Child protection for psychiatrists

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Target exams

Red flags

• Child cannot safely return to current caregivers tonight — escalate emergency protection and medical admission pathways; do not discharge to unresolved danger
• Non-ambulant infant with fracture, intracranial injury, or patterned injury inconsistent with history — urgent paediatric forensic evaluation and statutory report
• Disclosure of sexual abuse with possible ongoing contact with alleged perpetrator or unprotected siblings — multi-agency report and sibling safety check
• Suspected fabricated or induced illness with escalating invasive procedures — protect from further iatrogenic harm; coordinated multi-agency medical strategy
• Parental mental illness or substance use with active neglect, violence, or inability to meet basic care — child-centred threshold reasoning despite dual loyalty
• Adolescent suicidal crisis in context of ongoing abuse — simultaneous psychiatric risk management and child-protection escalation