Nursing Review Issue 6 | Nov-Dec 2017 | Page 18

clinical practice Intentional injury assault and neglect, the highest number for 11 years. Nine children were victims of domestic homicide, four deaths were fatal child abuse, and one was neonaticide (killing a baby within the first 24 hours of life). WARNING SIGNS Identifying signs of intentional injury in children presenting to ED. By Tona Gillen I ntentional injury is a term used for a deliberately inflicted physical injury. It can be divided into two categories: abuse by commission, or committing the act; and abuse by omission, or failing to protect (National Society for the Prevention of Cruelty to Children, 2017). Intentional injury may include draconian or violent disciplining techniques, physical restraining techniques or assault. Sexual abuse includes the involvement of a child in sexual activity that he or she