In suspected child abuse, what is the most appropriate intervention by the clinician?

• A. Arrange for the arrest of the parents
• B. Confront the suspected assailant in front of the child
• C. Assure the safety of the child, with hospitalization if necessary
• D. Contact social service department after discharge of the child

Answer: (C)

The priority in suspected child abuse is to safeguard the child immediately. The clinician’s role is to assess safety and take steps to protect the child from ongoing harm, which may require hospital-level care if the home environment is unsafe or if the risk cannot be managed safely in the community. Prompt involvement of child protective services is essential so a formal safety plan and investigation can proceed, but actions must focus on protection now rather than waiting. Arresting parents or confronting the alleged abuser in front of the child can increase danger and are outside the clinician’s protective duties, and delaying reporting until after discharge misses a critical opportunity to keep the child safe. This approach—prioritizing safety with hospitalization if necessary and timely protective services—best aligns with protecting the child in urgent situations.