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The relationship between child death and child maltreatment

A research study on the attribution of cause of death in hospital settings

Front cover of The relationship between child death and child maltreatmentBy Corinne May-Chahal, Stephen Hicks and Jo Tomlinson (May 2004)

The relationship between child death and child maltreatment: a research study on the attribution of cause of death in hospital settings - executive summary (PDF, 339KB)

The systems currently in place to determine why over 6,000 children die each year are inadequate, both for the purposes of identifying whether or not maltreatment has contributed to the cause of death and for learning the lessons for future prevention.

Addressing new ground through enquiries into how decisions are reached about child deaths in a hospital setting, The relationship between child death and child maltreatment provides a valuable insight into how child deaths are handled and how systems can be improved.

Through a multi-method approach that combined:

  • a national survey on information processes in cases of unexpected child death
  • non-participant observation in an accident and emergency department
  • in-depth staff interviews
  • and documentary analysis

the authors identify that behind each category of cause of death there is a range of life and death stories.

The report calls for a number of improvements to be made to the child death enquiry process, including a more thorough and systematic investigation into the death of every child, a more ecological approach to information gathering and improved collective learning from child deaths and near deaths.

This report is essential reading for health professionals, coroners, policy makers, social workers and academics.

Full report:

May-Chahal, C., Hicks, S. and Tomlinson, J. (2004) The relationship between child death and child maltreatment: a research study on the attribution of cause of death in hospital settings. London: NSPCC. [NSPCC Policy Practice Research Series].
ISBN: 184228049X