physician's ability to recognize intimate partner violence (IPV) and understand its effects on child health and development and its role in the continuum of family violence. Pediatricians are in a unique position to identify abused caregivers in pediatric settings(More)
BACKGROUND Medical child abuse occurs when a child receives unnecessary and harmful, or potentially harmful, medical care at the instigation of a caretaker through exaggeration, falsification, or induction of symptoms of illness in a child. Neurological manifestations are common with this type of maltreatment. OBJECTIVES We sought to review common(More)
Limited studies exist evaluating the multidisciplinary team (MDT) decision-making process and its outcomes. This study evaluates the MDT determination of the likelihood of child sexual abuse (CSA) and its association to the outcome of the child protective services (CPS) disposition. A retrospective cohort study of CSA patients was conducted. The MDT(More)
OBJECTIVE In some centers, dedicated ophthalmologic examination is performed for all children who are evaluated for potential physical abuse. Although retinal hemorrhages have been reported in rare cases of abused children with normal neuroimaging results, the utility of ophthalmologic examination in this group is currently unknown. The objective of this(More)
INTRODUCTION Although pediatric sexual assault nurse examiners (P-SANEs) have been providing care for over two decades there remain major gaps in the literature describing the quality of P-SANE care and legal outcomes associated with their cases. The purpose of this study was to compare quality indicators of care in a pediatric emergency department (PED)(More)
Abstract: Factitious illness occurs when a caregiver exaggerates, falsifies, and/or induces symptoms of illness in a child. Emergency care providers are often in a unique position to evaluate these children and may be the first to recognize that factitious illness is present. The varied and unusual presentations of this entity present diagnostic challenges(More)
OBJECTIVE To determine the rate of retinal hemorrhages in children evaluated for physical abuse without traumatic brain injury (TBI) by diagnostic imaging. STUDY DESIGN This study was a prospectively planned, secondary analysis of the Examining Siblings to Recognize Abuse (ExSTRA) research network, and included only index children who presented with(More)