Kentucky has highest child abuse rate in U.S.; Indiana second highest

Simple ways parents and bystanders can make a lifesaving difference in child abuse prevention

Kentucky and Indiana children continue to suffer abuse at alarming rates.

TheU.S. Department of Health & Human Services’ Children’s Bureau “Child Maltreatment 2017”report — released in 2019 — shows Kentucky now has the highest abuse rate in the country. The commonwealth reported more than 22,000 victims (compared with 20,000 in the 2016 report), or about 22 out of every 1,000 children. Indiana has the second-highest rate, with more than 29,000 reported abuse cases (28,400 in the 2016 report), or nearly 19 out of every 1,000 kids.

Both rates are double the national average.

“This is troubling,” said Erin R. Frazier, M.D., pediatrician and medical director of Norton Children’s Prevention & Wellness. “Hopefully we can attribute the numbers to everyone doing a better job of recognizing and reporting abuse. We, as a community, need to continue to support and educate families so that situations don’t escalate to the point of abuse.”

The good news for Kentucky is child abuse deaths dropped for the third straight year. In 2017, 10 child fatalities were attributed to abuse. Indiana, meanwhile, ranks among the worst in abuse deaths. The Hoosier state reported 78 deaths in 2017, compared with 70 in 2016 and 34 in 2015.

Here’s how both states stack up to the rest of the country:

2017 abuse cases 2017 abuse rate (per 1,000) 2017 deaths 2017 death rate

(per 100,000)

Kentucky 22,410 22.2 10 0.99
Ranking 10th 1st 38th 43rd
Indiana 29,198 18.6 78 4.96
Ranking 6th 2nd 8th 3rd
U.S. 673,830 9.1 1,688 2.32

Numbers from “Child Maltreatment 2017” report

Rankings are from 1 (worst) to 52 (best) and include Washington, D.C., and Puerto Rico. 

“Many factors go into child abuse, but it’s always 100 percent preventable,” said Kelly L. Dauk, M.D., chair of the Norton Children’s Hospital Child Abuse Task Force and pediatrician with UofL Physicians. “There are many resources available for parents, caregivers, babysitters and bystanders to keep children out of these dangerous situations.”

In recognition of National Child Abuse Prevention Month, here are some simple ways parents and bystanders can make a lifesaving difference:

  • If you feel yourself about to lose control with a child, it’s OK to step away. Listen to your favorite song, take a few deep breaths or call a friend.
  • Keep a list of friends’ and family members’ phone numbers to call for support.
  • Learn the TEN-4 bruising rule: Children under age 4 should not have bruising on the torso, ears or neck. Infants who are not mobile rarely have any bruises.
  • If you know a parent who may be feeling stressed, offer to babysit so he or she can have a break for an hour or two.
  • Offer to run an errand for a neighbor with small children who has difficulty getting out of the house. A small gesture like that can greatly reduce stress for the parent.
  • If you see someone about to raise a hand to a child, you can help the situation. Even saying something like, “I remember when my child acted like that,” can break the tension and protect the child.

More ideas are available at

In Kentucky, the number to call to report suspected child abuse is (877) KY-SAFE1 (597-2331). In Indiana, call (800) 800-5556. The National Child Abuse Hotline, (800) 4-A-CHILD (422-4453), offers professional crisis counselors who can provide intervention, information and referrals to emergency, social service and support resources. Calls are confidential.

Child Abuse Prevention
Children’s Protection Specialists

Is It Abuse?

Even if you’re not sure, you are required by law to report suspected abuse or neglect. Anonymous calls are accepted.

Kentucky: Call (877) KYSAFE1 (1-877-597-2331)

Indiana: (800) 800-5556

If a child is in immediate danger, call 911.

Norton Children’s Pediatric Protection Specialists

Child Protection Team

Team members are available 24 /7

(502) 629-6000

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