INFANT ABANDONMENT AND MALTREATMENT 2001-2015 North Carolinas - - PowerPoint PPT Presentation

▶
infant abandonment
SMART_READER_LITE
LIVE PREVIEW

INFANT ABANDONMENT AND MALTREATMENT 2001-2015 North Carolinas - - PowerPoint PPT Presentation

Oct 06, 2023 207 likes •474 views

INFANT ABANDONMENT AND MALTREATMENT 2001-2015 North Carolinas Office of the Chief Medical Examiner 2017 North Carolina Child Fatality Prevention Team Kerry Robbins, MS Meghan Shanahan, Ph.D. Lisa Mayhew, MS Mary Bynum

slide-1
SLIDE 1

INFANT ABANDONMENT AND MALTREATMENT 2001-2015

North Carolina’s Office

  • f

the Chief Medical Examiner 2017

North Carolina Child Fatality Prevention Team

Kerry Robbins, MS Lisa Mayhew, MS Meghan Shanahan, Ph.D. Mary Bynum

slide-2
SLIDE 2

Legal Outcomes

▪ 2008-2013 ▪ Data

▪ Victim, suspect/perpetrator demographics ▪ Legal information ▪ Location

  • f

incident ▪ Relationship

  • f

suspect/perpetrator to decedent

▪ Primarily biological mother and father ▪ Legal

  • utcomes

database use

NC OCME 2017

slide-3
SLIDE 3

OBJECTIVES

  • 1. Quantify

infant abandonment deaths(first year

  • f

life) from 2001-2015

NC OCME 2017

  • 2. Quantify

all infant maltreatment deaths (first 3 months) from 2001-2015

slide-4
SLIDE 4

Outline

All Infant Death

  • Accidental
  • Homicide
  • Undetermined
  • Suicide
  • Natural

Abandonment: Child left not cared for can include: Asphyxia Drowning Blunt in nature Maltreatment: Abuse and neglect

NC OCME 2017

slide-5
SLIDE 5

Definitions

NC OCME 2017

Abandoned Infant Deaths

  • 0-11

months

  • Viability
  • Fetus

born at gestational age termed viable ( >22 weeks)

  • Live

birth

  • If

clearly stated live birth, counted

  • If

clearly stated not a live birth, did not count

  • If

unknown, but viable, counted Infant Maltreatment Deaths

  • 0-90

days

  • Maltreatment:

abuse and neglect (WHO)

slide-6
SLIDE 6
  • 1. QUANTIFY INFANT ABANDONMENT

DEATHS FROM 2001-2015

NC OCME 2017

slide-7
SLIDE 7

Infant Fatalities age 0 through 11 months from 2001-2015

NC OCME 2017

Total: 3,203 Accidents: 572 Homicide: 168 Undetermined: 672 Natural: 1,851

500 1000 1500 2000 2500 3000 Accidents Homicides Undetermined Natural

Infant Fatality 2001-2015

slide-8
SLIDE 8

NC OCME 2017

Infant Fatalities age 0 through 11 months from 2001-2015

5 10 15 20 25 30 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Abandoned infants Rate per 100,000

slide-9
SLIDE 9

Infant Fatality 2001-2015 By Manner—Accident

NC OCME 2017

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Number 31 33 32 40 55 42 48 41 31 32 37 42 34 28 36 100 200 300 400 500

Infant Fatalities: Accidents

slide-10
SLIDE 10

Infant Fatality 2001-2015 By Manner—Homicide

NC OCME 2017

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Number 8 15 10 12 20 16 14 15 6 5 3 13 13 6 11 20 40 60 80 100 120 140 160

Infant fatalities: Homicides

slide-11
SLIDE 11

Infant Fatality 2001-2015 By Manner—Natural

NC OCME 2017

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Number 159 143 156 156 163 143 159 190 164 101 86 68 58 62 34 200 400 600 800 1000 1200 1400 1600 1800

Infant Fatalities: Natural

slide-12
SLIDE 12

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Number 7 22 15 14 6 17 20 26 50 69 70 88 75 103 104 100 200 300 400 500 600

Infant Fatalities: Undetermined

Infant Fatality 2001-2015 By Manner—Undetermined

NC OCME 2017

slide-13
SLIDE 13

Yearly Comparison

NC OCME 2017

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Accident

1

Homicide

1 3 2 3 4 4 1 1

Natural

1 1 1 1

Undetermined

1 1 1 1 1

Total

4 3 3 3 6 1 4 1 2 1 1

slide-14
SLIDE 14

Full Picture

NC OCME 2017

  • Abandoned

Infants

  • Accident:

2002

  • Homicide:

2001, 2002 (3), 2003 (2), 2004 (3), 2005 (4), 2007 (4), 2009, 2011

  • Undetermined:

2001, 2005, 2006, 2012, 2014

  • Natural:

