Chapter 11: Crimes Against Children
Swanson: Criminal Investigation, 13e
IM-11 | 5
Most child deaths are directly related to injuries that are a result of a specific act of hitting,
striking, or physically abusing the victim. Prime examples of such crimes occur as the result of
an adult caregiver or parent striking the child in the head. Often the child (especially if the child
is younger or is an infant) is taken unconsciously to the hospital emergency room under the ruse
of “falling out of the bed” or “falling down the stairs.” Such is the case of little, 14-month-old
Angela who was taken to the emergency room of an urban hospital in a semiconscious state.
A. “Coup–Contrecoup” Injuries
From the French word for head, “coup” injuries are observed at the direct site of the impact of
the head and a moving object. A “contrecoup” injury occurs inside the skull on the opposite
side of the area of impact.
B. Shaken-Baby Syndrome
Shaken-baby syndrome (SBS) is the severe intentional application of violent force
(shaking), in one or more episodes, that results in intracranial injuries to the child. The
Crying has come under increasing scrutiny as a stimulus for abusive activity. Because shaking
is generally a response to crying, a previous illness causing irritability may increase the
likelihood that the infant will be shaken.
The following are some investigative guidelines:
• The use of MRI has helped detect old and new intracranial injuries and has aided
recognition of subtle instances of repetitive shaking.