Fatality Facts 2024Children

Overview

Deaths of children younger than 13 in motor vehicle crashes have declined since 1975, but crashes still cause 1 of every 4 unintentional injury deaths (National Center for Injury Prevention and Control, 2026).

Most crash deaths occur among children traveling as passenger vehicle occupants, and proper restraint use can reduce these fatalities. Restraining children in rear seats instead of front seats reduces fatal injury risk by about three-quarters for children up to age 3, and almost half for children ages 4 to 8 (Durbin et al., 2015).

All 50 states and the District of Columbia have child restraint laws on the books. However, even though more children now ride restrained because of these laws, many children, particularly those 4 and older, still ride unrestrained (NHTSA, 2025).

Twenty-one states have laws requiring children to sit in the rear, but there is considerable variation among the laws based on the child’s age, height, weight and whether the vehicle has frontal airbags. The District of Columbia and all states except Oklahoma require all child occupants younger than 13, including those sitting in the rear, to be restrained.

The following facts are based on analysis of data from the U.S. Department of Transportation’s Fatality Analysis Reporting System.

Posted June 2026.

Age and sex

In 1975, infants (younger than 1) had a much higher passenger vehicle occupant fatality rate per capita than children of other ages, but this gap has narrowed over the years. Since 1975, fatality rates have dropped 67% for infants, 76% for children ages 1-3, 59% for children ages 4-8 and 58% for children ages 9-12. 

