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Fourth National Incidence Study of Child Abuse and Neglect (NIS–4)

Fourth National Incidence Study of Child Abuse and Neglect (NIS–4)

Fourth National Incidence Study of Child Abuse and Neglect (NIS–4)

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3.1.5 Severity <strong>of</strong> Outcomes from Harm St<strong>and</strong>ard MaltreatmentThe NIS classifies children on the basis <strong>of</strong> the most severe injury or harmthey suffered from maltreatment. Table 3–2 presents the distribution <strong>of</strong> the children whoexperienced Harm St<strong>and</strong>ard maltreatment across the levels <strong>of</strong> outcomes resulting fromtheir maltreatment. Each maltreated child appears in only one row <strong>of</strong> this table, so therow entries sum to the total number <strong>of</strong> children who were countable under the HarmSt<strong>and</strong>ard. 29 Fatal injury. An estimated 2,400 children died in 2005–2006 as a result <strong>of</strong>Harm St<strong>and</strong>ard abuse or neglect. This reflects an annual incidence rate <strong>of</strong> maltreatmentrelatedfatalities <strong>of</strong> 0.03 per 1,000 children in the U.S., which is equivalent to 3 childrenper every 100,000, or one in every 33,300, in the U.S. child population.Table 3–2. Severity <strong>of</strong> Outcomes from Harm St<strong>and</strong>ard Maltreatment in the NIS–4 (2005–2006),<strong>and</strong> Comparison with the NIS–3 (1993) <strong>and</strong> the NIS–2 (1986) Harm St<strong>and</strong>ard FindingsSeverity <strong>of</strong> Injury orHarmFatalSeriousModerateInferredTOTALNIS–4 Estimates2005–2006EstimatedTotalRate per1,000<strong>Child</strong>ren2,400 0.03487,900 6.6694,700 9.471,500 1.01,256,600 17.1Comparisons With Earlier StudiesNIS–3 Estimates1993Rate perEstimated1,000Total<strong>Child</strong>ren1,500 0.02 ns565,000 8.4 ns822,000 12.2 ns165,300 2.5 *1,553,800 23.1 mNIS–2 Estimates1986Rate perEstimate1,000d Total<strong>Child</strong>ren1,100 0.02 m141,700 2.3 *682,700 10.8 ns105,500 1.7 *931,000 14.8 ns* The difference between this <strong>and</strong> the NIS–4 incidence rate is significant at pp>.05).ns The difference between this <strong>and</strong> the NIS–4 incidence rate is neither significant nor marginal (p>.10).Note: Estimated totals are rounded to the nearest 100.29 Compare the Table 3–2 “Total” with “All Maltreatment” in Table 3–1.3–11

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