Care Cliff: Young Lives Lost as Support Vanishes

A landmark review has exposed a critical 'care cliff' phenomenon, where one-fifth of deaths among care leavers occurred at the age of 18. This transition from child to adult services results in an immense drop-off in crucial support. The review examined over 100 deaths of care leavers aged 18-24 in 2025, revealing a mortality rate three to four times higher than that of the general population.

Tragic cases underscore the severe consequences of this support gap. David, who died from a lack of insulin after his diabetes nurse stopped working with him due to his age, exemplifies the loss of vital connections. Similarly, Michael, who faced trauma and hardship, ended up in prison at 18 and died by suicide shortly after, highlighting extreme vulnerability and lack of appropriate care.

The review identified systemic failings, noting the absence of individuals connected enough to notice David's disappearance for two weeks. Children's minister Josh MacAlister emphasized that a system leaving young people unseen contributed to such deaths. Care-experienced women who lost their own children also faced heightened risks, with several young women taking their lives in these circumstances.

Failures in support for individuals like Janey, who struggled after leaving care and subsequently lost her children, point to the need for more formal roles for former carers and support in rebuilding family relationships. The review calls for urgent attention to prevent further loss of young lives due to inadequate transitionary care.