Passenger vehicle child occupant deaths per million children by age, 1975-2024

Passenger vehicle child occupant deaths per million children by age, 1975-2024
Year <1 year 1-3 years 4-8 years 9-12 years
Population Deaths Rate Population Deaths Rate Population Deaths Rate Population Deaths Rate
1975 3,152,345 190 60.3 9,333,943 397 42.5 17,579,867 452 25.7 15,785,149 351 22.2
1976 3,115,391 172 55.2 9,166,175 391 42.7 17,444,438 435 24.9 15,274,700 340 22.3
1977 3,278,804 189 57.6 9,129,735 410 44.9 17,194,329 458 26.6 14,734,464 345 23.4
1978 3,326,388 192 57.7 9,317,815 406 43.6 16,838,903 448 26.6 14,424,361 343 23.8
1979 3,426,309 171 49.9 9,461,992 382 40.4 16,465,482 474 28.8 14,425,176 306 21.2
1980 3,559,861 190 53.4 9,763,803 395 40.5 15,994,363 404 25.3 14,596,315 348 23.8
1981 3,607,455 172 47.7 10,011,438 329 32.9 15,894,690 402 25.3 14,536,357 287 19.7
1982 3,643,586 165 45.3 10,287,129 351 34.1 15,997,832 363 22.7 14,203,049 275 19.4
1983 3,649,198 157 43.0 10,499,379 356 33.9 16,268,975 372 22.9 13,701,745 253 18.5
1984 3,571,921 132 37.0 10,605,208 299 28.2 16,592,564 378 22.8 13,208,351 270 20.4
1985 3,678,657 130 35.3 10,594,540 325 30.7 17,015,987 382 22.4 12,970,952 289 22.3
1986 3,699,568 131 35.4 10,653,722 358 33.6 17,338,168 411 23.7 13,063,996 289 22.1
1987 3,703,294 158 42.7 10,725,924 388 36.2 17,651,459 469 26.6 13,267,570 298 22.5
1988 3,756,541 183 48.7 10,882,631 385 35.4 17,801,235 484 27.2 13,502,559 307 22.7
1989 3,858,435 183 47.4 10,981,085 402 36.6 17,938,226 528 29.4 13,912,858 360 25.9
1990 3,987,662 162 40.6 11,168,053 343 30.7 18,082,010 446 24.7 14,234,802 315 22.1
1991 4,009,515 143 35.7 11,468,844 340 29.6 18,154,546 440 24.2 14,607,842 311 21.3
1992 3,982,857 127 31.9 11,739,325 349 29.7 18,296,744 443 24.2 14,884,742 315 21.2
1993 3,908,335 152 38.9 11,898,416 361 30.3 18,612,278 435 23.4 14,916,835 281 18.8
1994 3,854,882 160 41.5 11,821,298 381 32.2 18,958,858 487 25.7 15,057,424 317 21.1
1995 3,813,169 153 40.1 11,668,778 347 29.7 19,309,487 483 25.0 15,129,050 353 23.3
1996 3,769,544 178 47.2 11,499,426 347 30.2 19,610,009 485 24.7 15,206,209 336 22.1
1997 3,779,543 133 35.2 11,371,094 329 28.9 19,788,553 505 25.5 15,425,793 368 23.9
1998 3,790,645 138 36.4 11,301,476 305 27.0 19,814,280 512 25.8 15,621,075 379 24.3
1999 3,819,903 142 37.2 11,269,665 311 27.6 19,629,729 499 25.4 15,947,842 365 22.9
2000 3,867,754 131 33.9 11,425,866 312 27.3 20,146,324 457 22.7 16,779,479 365 21.8
2001 4,025,873 108 26.8 11,497,211 292 25.4 19,875,164 451 22.7 16,943,147 333 19.7
2002 3,984,989 107 26.9 11,733,679 270 23.0 19,662,203 406 20.6 16,951,435 347 20.5
2003 4,033,482 120 29.8 11,922,039 266 22.3 19,522,343 403 20.6 16,709,738 329 19.7
2004 4,077,188 120 29.4 12,086,916 303 25.1 19,473,829 406 20.8 16,513,473 347 21.0
2005 4,106,627 119 29.0 12,135,517 247 20.4 19,614,024 416 21.2 16,293,227 294 18.0
2006 4,130,153 115 27.8 12,265,881 247 20.1 19,809,458 376 19.0 16,101,416 276 17.1
2007 4,257,020 96 22.6 12,403,983 225 18.1 20,011,375 335 16.7 15,913,431 249 15.6
2008 4,313,132 78 18.1 12,568,765 163 13.0 20,289,522 269 13.3 15,758,360 188 11.9
2009 4,261,494 69 16.2 12,857,476 180 14.0 20,780,673 288 13.9 15,853,769 219 13.8
2010 3,951,495 59 14.9 12,160,572 178 14.6 20,283,919 256 12.6 16,541,292 160 9.7
2011 3,963,264 59 14.9 12,040,695 156 13.0 20,421,887 252 12.3 16,495,407 188 11.4
2012 3,926,731 54 13.8 11,941,356 190 15.9 20,521,866 237 11.5 16,465,108 157 9.5
2013 3,931,411 49 12.5 11,929,234 162 13.6 20,465,693 248 12.1 16,393,293 179 10.9
2014 3,954,973 47 11.9 11,917,426 135 11.3 20,424,691 249 12.2 16,379,290 173 10.6
2015 3,984,144 50 12.5 11,917,777 173 14.5 20,380,178 256 12.6 16,481,981 189 11.5
2016 3,963,268 63 15.9 11,981,228 178 14.9 20,261,729 284 14.0 16,604,990 203 12.2
2017 3,882,437 76 19.6 12,012,185 173 14.4 20,155,615 247 12.3 16,676,173 186 11.2
2018 3,826,908 61 15.9 11,929,712 160 13.4 20,176,658 237 11.7 16,620,321 180 10.8
2019 3,762,227 53 14.1 11,763,116 127 10.8 20,200,429 251 12.4 16,540,968 186 11.2
2020 3,735,010 53 14.2 11,548,435 130 11.3 20,176,890 243 12.0 16,426,812 187 11.4
2021 3,564,493 85 23.8 11,327,107 141 12.4 20,168,671 306 15.2 16,630,825 187 11.2
2022 3,683,113 65 17.6 11,025,015 137 12.4 19,821,491 221 11.1 16,263,851 176 10.8
2023 3,648,654 55 15.1 11,053,912 142 12.8 19,863,724 198 10.0 16,404,904 165 10.1
2024 3,615,598 71 19.6 11,159,965 116 10.4 19,848,459 207 10.4 16,614,665 156 9.4

The per capita fatality rate is similar for males and females younger than 13. For older ages, the per capita fatality rate is higher for males compared with females.

