Leading Mechanisms of Unintentional Injury Death Among Youth Ages 10–19 Years: United States, 2024

NCHS Data Brief No. 565, July 2026

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Anne M. Zehner, M.P.H., and Matthew F. Garnett, M.P.H.

Introduction

Unintentional injuries are the leading cause of death for youth ages 10-19 years in the United States (1,2). Unintentional injury death rates decline after infancy, remain low in early childhood, and rise as children enter adolescence and young adulthood (1), reflecting shifts in injury risk occurring with increased independent activity among youth, such as socializing with peers, working, and driving (3,4). This report examines unintentional injury death rates for youth ages 10-19 years in 2024, including the three leading unintentional mechanisms (causes), and describes differences in rates by age group, sex, race and Hispanic origin, and census region.

Age Group

• The unintentional injury death rate among youth ages 10-19 in 2024 was 11.6 deaths per 100,000 population. The rate was lower for ages 10-14 (3.8) compared with 15-19 (18.9) (Figure 1, Table 1).
• The motor vehicle traffic death rate for ages 15-19 (12.0) was 6 times the rate for 10-14 (2.0).
• The poisoning death rate for ages 15-19 was 3.8 compared with a rate of 0.2 for 10-14. The drowning death rate for ages 15-19 was 1.0 compared with a rate of 0.4 for 10-14.
• Motor vehicle traffic death rates were higher than other mechanisms for both age groups. However, among ages 10-14, the drowning rate was higher than the poisoning rate, while among 15-19 the poisoning rate was higher than the drowning rate.

Sex

• The rate of unintentional injury death in 2024 was higher for male (16.3 per 100,000 population) than female youth (6.7) (Figure 2, Table 2).
• The motor vehicle traffic death rate was more than twice as high for male (10.1) compared with female youth (4.1).
• The poisoning death rate was higher for male (2.6) than for female youth (1.5).
• The rate of drowning death for male youth (1.2) was higher than the rate for female youth (0.2).
• For both male and female youth, the leading mechanism of unintentional injury death was motor vehicle traffic, followed by poisoning, and then drowning.

Race and Hispanic origin

• The unintentional injury death rate in 2024 was highest for American Indian and Alaska Native non-Hispanic (subsequently, American Indian and Alaska Native) youth (26.0 deaths per 100,000 population) and lowest for Asian non-Hispanic (subsequently, Asian) youth (4.6) (Figure 3, Table 3).
• The motor vehicle traffic death rate was highest for American Indian and Alaska Native youth (14.1) and lowest for Asian youth (2.4). Black non-Hispanic (subsequently, Black) (7.9), Hispanic (7.9), and White non-Hispanic (subsequently, White) (7.4) youth had similar motor vehicle traffic death rates.
• The poisoning death rate was highest for American Indian and Alaska Native youth (5.5) and lowest for Asian youth (0.7), while Hispanic (2.5), Black (2.0), and White (2.0) youth had similar death rates.
• The drowning death rate for Black youth (1.5) was higher than the rate for Hispanic (0.7) and White (0.5) youth. The difference compared with Asian youth (0.8) was not significant.

Census region

• In 2024, the unintentional injury death rate for youth was highest in the South (13.8 deaths per 100,000 population), followed by the West and Midwest (11.3 in both), and lowest in the Northeast (7.3) (Figure 4, Table 4).
• Motor vehicle traffic was the leading mechanism of unintentional injury death in all regions, with the highest rate in the South (8.5) and the lowest in the Northeast (4.2).
• The poisoning death rate was highest in the South (2.6), and higher in the West (2.0) compared with the Northeast (1.3).
• The drowning death rate was similar in the South (0.8), West (0.6), Midwest (0.7), and Northeast (0.6).

Summary

Among youth ages 10-19 years, the unintentional injury death rate was 11.6 deaths per 100,000 population in 2024. Youth ages 10-14 had lower death rates than ages 15-19 for all unintentional injuries and across the three leading mechanisms. While the drowning death rate was higher than the poisoning death rate for ages 10-14, the poisoning death rate was higher than the drowning death rate for ages 15-19.

The rate of unintentional injury death was also higher for male compared with female youth for all unintentional injuries and for the three leading mechanisms. American Indian and Alaska Native youth had the highest rates of unintentional injury, motor vehicle traffic, and poisoning death.

The youth unintentional injury death rate was highest in the South, followed by the West and Midwest (whose rates were similar), and lowest in the Northeast. Rates were higher in the South than in all other regions for motor vehicle traffic and poisoning death, while the drowning death rate was similar in all four census regions.

