Between April 1, 2012 and March 31, 2017, 255 serious injuries or deaths of young people were reported to the Advocate. Three of these notifications involved young people subject to a Courtesy Supervision Agreement or Medical Treatment Order and will not be included in this analysis. This means that we will be looking at 252 notifications. This report will present information regarding notifications received, breakdowns based on the type of incident resulting in serious injury or death, age, racial origin, legal status and statistics regarding completed Investigative Reviews. The numbers presented in this report are accurate as of March 31, 2017. Emerging themes, such as the importance of thorough and ongoing risk assessment, the increased likelihood of young children and adolescents being the victims of violence, youth suicide, trauma-informed practice, information sharing and transition planning will be discussed. Five years of data was analyzed and the information is limited to those young people who fall within the OCYA’s mandate. It is our hope that these lessons will guide future work to improve services for Alberta’s vulnerable young people.