How can I effectively communicate with parents or guardians when there

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Effectively communicating with parents or guardians when there are concerns about non-accidental injury involves several key steps:

Listen and observe carefully: Gather information from the parent or guardian in an open, non-judgemental manner, paying attention to their explanation and the child's presentation and behaviour. This helps build a comprehensive picture and may reveal inconsistencies or unsuitable explanations for injuries .
Seek explanations sensitively: Ask open questions to understand the circumstances of the injury without implying blame or suspicion. This approach encourages honest communication and reduces defensiveness .
Maintain a non-accusatory tone: Use neutral language and avoid confrontational or leading questions to prevent prejudice to any formal investigation and to keep the dialogue constructive ,.
Explain the process clearly: Inform parents or guardians about the need to share information with children's social care or other agencies if maltreatment is suspected, and discuss what will happen next to maintain transparency and trust .
Be aware of the child’s and family’s context: Consider factors such as the child’s age, developmental stage, and any disabilities, as well as cultural practices, while recognising that cultural explanations should not justify harm ,.
Seek advice and support: Consult with safeguarding leads or designated professionals within your organisation to guide communication and ensure appropriate safeguarding actions .

These steps help ensure that communication is respectful, clear, and focused on the child’s welfare while fulfilling safeguarding responsibilities.

How can I effectively communicate with parents or guardians when there are concerns about non-accidental injury?