2001, 2003, 2005, 2011 Total: 29 Respon ponsi sible ble adu dult Age (years ars) Mother 14 Over 18 3 Father Under 18 11 Other Unknown 16 Unknown 16 Age (of infant) ant) 15 1 day 13 2 day 1

slide-15
SLIDE 15

Context

NC OCME 2017

Means Number er

  • f

infa fant fatal taliti ities es Medical Treatment 18 Gun 6 Fire, burns, carbon monoxide 19 Blunt 128 Asphyxia 366 Drowning 26

slide-16
SLIDE 16
  • 2. QUANTIFY ALL INFANT

MALTREATMENT DEATHS WITHIN THE FIRST 3 MONTHS

NC OCME 2017

slide-17
SLIDE 17

Infant Maltreatment Fatalities age 0-90 days from 2001-2015

NC OCME 2017

Total: 1,833 Accidents: 279 Homicide:71 Undetermined: 390 Natural: 1,087

200 400 600 800 1000 1200 1400 1600 1800 Accidental Homicides Undetermined Natural

Infant Maltreatment Deaths 2001-2015

slide-18
SLIDE 18

Infant Maltreatment Fatalities age 0-90 days from 2001-2015

NC OCME 2017 10 20 30 40 50 60 70 80 90 100 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Maltreated infants Rate per 100,000

slide-19
SLIDE 19

Infant Maltreatment (0-90 days) 2001-2015 By Manner—Accident

NC OCME 2017

Tota tal Infan ant Dea eaths ths- Accide dent nt

2001 15 2002 16 2003 17 2004 25 2005 31 2006 18 2007 26 2008 17 2009 12 2010 14 2011 17 2012 24 2013 17 2014 11 2015 19

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Number 1 2 1 1 1 1 2 4 6 8 10 12 14 16

Infant Maltreatment: Accidents

slide-20
SLIDE 20

Infant Maltreatment (0-90 days) 2001-2015 By Manner—Homicide

NC OCME 2017

Tota tal Infan ant Dea eaths ths- Homic icid ide

2001 4 2002 7 2003 3 2004 6 2005 11 2006 10 2007 5 2008 7 2009 3 2010 1 2011 2 2012 2 2013 2 2014 3 2015 4

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Number 4 6 3 6 10 10 4 4 2 3 1 1 2 3 4 10 20 30 40 50 60 70 80

Infant Maltreatment: Homicides

slide-21
SLIDE 21

Infant Maltreatment (0-90 days) 2001-2015 By Manner—Undetermined

NC OCME 2017

Tota tal Infan ant Dea eaths ths- Unde dete termine ined

2001 5 2002 10 2003 10 2004 12 2005 5 2006 10 2007 10 2008 13 2009 30 2010 26 2011 39 2012 57 2013 47 2014 63 2015 53

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Number 1 1 1 1 2 1 2 2 1 2 3 4 5 6 7 8 9 10

Number

slide-22
SLIDE 22

Full Picture

▪ Infant Maltreatment related deaths

▪ Accident: 7 ▪ Homicide: 64 ▪ Undetermined: 11 ▪ Natural:

Total: 82

NC OCME 2017

Infant Deaths Means Animals 1 Asphyxia 8 Blunt 39 Drowning 4 Environmental 1 Exposure 6 Fire 1 Motor Vehicle 3 Other 5 Sharp 2 Toxin 1 Unknown 11

slide-23
SLIDE 23

Yearly Comparison

NC OCME 2017

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Total al

Accident

1 2 1 1 1 1 7

Homicide

5 6 3 6 10 10 4 4 2 3 1 1 2 3 4 64

Undetermined

1 1 1 1 2 1 2 2 11

Total

6 9 4 6 12 11 5 5 2 5 3 3 2 5 4

slide-24
SLIDE 24

Demographics

NC OCME 2017

Infa fant Maltr trea eatm tmen ent-chi child ld demog

  • graphic

phics Sex Race Hispanic Male: 52 Black: 31 Yes: 10 Female: 31 White: 39 No: 71 Unknown: 1 Unknown 12 Unknown: 2 Infa fant Maltr trea eatm tmen ent- caregive giver demog

  • graphic

phics Respon ponsi sible ble adul ult Age (years ars) Mother 33 Over 18 15 Father 28 Under 18 10 Parents 2 Unknown 57 Other 5 Unknown 14

slide-25
SLIDE 25

Take Away

▪ Abandoned infants

▪ A decrease in deaths attributed to abandoned infants after the passing

  • f

the law. ▪ Overall infant fatality within the first year: asphyxia and blunt and take the lead.

▪ Mechanisms first 24 hours ▪ Toxin, Asphyxia, Drowning, Sharp, Gun, Unknown, Exposure

▪ Infant Maltreatment

▪ Method

  • f

injury: Blunt ▪ Primarily from mother

  • r

father as the perpetrator

▪ Overall, either seeing a decrease

  • r

no change

▪ Decrease in abandoned infants ▪ Deaths in first 3 months

  • f

life, steady

NC OCME 2017