Neonaticides in the United States

Abstract

Objective:

This study examines factors associated with homicide in the first 24 hours of life (i.e., neonaticide) in the United States.

Methods:

National Vital Statistics System (NVSS) linked birth-infant death data, for 50 states and the District of Columbia, from 2008 through 2017, were used to examine characteristics associated with neonaticide. National Violent Death Reporting System (NVDRS) data were used to examine circumstances of neonaticides that occurred in 14 states. Circumstances of neonaticides are described, and rates for maternal and infant characteristics are presented as rates per 100,000 person-years.

Results:

Among neonaticide victims in NVSS (N = 81), those of mothers who are young, unmarried, non-Hispanic, Black, and have lower education levels, are at an increased risk of neonaticide. Further, among mothers in NVDRS who committed neonaticide (N = 42), 66.7% were known to have given birth at a residence, without medical assistance. Approximately three-fourths (73.8%; n = 31) concealed their pregnancy, with 35.7% (n = 15) disposing of their infants in a trash receptacle after giving birth. Additionally, more than half of neonaticide victims were tested for alcohol, opioids, amphetamines, and cocaine, but a relatively small number tested positive for these substances.

Conclusions:

Results highlight the importance of identifying factors that elevate risk to neonates so these deaths can be prevented. As such, many mothers who commit neonaticide are young, unmarried, and conceal their pregnancy; thus, programs that prevent teen pregnancy, decrease shame and stigma associated with birth to young mothers, and provide support and resources to pregnant women, may help prevent neonaticide.

Keywords

Forensic pathology Neonaticide Infant homicide Medical examiner Coroner Violence

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References

Centers for Disease Control and Prevention (CDC). WISQARS: Leading Causes of Death Reports, 1981–2018. US Department of Health and Human Services, CDC; 2020. Updated February 20, 2020. Accessed September 12, 2019. https://webappa.cdc.gov/sasweb/ncipc/leadcause.html

Wilson

Klevens

Williams

. Infant homicides within the context of safe haven laws—United States, 2008–2017. Morb Mortal Wkly Rep 2020;69:1385–1390.

Paulozzi

Sells

Variations in homicide risk during infancy: US 1989-1998. MMWR Morb Mortal Wkly Rep. 2002;51(09):187–189.

Outwater

Mgaya

Campbell

Becker

Kinabo

Menick

. Homicide of children in Dar es Salaam, Tanzania. East Afr J Public Health. 2010;7(4):345–349.

Porter

Gavin

Infanticide, neonaticide: a review of 40 years of research literature on incidence and causes. Trauma Violence Abuse. 2010;11(3):99–112.

Crume

DiGuiseppi

Byers

Sirotnak

Garrett

. Underascertainment of child maltreatment fatalities by death certificates, 1990-1998. Pediatrics. 2002;110(2 Pt 1):e18.

McKee

Why Mothers Kill: A Forensic Psychologist’s Casebook. Oxford University. 2006.

Palusci

AAP Council on Child Abuse and Neglect. Kay

, et al. Identifying child abuse fatalities during infancy. Pediatrics. 2019;144(3):e20192076.

Levene

Bacon

. Sudden unexpected death and covert homicide in infancy. Arch of Dis Child. 2004; 89:443–447.

10.

Resnick

. Murder of the newborn: a psychiatric review of neonaticide. Am J Psychiatry.1970;126(10):1414–1420.

11.

Camperio Ciana

Fontanesi

Mothers who kill their offspring: testing evolutionary hypothesis in 110-case Italian sample. Child Abuse Negl. 2012;36(6):519–527.

12.

Friedman

Resnick

. Neonaticide: phenomenology and considerations for prevention. Int J Law Psychiatry. 2009;32(1):43–47.

13.

Tanaka

Berger

Valença

, et al. The world incidence of neonaticide: a systematic review. Arch Womens Ment Health. 2017;20(2):249–256.

14.

Vellut

Cook

Tursz

. Analysis of the relationship between neonaticide and denial of pregnancy using data from judicial files. Child Abuse Negl. 2012;36(7–8):553–563.

15.

Overpeck

Brenner

Trumble

Trifiletti

Berendes

. Risk factors for infant homicides in the United States. N Engl J Med. 1998;339(17):1211–1216.

16.

Patrick

Schiff

; AAP Committee on Substance Use and Prevention. . A public health response to opioid use in pregnancy. Pediatrics. 2017;139(3):e2016–4070.

17.

Gomez-Pomar

Finnegan

. The epidemic of neonatal abstinence syndrome, historical references of its’ origins, assessment, and management. Front Pediatr. 2018;6:33.