Data source and methods

National Vital Statistics System mortality data from CDC WONDER (1) were used to describe unintentional injury deaths among youth ages 10-19 years by age group, sex, race and Hispanic origin, and census region of residence at death. Unintentional injury deaths were identified using International Statistical Classification of Diseases, 10th Revision (ICD-10) underlying cause-of-death codes V01-X59 and Y85-Y86 (5). Unintentional injury deaths were further classified by leading mechanism of injury using the following underlying cause-of-death codes: motor vehicle traffic, [V02-V04](.1,.9), V09.2, [V12-V14](.3-.9), V19(.4-.6), [V20-V28](.3-.9), [V29-V79](.4-.9), V80(.3-.5), V81.1, V82.1, [V83-V86](.0-.3), V87(.0-.8), and V89.2; poisoning, X40-X49; and drowning, W65-W74. Unintentional poisoning includes both drug poisoning (drug overdose) and nondrug poisoning, which is caused by toxic substances that are not drugs, such as solvents or carbon monoxide.

Crude death rates (deaths per 100,000 population) were calculated. Pairwise comparisons of rates (such as rates for males compared with those for females) were conducted using a two-sided z test with an alpha level of 0.05 (6). Statistically significant differences between rates based on fewer than 100 deaths were determined by comparing 95% confidence intervals of the rates calculated with the gamma method (6).

Race and Hispanic origin were categorized based on the Office of Management and Budget's 1997 standards for federal statistical and administrative reporting (7). All race categories shown are single race, meaning that only one race was reported on the death certificate. Data shown for Hispanic people include people of any race. Misclassification of race and Hispanic origin on death certificates results in the underestimation of death rates by as much as 3% for the Hispanic and Asian populations and by 34% for the American Indian and Alaska Native population (8,9). Rates for Native Hawaiian and Other Pacific Islander youth and youth of more than one race, as well as the drowning rate for American Indian and Alaska Native youth, are not shown due to small numbers.

About the authors

Anne M. Zehner and Matthew F. Garnett are with the National Center for Health Statistics, Division of Analysis and Epidemiology.

References

1. Centers for Disease Control and Prevention. CDC WONDER. Mortality 2018-2024. Available from: https://wonder.cdc.gov/ucd-icd10-expanded.html.
2. Curtin SC, Heron M, Miniño AM, Warner M. Recent increases in injury mortality among children and adolescents aged 10-19 years in the United States: 1999-2016. Natl Vital Stat Rep. 2018 Jun;67(4):1-16. PMID: 29874162.
3. Sleet DA, Ballesteros MF, Borse NN. A review of unintentional injuries in adolescents. Annu Rev Public Health. 2010;31:195-212. DOI: https://dx.doi.org/10.1146/annurev.publhealth.012809.103616.
4. Dellinger A, Gilchrist J. Leading causes of fatal and nonfatal unintentional injury for children and teens and the role of lifestyle clinicians. Am J Lifestyle Med. 2019 Jan;13(1):7-21. DOI: https://dx.doi.org/10.1177/1559827617696297.
5. World Health Organization. International statistical classification of diseases and related health problems, 10th revision (ICD-10). 5th ed. 2016.
6. Xu J, Murphy SL, Kochanek KD, Arias E. Deaths: Final data for 2022. Natl Vital Stat Rep. 2025 Jun;74(4):1-138. DOI: https://dx.doi.org/10.15620/cdc/174588. PMID: 40712053.
7. Office of Management and Budget. Revisions to the standards for the classification of federal data on race and ethnicity. Fed Regist. 1997 Oct;62(210):58782-90.
8. Arias E, Heron M, Hakes J, Xu J, Curtin S, Bastian B, et al. Mortality profile of the non-Hispanic American Indian or Alaska Native population, 2019. Natl Vital Stat Rep. 2021 Nov;70(12):1-27. DOI: https://dx.doi.org/10.15620/cdc:110370. PMID: 34842523.
9. Arias E, Heron M, Hakes J. The validity of race and Hispanic-origin reporting on death certificates in the United States: An update. Vital Health Stat 2. 2016 Aug(172):1-29. PMID: 28436642.

Suggested citation

Zehner AM, Garnett MF. Leading mechanisms of unintentional injury death among youth ages 10-19 years: United States, 2024. NCHS Data Brief. 2026 Jul(565):1-10). DOI: https://dx.doi.org/10.15620/cdc/252457.

Copyright information

All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

National Center for Health Statistics

Carolyn M. Greene, M.D., Acting Director
Amy M. Branum, Ph.D., Associate Director for Science

Division of Analysis and Epidemiology

Irma E. Arispe, Ph.D., Director
Kimberly A. Lochner, Sc.D., Associate Director for Science