Table 3

Findings or red flags leading to a request for DECCA advice

Finding or red flag	N*
Injury/skin lesion	592
Clinical history not in keeping with findings	145
Presence of risk factors in family	70
Physical symptoms	71
Inconsistent clinical history	47
Lesion/trauma not in keeping with child’s age	40
Delay in presentation	39
Previous trauma	33
Child admits being a victim of abuse	26
Behavioural symptoms child	19
Caregiver admits to child abuse	17
Improper hygiene child	9
Inadequate interaction child—caregiver	8
Other child in family discloses about child abuse	8
Findings at additional investigations (urine or blood test)	2

*The total does not sum up to 761 as several findings or red flags can be present in one single case and several findings can be mentioned in one single case.
DECCA, Dutch Expertise Centre for Child Abuse.