18.

Kocherlakota

. Neonatal abstinence syndrome. Pediatrics. 2014;134(2):e547–561.

19.

Craig

. Perinatal risk factors for neonaticide and infant homicide: can we identify those at risk? JRSM. 2004;97(2):57–61.

20.

Ewigman

Kivlahan

Land

. The Missouri child fatality study: underreporting of maltreatment fatalities among children younger than five years of age, 1983 through 1986. Pediatrics. 1993;91(2):330–337.

21.

Schnitzer

Covington

Wirtz

Verhoek-Oftedahl

Palusci

. Public health surveillance of fatal child maltreatment: analysis of 3 state programs. Am J Public Health. 2008;98(2):296–303.

22.

Centers for Disease Control and Prevention. National Center for Health Statistics. National Vital Statistics System. Maryland. Updated August 28, 2018. Accessed November 19, 2019. https://www.cdc.gov/nchs/nvss/linked-birth.htm

23.

Centers for Disease Control and Prevention. National Violent Death Reporting System. Updated November 7, 2019. Accessed January 31, 2020. https://www.cdc.gov/violenceprevention/pdf/NVDRS-factsheet508.pdf

24.

Centers for Disease Control and Prevention. National Center for Health Statistics. Classification of Diseases, Functioning, and Disability. International Classification of Diseases, Tenth Revision (ICD-10). Updated 2021. Accessed August 29, 2021. https://www.cdc.gov/nchs/icd/icd10.htm

25.

Rosengren

KE.

Advances in Scandinavia content analysis: an introduction. In: Rosengren KE, eds. Advances in Content Analysis. SAGE; 1981: 9–19.

26.

Centers for Disease Control and Prevention. National Violent Death Reporting System (NVDRS) Coding Manual Revised [Online] 2021 National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (producer). Updated September 28, 2021. AccessedAugust 23, 2021. https://www.cdc.gov/violenceprevention/pdf/nvdrs/NVDRS-Coding-Manual-Version-5.5.pdf

27.

McLanahan

. Fragile families and the reproduction of poverty. Ann Am Acad Pol Soc Sci. 2009;621(1):111–131.

28.

American Academy of Pediatrics Council on Community Pediatrics. Poverty and child health in the United States. Pediatrics. 2016;137(4):e20160339.

29.

Resnick

. Filicide in the United States. Indian J Psychiatry. 2016;58(2):S203–S209.

30.

Bourget

Gagne

. Maternal filicide in Quebec. J Am Acad Psychiatry Law. 2002;30(3):345–351.

31.

Krischer

Stone

Sevecke

Steinmeyer

. Motives for maternal filicide: results from a study with female forensic patients. Int J Law Psychiatry. 2007;30(3):191–200.

32.

Logan

Walsh

Patel

Hall

. Homicide-followed-by-suicide incidents involving child victims. Am J Health Behav. 2013;37(4):531–542.

33.

McKee

Egan

. A case series of twenty-one maternal filicides in the UK. Child Abuse Negl. 2013;37(10):753–761.

34.

Hatters-Friedman

Cavney

Resnick

. Child murder by parents and evolutionary psychology. Psychiatr Clin N Am. 2012;35(4):781–795.

35.

The National Safe Haven Alliance [Internet]. National Statistics; c1999-2018. Accessed August 23, 2019. https://www.nationalsafehavenalliance.org/

36.

Child Welfare Information Gateway. Infant Safe Haven Laws. US Department of Health and Human Services, ACF; 2017.

37.

United States Department of Health and Human Services. Office of the assistant secretary for planning and evaluation. Accessed November 20, 2019. https://aspe.hhs.gov/teen-pregnancy-prevention

38.

Lindberg

Santelli

Desai

. Understanding the decline in adolescent fertility in the United States, 2007-2012. J Adolesc Health. 2016;59(5):577–583.

39.

Guttmacher Institute. An overview of consent to reproductive health services by young people. Updated March 1, 2020. Accessed January 31, 2022. Available at https://www.guttmacher.org/state-policy/explore/overview-minors-consent-law

40.

Fortson

Klevens

Merrick

Gilbert

Alexander

. Preventing Child Abuse and Neglect: A Technical Package for Policy, Norm, and Programmatic Activities. US Department of Health and Human Services, CDC, National Center for Injury Prevention and Control; 2016.

Neonaticides in the United States—2008-2017

Abstract

Objective:

Methods:

Results:

Conclusions:

Keywords

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References