Contextual predictors of child fatality and near fatality cases due to abuse and neglect

Antonio R. Garcia, Nneka Ibekwe-Okafor, Sarah Wasch, Minseop Kim

Research output: Contribution to journalArticlepeer-review


Little is known about what factors predict fatality and near fatality (NF) involving child maltreatment and if predictors differ between them. Analyses of cases in 2017 and 2018 in one Mid-Atlantic state revealed that prior child welfare history and prevalence of risk factors, such as substance abuse, mental illness, interpersonal violence, chronic abuse, incarceration, sibling injuries, and unstable housing did not differ between fatality and NF cases. Logistic regression revealed fatalities decreased by 78% if victims received Emergency Room treatment. Findings underscore the need to train providers about risk factors and to develop interventions that increase utilisation of medical services.

Original languageEnglish
Pages (from-to)1086-1104
Number of pages19
JournalChildren and Society
Issue number5
StatePublished - Sep 2022

Bibliographical note

Funding Information:
We would like to thank the state entity who funded the project and collaborated with the research team.

Publisher Copyright:
© 2022 National Children's Bureau and John Wiley & Sons Ltd.


  • child abuse
  • child protection
  • social services

ASJC Scopus subject areas

  • Health(social science)
  • Education
  • Life-span and Life-course Studies


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