This Child Fatality information provided by the Injury & Violence Prevention section of the Office of Disease Prevention & Epidemiology.
1999 Child Fatality Review Suffocation Deaths
There were 17 deaths from suffocation in 1999. Suffocation deaths among children numbered
12 in 1997 and 25 in 1998. Of the 17 deaths in 1999, 41% (7) were unintentional, 24% (4)
were suicides, 18% (3) were homicides, and 18% (3) were undetermined.
The mechanisms of death in these cases included self hanging in 24% (4) of deaths, parents
rolling over on top of a child in a bed or couch in 24% (4) of deaths, and a variety of other
mechanisms each accounting for 1 or 2 deaths. No choking deaths occurred.
Of the 4 deaths by self hanging, 75% (3) were male. All were white. Three (75%) of these children came from families with a history of receiving services from the SCF. Two children had a documented history of a social/emotional disability and three had diagnosed mental health problems. Three of the victims had also been involved with juvenile justice with past arrests/convictions for crimes.
A more complete discussion of all suicide/intentional self harm deaths can be found in the Special Topics: Suicide/Intentional Self Harm Section.
All 4 overlay deaths occurred in children under one year of age. They all died at their own
home. A history of alcohol or drug abuse was found to be a factor in one of these cases. Three of these children had a history of receiving services from SCF.
Manner of death (or intent) is often difficult to determine in overlay deaths. Of the 4 over-lay
deaths all were classified as unintentional. There was no death scene investigation in one
of the deaths.
Recommendations to Prevent Suffocation Deaths
- Educate parents about how alcohol and drug abuse create a risk of rolling over on their children when sleeping with them.
- Conduct a thorough death scene investigation and autopsy on all unexplained infant deaths to assist in differentiating between natural, accidental and intentional deaths.
- Recommendations for preventing suicide are described later in this report (Special Topics: Suicide/Intentional Self Harm).
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