{"id":31833,"date":"2020-11-13T17:42:02","date_gmt":"2020-11-13T17:42:02","guid":{"rendered":"https:\/\/caseyfamilyv2.wpengine.com\/fatal-child-abuse-underreporting-2\/"},"modified":"2026-08-04T22:52:34","modified_gmt":"2026-08-04T22:52:34","slug":"denuncia-insuficiente-de-casos-de-maltrato-infantil-con-resultado-de-muerte","status":"publish","type":"post","link":"https:\/\/www.casey.org\/es\/fatal-child-abuse-underreporting\/","title":{"rendered":"\u00bfLa revisi\u00f3n de los datos de los certificados de defunci\u00f3n revel\u00f3 un subregistro de muertes por maltrato infantil?"},"content":{"rendered":"<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>This summary synthesizes findings from a single research study, <em><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/190980\" target=\"_blank\" rel=\"nofollow noreferrer noopener\">Underascertainment of child abuse mortality in the United States. <\/a><\/em><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>What can we learn from this study?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:heading --><\/p>\n<p><!-- \/wp:heading --><!-- wp:paragraph -->Although the number of states with fatality review teams has increased, the true incidence of child abuse fatalities is unknown. This study compared the coded causes of deaths on death certificates of children ages 10 and younger in North Carolina with data from the state&#8217;s Medical Examiner&#8217;s office, which has perpetrator information (collected through its own records and from law enforcement agencies). Researchers completed a case-level review of all child homicides, which allowed them to determine the proportion of child abuse deaths missed by the vital records system.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text 3060 is-style-3060 wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Study details<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><ul>\n<li><strong>Population:<\/strong> 259 homicide deaths of children 10 years old or younger who were residents of North Carolina<\/li>\n<li><strong>Data source:<\/strong> North Carolina Medical Examiner Information System cause-of-death classifications of homicide and injury purposefully inflicted on other persons (using the International Classification of Diseases, Ninth Revision)<\/li>\n<li><strong>Methodology:<\/strong> Retrospective descriptive study<\/li>\n<li><strong>Dates:<\/strong> 1985 &#8211; 1994<\/li>\n<\/ul>\n<p class=\"note\"><strong>Citation:<\/strong> Herman-Giddens, M. E., Brown, G., Verbiest, S., Carlson, P. J., Hooten, E. G., Howell, E., &amp; Butts, J. D. (1999). Underascertainment of child abuse mortality in the United States. <em>JAMA, 282<\/em>(5), 463-467.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>What are the critical findings?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- \/wp:heading --><!-- wp:list --><\/p>\n<ul class=\"wp-block-list\">\n<li>Child abuse accounted for 84.9% of all child homicides (<i>N=220<\/i> out of 259). The remainder was either not related to abuse (8.5%) or indeterminate (6.6%).<\/li>\n<li>The number of homicides caused by child abuse identified by the study (<i>N=220<\/i>) was 3.2 times higher than the number reported through the state&#8217;s vital records system (<i>N=68<\/i>).<\/li>\n<li>Most victims of child homicide were killed by parents (63%) or other caregivers known to them (34%) rather than strangers (3%). Among perpetrators who were biological parents, gender was fairly evenly split (52.3% males, 47.7% females). However, when including deaths at the hands of all caregivers (including relatives, friends, babysitters, stepparents, and boyfriends\/girlfriends), nearly two-thirds of perpetrators were male (65.5%).<\/li>\n<li>Study authors found that 58.7% of child abuse deaths in North Carolina were not coded as such.<\/li>\n<li>Extrapolating to the rest of the United States, study authors estimated that 61.6% of child abuse deaths nationwide were not coded as such.<\/li>\n<\/ul>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Why is this important for our work?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- \/wp:list-item --><\/p>\n<p><!-- \/wp:list --><!-- wp:heading --><\/p>\n<p><!-- \/wp:heading --><!-- wp:paragraph -->The classification of cause of death in vital records systems using the <i>International Classification of Diseases<\/i> undercounts the number of child fatalities that occur due to child abuse. Although the number of states with child fatality review teams has grown, not all fatalities are reviewed. Further study is needed regarding the risk factors for &#8211; and prevalence of &#8211; abuse-related fatalities, which can help develop and direct prevention efforts.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"qff_disclaimer align wp-block-disclaimer content-section\">\n <div class=\"container mx-auto px-0 md:px-5\">\n <div class=\"qff_disclaimer__wrapper text-salt-box text-xs font-sofiapro border-t-2 border-spring-wood\">\n <p>Casey Family Programs consults with individuals and teams across the country to compile research, experiences, and insights about approaches that can safely reduce the need for foster care and ensure the well-being of children and families. We share this information broadly to help child welfare leaders and their partners tackle similar issues in their own communities. For questions about this resource, or if you have other child welfare information needs, please email <a href=\"mailto:kmresources@casey.org\">kmresources@casey.org<\/a>.<\/p>\n\n <\/div>\n <\/div>\n<\/div>\n\n\n\n<div id=\"footnotes\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:2px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><script>\nvar 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ginput_container_radio'><ul class='gfield_radio' id='input_5_4'>\n\t\t\t<li class='gchoice gchoice_5_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Yes'  id='choice_5_4_0'    \/>\n\t\t\t\t<label for='choice_5_4_0' id='label_5_4_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='No'  id='choice_5_4_1'    \/>\n\t\t\t\t<label for='choice_5_4_1' id='label_5_4_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Select which best describes your 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