• • • • • • • Children who live in remote areas are more likely to die due to intentional self-harm than by other external causes, compared to children who live in metropolitan areas.26 Children from very remote areas were four times as likely as those from major cities to be the subject of a substantiation of abuse or neglect after an investigation of an at-risk notification.27 Teenagers in rural and remote areas experience young parenthood at four times the rate of their metropolitan counterparts.28 Four-year-old children living in very remote areas of Australia are more than twice as likely as those from major cities to be developmentally vulnerable (45.5% and 20.8% respectively) against Australian Early Childhood Development Index domains.29 School attendance across years one to ten decreases as remoteness increases.30 Children in regional and remote areas of Australia typically have access to a more limited range of organised sports and physical activities when compared with children living in metropolitan areas. Children in rural and remote areas also experience negative impacts from natural disasters not experienced by children living in major cities.31 18