Motor vehicle crash deaths per million people by age and sex, 2024
Sex and age Population Deaths Rate
Males 12 & under 26,186,557 397 15.2
Females 12 & under 25,052,130 396 15.8
Males over 12 142,151,325 27,879 196.1
Females over 12 146,720,976 10,333 70.4
Total* 340,110,988 39,254 115.4

Half of children younger than 13 who were killed in motor vehicle crashes in 2024 were male. The sex difference in fatalities was greater among child bicyclists (81% males, 19% females) than among child pedestrians (59% males, 41% females). More females (56%) than males (44%) were killed as occupants of passenger vehicles.

Motor vehicle crash deaths among children younger than 13 by type and sex, 2024
Male Female Total*
Number % Number % Number %
Passenger vehicle occupants 240 44 308 56 550 100
Pedestrians 81 59 57 41 138 100
Bicyclists 30 81 7 19 37 100
Total* 397 50 396 50 795 100

Restraint use

The proportion of fatally injured children who are restrained has risen greatly during the past 35 years, from 15% in 1985 to 56% in 2024. According to a national observational survey, restraint use among children younger than 13 years was 88% in 2023 (NHTSA, 2025). Unrestrained vehicle occupants are more likely than restrained occupants to be fatally injured in a crash, so restraint use is much lower among fatally injured occupants.

Restraint use among fatally injured children in passenger vehicles by age, 1985
Age Unrestrained Seat belt Child safety seat Total restrained Unknown Total
Number % Number % Number % Number % Number % Number %
<1 85 65 2 2 29 22 31 24 14 11 130 100
1-3 230 71 18 6 54 17 72 22 23 7 325 100
4-8 264 69 41 11 7 2 48 13 70 18 382 100
9-12 222 77 21 7 0 0 21 7 46 16 289 100
Total 801 71 82 7 90 8 172 15 153 14 1,126 100
Restraint use among fatally injured children in passenger vehicles by age, 2024
Age Unrestrained Seat belt Child safety seat Total restrained Unknown Total
Number % Number % Number % Number % Number % Number %
<1 18 25 0 0 46 65 46 65 7 10 71 100
1-3 44 38 1 1 60 52 61 53 11 9 116 100
4-8 58 28 51 25 69 33 120 58 29 14 207 100
9-12 47 30 78 50 1 1 79 51 30 19 156 100
Total 167 30 130 24 176 32 306 56 77 14 550 100

When they died

More children were killed in motor vehicle crashes on Saturdays (18%) and Sundays (17%) in 2024 than on any other day of the week.

Motor vehicle crash deaths among children younger than 13 by day of week, 2024
Day of week Deaths %
Sunday 137 17
Monday 116 15
Tuesday 86 11
Wednesday 96 12
Thursday 106 13
Friday 112 14
Saturday 142 18
Total 795 100

Twenty-five percent of the deaths of children in motor vehicle crashes in 2024 occurred between 3 p.m. and 6 p.m., and 21% occurred between 6 p.m. and 9 p.m.

Motor vehicle crash deaths among children younger than 13 by time of day, 2024
Time of day Number %
Midnight - 3 a.m. 44 6
3 a.m. - 6 a.m. 38 5
6 a.m. - 9 a.m. 73 9
9 a.m. - noon 66 8
Noon - 3 p.m. 115 14
3 p.m. - 6 p.m. 199 25
6 p.m. - 9 p.m. 163 21
9 p.m. - midnight 94 12
Total* 795 100

The proportion of children killed in motor vehicle crashes in 2024 was highest during the month of July (11%) compared with other months of the year.

Motor vehicle crash deaths among children younger than 13 by month, 2024
Month Number %
January 53 7
February 54 7
March 66 8
April 66 8
May 79 10
June 61 8
July 91 11
August 74 9
September 60 8
October 69 9
November 64 8
December 58 7
Total 795 100