Citation

Fridel EE, Zimmerman GM. Soc. Forces 2019; 97(3): 1177-1204.

Copyright

(Copyright © 2019, Social Forces Journal, Publisher University of North Carolina Press)

DOI

10.1093/sf/soy071

PMID

unavailable

Abstract

Although suicide and homicide are two of the leading causes of death, theoretical understanding and rigorous quantitative examination of homicide-suicide - the rare combination of suicide and homicide - are sparse. We ground homicide-suicide in the stream analogy of lethal violence and use three analytical techniques to examine the shared and unique correlates of suicide, homicide-suicide, and homicide. Data come from the National Violent Death Reporting System (NVDRS), a pooled, cross-sectional time-series database of US victims across 46 states from 2003 to 2013. A logistic regression model with robust standard errors clustered across states and year fixed effects on 105,243 suicide and homicide-suicide cases predicts the odds of homicide-suicide relative to suicide across a range of theoretically informed covariates. A multinomial logistic regression model investigates the factors that distinguish 26,243 appended homicide cases (from the NVDRS) from suicide and homicide-suicide cases. And, an item-response-based statistical approach examines the extent to which homicide-suicide perpetrators are primarily homicidal versus primarily suicidal.

RESULTS indicated that interpersonal stressors and criminal history increased, while physical and mental health stressors decreased, the odds of homicide-suicide relative to suicide. In addition, the etiology of homicide-suicide more closely resembled homicide than suicide. Finally, almost one-half of the homicide-suicide cases in our sample were classified as "primarily homicidal," while less than one-quarter were classified as "primarily suicidal." Findings suggest that homicide-suicide can be conceptualized as a current in the stream analogy of lethal violence, and that the prevention of homicide-suicide would be better facilitated via screening of violence prevention than suicide prevention programs. © 2018 The Author(s). Published by Oxford University Press on behalf of the University of North Carolina at Chapel Hill. All rights reserved.

Language: en