Halloween can be a dangerous time of year: multiple studies show that there is an average of four times more deaths than there are on other days of the year. Halloween has the fourth highest rate of ER visits compared to other holidays according to a study from Pediatrics.

“The nature of the holiday alone can make it perilous, as children wear costumes they can trip over, candles glowing inside of pumpkins can cause fires and sharp props can cause eye injuries,” said Kimberly Leonard.

The specific time that injuries increase the most is between 4pm and 10pm. Injuries are most commonly falls, burns, poisoning and vehicular accidents. When so many people gather together to celebrate this holiday, there is a higher risk of someone falling and breaking a bone. According to a survey from AAA, 4 percent of people surveyed expressed a fear of this specific injury. Additionally, there are more reported burn injuries on Halloween. Only 1 percent reported a fear of burning, even though it is more common than injuries due to falls. Jack O’Lanterns can catch costumes on fire, burning the person wearing it.

There have been many stories of families handing out poisoned candy and, while there are only a couple known cases a year of this actually happening, 24 percent of surveyors fear the possibility. The majority of injuries, however, come from pedestrian accidents. 31 percent were afraid of being involved in a motor accident. 71 percent of the people surveyed stated that they had some fear related to Halloween.

“Children are more than twice as likely to be killed by a car while walking on Halloween night than at any other time of the year, according to the organization Safe Kids USA.” said an article by the Centers for Disease Control and Prevention (CDC).