Homicide in childhood: a public health problem in need of attention.

Homicide is now among the five leading causes of death in childhood, accounting for 1/20 deaths of those less than 18 years of age. Based on childrens' changing developmental vulnerabilities, it is possible to characterize three subtypes of child homicide--infanticide, fatal child abuse and neglect after infancy, and homicide in the community. Specific approaches to primary prevention include measures to strengthen families and their community support systems, and to educate adults and children concerning appropriate behaviors of children at different ages.