This is the Commission’s eighth annual report analysing the deaths of children and young people in Queensland focusing on the circumstances and risk factors surrounding external (non-natural) causes of death. The Commission’s Queensland Child Death Register now holds data in relation to 4,074 Queensland children and young people who have died since 1 January 2004. The ensuing child death review process undertaken by my officers is fundamental in helping to develop initiatives to modify the risk factors contributing to preventable fatalities.