Maternal Violent Injury and Child Exposure to Violence—A Call for Trauma-Informed and Structural Responses - Report - MDSpire
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Addressing Maternal Injury from Violence and Children's Exposure to Aggression—Advocating for Trauma-Informed and Systemic Approaches

  • By

  • Gunjan Tiyyagura

  • M. Katherine Henry

  • Kimberly A. Randell

  • September 11, 2026

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Clinical Report: Addressing Maternal Injury from Violence and Children's Exposure

Background

Maternal violent injury, particularly intimate partner violence (IPV), is a significant public health concern, affecting a substantial number of women and children. IPV affects 1 in 3 women and 1 in 4 children in the U.S., which can lead to severe physical and mental health consequences. Understanding the link between maternal violence and child maltreatment is crucial for developing effective interventions.

Data Highlights

Type of InjuryPooled Prevalence95% Confidence Interval
Physical Injury42%31%-55%
Sexual Injury17%12%-22%

Key Findings

  • Maternal violent injury is associated with a 1.65 pooled prevalence ratio for child injury (Fazio et al, 2026).
  • 42% of children exposed to maternal violence experience physical injury (Fazio et al, 2026).
  • 17% of children exposed to maternal violence experience sexual injury (Fazio et al, 2026).
  • IPV-exposed families have 3.64-fold higher odds of subsequent child maltreatment (Fazio et al, 2026).
  • 66% of children encounter multiple types of trauma, leading to worse trauma symptoms (Fazio et al, 2026).

Clinical Implications

Frontline clinicians should recognize maternal violent injury as a sentinel event that warrants a trauma-informed pediatric response.

Conclusion

Addressing maternal violence through trauma-informed care is essential for protecting children.

Related Resources & Content

  1. Fazio et al, Frontiers in Psychiatry, 2026 -- Addressing Maternal Injury from Violence and Children's Exposure to Aggression
  2. Frontiers in Psychiatry — Reframing the Conversation: Addressing Violence in Mental Health Research and Services
  3. Frontiers in Psychiatry — Pre–post differences in outcomes associated with participation in the Criar sin violencia © brief psychotherapy protocol in an Ecuadorian sample: An observational study
  4. Frontiers in Pediatrics — Editorial: Investigating Child Abuse Through Clinical, Legal, and Forensic Lenses
  5. Trauma-Informed Care in Child Health Systems | Pediatrics | American Academy of Pediatrics
  6. Final Recommendation Statement: Intimate Partner Violence and Caregiver Abuse of Older or Vulnerable Adults: Screening | United States Preventive Services Taskforce
  7. Injuries in Children Undergoing Subspecialty Abuse Evaluations Because of Intimate Partner Violence | Pediatrics Open Science | American Academy of Pediatrics

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