Child Fatalities and Near-Fatalities

Current Documents

What are Child Fatalities and Near-Fatalities?

The County is required by state law to review each death or near-death of a child and use the information to improve practice and systems. The 2008 Act 33 Amendment to the Child Protective Services law requires state and local reviews of all child fatalities and near-fatalities that result from suspected child abuse.

2019-2021 Child Fatalities and Near-Fatalities Key Findings

  • In Allegheny County from 2019 through 2021 there were 58 child fatalities or near fatalities. The number of total incidents rose each of these years, with 2021 experiencing 25—the highest number since the review process was developed in 2008
  • The age distribution of the victims in these years was consistent with the average distribution across all prior years. Most victims (44%, 26) were under one year of age, followed by 9 victims (16%) at age one
  • Blunt force/penetrating trauma (36%, 21) was the leading causes of both fatal and near-fatal injuries.  There were more incidents caused by drug ingestion or poisoning in 2021 (8) than in previous years
  • Most families (58%) had prior CYF involvement and 33% had active involvement at the time of the incident
  • Parents of the children remained the vast majority (70%) of named perpetrators, as with years prior

What can the dashboard tell us?

This dashboard and series of reports describes findings and outcomes from child fatality/near-fatality (CFNF) reviews. Information about the incidents–including victim and perpetrator demographics, cause of death/injury and families’ prior involvement with the child welfare system–is available in these reports as well as case practice and system reforms enacted to reduce the likelihood of future child abuse-related incidents.

Trouble viewing the dashboard below? You can view it directly here.

How is this information being used?

In addition to the state required reporting of child fatalities and near-fatalities, DHS has used the information to make recommendations to prevent these tragedies in the future. These recommendations include:

  • Improved collaboration with medical physicians
  • Upstream prevention and intervention services
  • Integration of the child welfare system and the substance use treatment system
  • Community and firearm violence reduction
  • Applying safety science to child protection

In depth explanations of these recommendations can be found in the “current documents” section above.


Previous reports