**5. Conclusions**

This study has explored the impact of determinants of health, namely the geographical remoteness of residence and socio-economic status of residential area on injury-related fatalities among children aged 0–19 years in Australia. This study identified road tra ffic and other land transport injuries, intentional self-harm and drowning to be the three leading causes of death, with fatality rates increasing as remoteness increased. For most injury mechanisms examined that there was a disproportionate burden among low and middle IRSAD deciles except for intentional self-harm and accidental poisoning related deaths, which were significantly higher in high IRSAD areas. The findings of this study sugges<sup>t</sup> injury prevention strategies for young people in Australia should consider these determinants of health. People residing in regional and remote areas and from low socio-economic backgrounds already face significant health and lifestyle challenges associated with disadvantage. It is time to invest in these populations to minimize any further preventable loss of life.

**Author Contributions:** Conceptualization, A.E.P. and R.C.F.; methodology, A.E.P. and R.C.F.; formal analysis, A.E.P. and R.C.F.; data curation, R.C.F.; writing—original draft preparation, A.E.P.; writing—review and editing, A.E.P. and R.C.F.; visualization, A.E.P. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Institutional Review Board Statement:** This study was conducted according to the guidelines of the Declaration of Helsinki, and approved by the Human Research Ethics Committee of James Cook University (H6136).

**Informed Consent Statement:** Informed consent was not able to be obtained as subjects are deceased.

**Data Availability Statement:** Agreements in place for use of data in this study place restrictions on the public storage of such data. Those interested in gaining access to the data used in this study, should contact the Australian Bureau of Statistics via email: client.services@abs.gov.au.

**Conflicts of Interest:** The authors declare no conflict of interest.
