PEDIATRICS Vol. 78 No. 6 December 1986, pp. 1013-1020
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Violent Death in Children in a Metropolitan County: Changing Patterns of Homicide, 1958 to 1982

Jerome A. Paulson MD1 and Norman B. Rushforth PhD1

1 From the Departments of Pediatrics, Biology, and Epidemiology and Biostatistics, Case Western Reserve University, Cleveland

Death rates from homicide in children younger than 15 years of age in the United States have increased during the last 30 years. Previous studies have suggested a typology consisting of fatal child abuse in young children and community violence in older children. We reviewed the data from the Cuyahoga County, Ohio, coroner's office pertaining to homicides in children less than 15 years of age between 1958 and 1982 and obtained similar findings. The homicide rates for city children increased from 1.1 to 6.7/100,000 in the first 20 years and then stabilized. Nonwhite boys had the highest death rates except in one period. Assailants were usually adolescent and young adult men of the same race; however, 43% of children less than 5 years of age were killed by women. The older the child, the more likely the homicide was to have been committed by a nonrelative, outside of the home, and with a firearm. Overall, firearms are the leading cause of homicide (36.2%). The temporal characteristics of child homicides are also described.

Key Words: homicide • child abuse • fatal injuries • community violence • firearms

Submitted on August 30, 1985
Accepted on February 19, 1986


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