
Leading Causes of Injury Deaths among North Carolina Residents
Explore the leading causes of injury deaths among North Carolina residents in 2023, including statistics, trends, and analysis. Uncover insights on unintentional poisonings, falls, motor vehicle accidents, firearm incidents, and more impacting public health in North Carolina.
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NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Leading Causes of Injury in North Carolina, 2023 Division of Public Health Data updated: March 13, 2025
Leading Causes of Injury Technical Notes Surveillance methods have been updated to identify any mention of an injury in our morbidity data sources. Individual records with multiple injuries listed will be included in the total for each of those injuries but counted only once for the overall total injury count. Previously, only the first listed injury was counted, which has increased in number of specific injuries identified. For questions or for more information, see the technical notes document available at: https://injuryfreenc.dph.ncdhhs.gov/DataSurveillance/Technical- Notes.pdf?ver=1.0 NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 2
Injury deaths are just the tip of the iceberg. In 2023, injuries resulted in: 11,705 Deaths 53,616 Hospitalizations Despite NC s extensive reporting systems, the totalburden of injuries in the 939,765 ED Visits ? EMS state is unknown. ? Outpatient Injuries ? Medically Unattended Injuries INJURY ICEBERG INJURY ICEBERG INJURY ICEBURG Limited to NC Residents, 2023 Source: NC State Center for Health Statistics, Vital Statistics Deaths (2023) and Hospital Discharge Data (2023); NC DETECT (2023) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 1
Injury deaths among NC residents continue to rise Number of Injury Deaths among NC Residents, 2019-2023 12,000 11,705 11,580 11,000 11,218 10,000 10,028 9,000 38% increase 8,487 8,000 7,000 6,000 2019 2020 2021 2022 2023 Data limited to NC residents, 2019-2023 Source: NC State Center for Health Statistics, Vital Statistics Deaths (2019-2023) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 5
Leading causes of injury death among NC Residents, 2023 The leading cause of injury death in 2023 was unintentional poisoning. 4,286 Poisoning - Unintentional Fall - Unintentional MVT - Unintentional Firearm - Self-Inflicted Firearm - Assault Suffocation - Self-Inflicted Poisoning - Self-Inflicted Suffocation - Unintentional Unspecified - Unintentional Fire/Burn - Unintentional 2,007 1,757 1,005 739 Total Deaths = 11,705 331 210 197 159 134 880 Other MVT = Motor Vehicle Traffic; Unintentional poisoning includes both medication/drug overdoses and non-drug poisonings Data limited to NC residents, 2023 Source: NC State Center for Health Statistics, Vital Statistics Deaths (2023) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 6
Percent change in leading causes of injury death among NC residents, 2019-2023 Unintentional poisoning had the largest five-year increase. 85% Poisoning - Unintentional Fall - Unintentional MVT - Unintentional Firearm - Self-Inflicted Firearm - Assault Suffocation - Self-Inflicted Poisoning - Self-Inflicted Suffocation - Unintentional Unspecified - Unintentional Fire/Burn - Unintentional 30% 9% 24% 31% -1% 4% -14% -35% 18% -60% -40% -20% 0% 20% 40% 60% 80% 100% MVT = Motor Vehicle Traffic Data limited to NC residents, 2019 & 2023 Source: NC State Center for Health Statistics, Vital Statistics Deaths (2019 & 2023) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 7
Injury Death Rates among NC Residents by County, 2019-2023 Statewide, the rate of injury deaths from 2019-2023was 23.1per 100,000 people. Data limited to NC residents, 2019-2023 Source: NC State Center for Health Statistics, Vital Statistics Deaths (2019-2023) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 8
Injury Hospitalizations 9
Injury-related hospitalizations increased by 7% over the last five years Number of Injury Hospitalizations among NC Residents, 2019-2023 54,000 53,616 53,000 52,000 51,000 7% increase 50,000 50,193 49,995 49,927 49,534 49,000 48,000 47,000 2019 2020 2021 2022 2023 Data limited to NC residents, 2019-2023 Source: Hospitalization Discharge Data (2019-2023) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 10
