To analyze the epidemiological characteristics of injuries deaths among children and adolescents in Shaanxi Province from 2015 to 2022 and provide insight in formulating interventions to prevent accidental deaths among children and adolescents.

Analyze the distribution of gender, age groups, and cause of death in injury deaths among children and adolescents in Shaanxi Province from 2015 to 2022. χ² test was used to compare the mortality differences between genders, age groups and years. The Joinpoint regression method was used to analyze the trend of child and adolescent mortality. Average Annual Percent Change (AAPC) was used to describe trends.

The average mortality of children and adolescents aged 5—19 in Shaanxi Province from 2015 to 2022 was 10.86/100000, with a standardized mortality of 11.01/100000, which accounted for 53.86% of the total deaths among children and adolescents. The mortality of males is 2.00 times higher than that of females (χ²=76.77, P<0.001). During the past 8 years, there was no change in injuries mortality among children and adolescents in Shaanxi Province AAPC (95%CI) -4.21% (-11.06%— -2.66%) (P>0.05). The top two causes of death in injuries among children and adolescents are road injuries and drowning, which accounted for 57.87% of the total deaths among children and adolescents. The average annual death rate of road traffic accidents in the general population and men in 2015—2019 was higher than that in 2020-2022 (P<0.05). The average annual death rate from falls in the general population and women was lower in 2015—2019 than in 2020—2022 (P<0.05). The mortality of injuries increased with age groups, with the highest in 15—19 age group (χ²=21.12, P<0.001). The road traffic accident and suicide death rates were the highest in the 15—19 age group (P<0.05).

The main causes of death in injuries among children and adolescents aged 5—19 in Shanxi Province from 2015 to 2022 are road injuries and drowning. The mortality in injuries is higher in male than female. Targeted prevention and control measures should be taken based on the characteristics of mortality in injuries among children and adolescents in Shaanxi Province.