Child deaths of undetermined intent

An analysis of circumstances using Illinois Violent Death Reporting System data

Han Wei Wu*, Suzanne G. McLone, Maryann Mason, Karen M Sheehan

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: There is little information available about the circumstances surrounding the deaths of children aged 0 to 14 in which the manner of death is of undetermined intent. METHODS: We analyzed data collected in the Illinois Violent Death Reporting System (IVDRS) to describe victim demographics, location of injury, seasonality, day of week, and circumstances surrounding the victims’ deaths. RESULTS: From 2005 to 2010 in Cook County, Illinois, 192 cases were identified of children aged 0-14 years, in which the manner of death was of undetermined intent. The majority of cases were under the age of 1 (81%), male (62%), non-Hispanic black (66%), occurred in the City of Chicago (65%), and also occurred most frequently during the months of May (15%) and July (13%), and on Sunday (19%). Circumstances of note were: having information on the location of death available for victim (90%); scene investigation was not performed/unknown/not documented (81%); and the victim not presenting with red petechiae (84%). By ethnicity, a lower proportion of Hispanic victims had parental drug information available compared to non-Hispanic victims (17% and 40%, respectively, p=0.017); Hispanic victims were more likely than non-Hispanic victims to have a documented acute illness at the time of injury leading to death (57% and 33%, respectively, p=0.015). The availability of scene information and the successful contact of one or both parents of the victim following the victim’s death varied by location. CONCLUSIONS: No public health surveillance system exists for the collection of this type of death. There is not enough information provided to develop an effective intervention. The systematic, thorough collection of information surrounding these deaths is necessary to pinpoint possible contributing mechanisms of death for these children. LEVEL OF EVIDENCE: Epidemiologic Level IV

Original languageEnglish (US)
JournalJournal of Trauma and Acute Care Surgery
DOIs
StateAccepted/In press - May 25 2017

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Information Systems
Research Design
Hispanic Americans
Public Health Surveillance
Purpura
Wounds and Injuries
Parents
Demography

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

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title = "Child deaths of undetermined intent: An analysis of circumstances using Illinois Violent Death Reporting System data",
abstract = "BACKGROUND: There is little information available about the circumstances surrounding the deaths of children aged 0 to 14 in which the manner of death is of undetermined intent. METHODS: We analyzed data collected in the Illinois Violent Death Reporting System (IVDRS) to describe victim demographics, location of injury, seasonality, day of week, and circumstances surrounding the victims’ deaths. RESULTS: From 2005 to 2010 in Cook County, Illinois, 192 cases were identified of children aged 0-14 years, in which the manner of death was of undetermined intent. The majority of cases were under the age of 1 (81{\%}), male (62{\%}), non-Hispanic black (66{\%}), occurred in the City of Chicago (65{\%}), and also occurred most frequently during the months of May (15{\%}) and July (13{\%}), and on Sunday (19{\%}). Circumstances of note were: having information on the location of death available for victim (90{\%}); scene investigation was not performed/unknown/not documented (81{\%}); and the victim not presenting with red petechiae (84{\%}). By ethnicity, a lower proportion of Hispanic victims had parental drug information available compared to non-Hispanic victims (17{\%} and 40{\%}, respectively, p=0.017); Hispanic victims were more likely than non-Hispanic victims to have a documented acute illness at the time of injury leading to death (57{\%} and 33{\%}, respectively, p=0.015). The availability of scene information and the successful contact of one or both parents of the victim following the victim’s death varied by location. CONCLUSIONS: No public health surveillance system exists for the collection of this type of death. There is not enough information provided to develop an effective intervention. The systematic, thorough collection of information surrounding these deaths is necessary to pinpoint possible contributing mechanisms of death for these children. LEVEL OF EVIDENCE: Epidemiologic Level IV",
author = "Wu, {Han Wei} and McLone, {Suzanne G.} and Maryann Mason and Sheehan, {Karen M}",
year = "2017",
month = "5",
day = "25",
doi = "10.1097/TA.0000000000001600",
language = "English (US)",
journal = "Journal of Trauma and Acute Care Surgery",
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T1 - Child deaths of undetermined intent

T2 - An analysis of circumstances using Illinois Violent Death Reporting System data

AU - Wu, Han Wei

AU - McLone, Suzanne G.

AU - Mason, Maryann

AU - Sheehan, Karen M

PY - 2017/5/25

Y1 - 2017/5/25

N2 - BACKGROUND: There is little information available about the circumstances surrounding the deaths of children aged 0 to 14 in which the manner of death is of undetermined intent. METHODS: We analyzed data collected in the Illinois Violent Death Reporting System (IVDRS) to describe victim demographics, location of injury, seasonality, day of week, and circumstances surrounding the victims’ deaths. RESULTS: From 2005 to 2010 in Cook County, Illinois, 192 cases were identified of children aged 0-14 years, in which the manner of death was of undetermined intent. The majority of cases were under the age of 1 (81%), male (62%), non-Hispanic black (66%), occurred in the City of Chicago (65%), and also occurred most frequently during the months of May (15%) and July (13%), and on Sunday (19%). Circumstances of note were: having information on the location of death available for victim (90%); scene investigation was not performed/unknown/not documented (81%); and the victim not presenting with red petechiae (84%). By ethnicity, a lower proportion of Hispanic victims had parental drug information available compared to non-Hispanic victims (17% and 40%, respectively, p=0.017); Hispanic victims were more likely than non-Hispanic victims to have a documented acute illness at the time of injury leading to death (57% and 33%, respectively, p=0.015). The availability of scene information and the successful contact of one or both parents of the victim following the victim’s death varied by location. CONCLUSIONS: No public health surveillance system exists for the collection of this type of death. There is not enough information provided to develop an effective intervention. The systematic, thorough collection of information surrounding these deaths is necessary to pinpoint possible contributing mechanisms of death for these children. LEVEL OF EVIDENCE: Epidemiologic Level IV

AB - BACKGROUND: There is little information available about the circumstances surrounding the deaths of children aged 0 to 14 in which the manner of death is of undetermined intent. METHODS: We analyzed data collected in the Illinois Violent Death Reporting System (IVDRS) to describe victim demographics, location of injury, seasonality, day of week, and circumstances surrounding the victims’ deaths. RESULTS: From 2005 to 2010 in Cook County, Illinois, 192 cases were identified of children aged 0-14 years, in which the manner of death was of undetermined intent. The majority of cases were under the age of 1 (81%), male (62%), non-Hispanic black (66%), occurred in the City of Chicago (65%), and also occurred most frequently during the months of May (15%) and July (13%), and on Sunday (19%). Circumstances of note were: having information on the location of death available for victim (90%); scene investigation was not performed/unknown/not documented (81%); and the victim not presenting with red petechiae (84%). By ethnicity, a lower proportion of Hispanic victims had parental drug information available compared to non-Hispanic victims (17% and 40%, respectively, p=0.017); Hispanic victims were more likely than non-Hispanic victims to have a documented acute illness at the time of injury leading to death (57% and 33%, respectively, p=0.015). The availability of scene information and the successful contact of one or both parents of the victim following the victim’s death varied by location. CONCLUSIONS: No public health surveillance system exists for the collection of this type of death. There is not enough information provided to develop an effective intervention. The systematic, thorough collection of information surrounding these deaths is necessary to pinpoint possible contributing mechanisms of death for these children. LEVEL OF EVIDENCE: Epidemiologic Level IV

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U2 - 10.1097/TA.0000000000001600

DO - 10.1097/TA.0000000000001600

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JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

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