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This study explored a longitudinal path model of factors associated with out-of-school suspension (OSS) in secondary school among a national cohort of 3,699 children in care in England. Children were tracked from School Year 2 through School Year 9 in order to test the direct and mediated effects of individual- , care-, and educational factors on OSS in Year 9. Results indicated that approximately 1 in 5 children in care in England experience OSS. Children found to be most at risk for OSS were (a) males; (b) late entrants into care; (c) children who had behavioral, emotional, or social difficulties; and (d) children with a history of suspensions. Implications for schools and educators catering for youth in care are discussed.