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Research was undertaken to determine the effectiveness of rear-seat outboard occupant restraint systems in passenger cars, focusing on the overall efficacy of two-point rear-seat occupant restraint systems and comparing the relative performance of two-and three-point rear-seat occupant restraint systems. While a significant body of literature exists comparing the safety performance of various types of front-seat occupant restraint systems, very little comprehensive accident data analysis (i.e., using large volumes of data) has been conducted to date comparing the safety performance of rear-seat occupant restraint systems. For the study, the motor vehicle accident databases from five states were examined to determine the reduction in rear-seat occupant injuries associated with two-point and three-point rear-seat occupant restraint systems.