@article{ref1,
title="Child and adolescent violent deaths: an epidemiologic investigation",
journal="Journal of the National Medical Association",
year="2006",
author="McGowan, Angela Kay and Crosby, Alexander E. and La Hasbrouck, Mar and Boulton, Matthew L. and Kanluen, Sawait and Maseru, Noble A. W.",
volume="98",
number="2",
pages="158-164",
abstract="OBJECTIVES: An apparent increase in violent deaths among children and adolescents in Detroit, MI in 2002 prompted a coordinated epidemiologic investigation involving federal, state and local organizations. METHODS: A descriptive analysis of cases and violent deaths (homicide, suicide or firearm-related) among juveniles &lt;17 years was conducted, along with a case-control study using records from the medical examiner, police, schools and social service agencies. RESULTS: Twenty-nine cases were identified. Median age was 10 years (range 1 day-16 years), and 15 (52%) were male. There were 25 homicides, two suicides and two unintentional firearm-related deaths. Nine (31%) homicides resulted from child abuse and neglect, and eight (28%) were among bystanders. The most common mechanism of fatal injury was firearm (63%). Victims' families were more likely to have a history of familial violence, prior contact with the state social services agency, &gt; or = 2 adults and &gt; or = 4 persons in the household (P&lt;0.05). CONCLUSIONS: The 2002 deaths did not represent a statistically significant increase from previous years. Several findings were remarkable: the proportion of deaths among bystanders, females and children age &lt;5.  <p>Language: en</p>",
language="en",
issn="1943-4693",
doi="",
url="http://dx.doi.org/"
}