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February 27, 2002

Risk Factors for Violent Death in Children—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(8):983-984. doi:10.1001/jama.287.8.983

In Reply: We share Dr Barger's concern that school-associated violent deaths should be considered in the context of other types of violent death faced by children in the United States. It is for this reason that we stated that "school-associated violent deaths represent a small fraction of all homicides and suicides that occur among school-aged children." In fact, school-associated violent deaths represent less than 1% of all violent deaths experienced by school-aged children, as noted in our study. Children are at far greater risk of violent death at home or in the community than they are at school. With this in mind, the US Centers for Disease Control and Prevention (CDC) has made reducing deaths due to child maltreatment a priority by supporting enhanced surveillance and prevention research.

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