Leading causes of injury hospitalization among NC Residents, 2023 The leading cause of injury hospitalization in 2023 was unintentional falls. 27,880 Fall - Unintentional MVT - Unintentional Poisoning - Unintentional Poisoning - Self-Inflicted Unspecified - Unintentional Struck By/Against - Unintentional No Mech Or Intent Determined Fire/Burn - Unintentional Other Specified/Classifiable - Unintentional Firearm - Unintentional 7,495 6,045 2,555 2,138 1,197 1,034 1,026 903 896 2,447 Total Hospitalizations = 53,616 Other MVT = Motor Vehicle Traffic; Unintentional poisoning includes both medication/drug overdoses and non-drug poisonings Data limited to NC residents, 2023 Source: Hospital Discharge Data (2023) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 11
Percent change in leading causes of injury hospitalization among NC residents, 2019-2023 Unintentional firearm injuries had the largest five-year increase. 7% 4% Fall - Unintentional MVT - Unintentional Poisoning - Unintentional Poisoning - Self-Inflicted Unspecified - Unintentional Struck By/Against - Unintentional No Mech Or Intent Determined Fire/Burn - Unintentional Other Specified/Classifiable - Unintentional Firearm - Unintentional 17% -14% 8% 9% -23% -25% -2% 60% -40% -20% 0% 20% 40% 60% 80% MVT = Motor Vehicle Traffic Data limited to NC residents, 2019 & 2023 Source: Hospital Discharge Data (2019 & 2023) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 12
Injury Hospitalization Rates among NC Residents by County, 2019-2023 Statewide, the rate of injury hospitalizations from 2019-2023was 107.7per 100,000 people. Data limited to NC Residents, 2019-202293 Source: Hospital Discharge Data (2019-2023) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 13
Injury Emergency Department (ED) Visits 14
Injury-related ED visits remain high, but increased 2% over the last five years Number of Injury ED Visits among NC Residents, 2019-2023 1,000,000 939,765 922,123 950,000 900,000 850,000 2% increase 843,434 800,000 776,352 750,000 746,586 700,000 2019 2020 2021 2022 2023 Data limited to NC residents, 2019-2023 Source: NC DETECT, 2019-2023 Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 15
Leading causes of injury ED Visits among NC Residents, 2023 The leading cause of injury ED visits in 2023 was unintentional falls. 290,275 No Mech Or Intent Determined 259,507 Fall - Unintentional 121,930 MVT - Unintentional 51,355 39,271 37,488 29,125 27,515 20,651 20,620 Unspecified - Unintentional Natural/Environmental - Unintentional Total ED Visits = 939,765 Struck By/Against - Unintentional Poisoning - Unintentional Other Specified/Classifiable - Unintentional Cut/Pierce - Unintentional Overexertion - Unintentional Data limited to NC residents, 2023 Source: NC DETECT, 2023 Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 16
Percent change in leading causes of injury ED visits among NC residents, 2019-2023 Unintentional poisoning had the largest five-year increase. 22% No Mech Or Intent Determined 13% Fall - Unintentional -6% MVT - Unintentional -38% Unspecified - Unintentional -9% Natural/Environmental - Unintentional -33% Struck By/Against - Unintentional 48% Poisoning - Unintentional -8% Other Specified/Classifiable - Unintentional -37% Cut/Pierce - Unintentional -50%-40%-30%-20%-10% 0% 10% 20% 30% 40% 50% 60% Data limited to NC residents, 2019 & 2023 Source: NC DETECT, 2019 & 2023 Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 17
Injury ED Visit Rates among NC Residents by County, 2019-2023 Statewide, the rate of injury Ed visits from 2019-2023was 1,916.7 per 100,000 people. Data limited to NC residents, 2019-2023 For more information on these data, see the Injury Surveillance Technical Notes: https://www.injuryfreenc.ncdhhs.gov/DataSurveillance/Technical-Notes.pdf Source: NC DETECT, 2019-2023 Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 18
IVPB Data Support now available! Book time with an IVPB epidemiologist to discuss available data products, to talk through custom data requests, or for general data questions. IVPB Data Request Policy IVPB Data Support Bookings NCDHHS, Division of Public Health | Leading Causes of Injury, 2023 | March 2025 19
Questions? InjuryData@dhhs.nc.gov Injury and Violence Prevention Branch NCDHHS Division of Public Health www.dph.ncdhhs.gov/programs/chronic- disease-and-injury/injury-and-violence- prevention-branch