Child homicide is as old as human history. It can be classified into intra- and extra familial child homicide. Different forms of homicide are discussed, and research findings show that in the age group 0-3 years the majority of cases were within the family. After age 12 years, it is primarily extra familial. With increased age of the child the phenomenon of child perpetrators is seen to be manifested in school homicide and juvenile crime. Risk factors are mentioned and pediatricians and family physicians should be aware of these in order to try preventive measures.