Perpetrator mental health: Depression and suicidality as risk factors for domestic homicide (IN: Preventing Domestic Suicides: Lessons Learned from Tragedies, edited by P. Jaffe, K. Scott & A-L. Straatman)

In this chapter, we explore depression and suicidality as risk factors for domestic violence (DV) homicide. We begin by outlining evidence for the importance of depression and suicidality in potential perpetrators of lethal DV and discuss the specific case of homicide–suicide. We speculate on some of the reasons that these factors have not been more […]

The duality of risk from threats: Are homicidal threats a novel determinant for suicide risk?

Suicide and homicide have long been considered to sit at opposing ends of a continuum of deliberate harm, initially emerging as separate fields of practice. While it is now accepted that suicide and homicide are associated, the evidence base for how they are associated is far from complete. Surfacing from this body of knowledge are […]

Circumstances preceding homicide-suicides involving child victims: A qualitative analysis

Homicide-suicide incidents involving child victims can have a detrimental impact on survivors of the violence, family members and friends of the decedents, and other community members, but the rare occurrence of these acts makes using quantitative data to examine their associated antecedents challenging. Therefore, using qualitative data from the 2003-2011 National Violent Death Reporting System, […]

Might the COVID-19 pandemic spur increased murder-suicide?

Purpose – The coronavirus 2019(COVID-19) pandemic has prompted concerns about an increased risk for psychological distress, broadly and suicide mortality, specifically; it is, as yet, unclear if these concerns will be realized, but they are plausible. Design/methodology/approach – The authors demonstrate why researchers, clinicians, policymakers and other public health stakeholders should be vigilant to the […]

The relationship of nursing practice laws to suicide and homicide rates: A longitudinal analysis of US states from 2012 to 2016

Background Nursing resources can have a protective effect on patient outcomes, but nurses and nursing scope of practice have not been studied in relation to injury outcomes. The purpose of this study was to examine whether scope of practice and ease of practice laws for nurse practitioners and registered nurses are associated with suicide and […]

Correlates of intimate partner homicide among male suicide decedents with known intimate partner problems

Objective Intimate partner (IP) problems are risk factors for suicide among men. However, there is little understanding of why some male suicide decedents who had such problems killed their partners before death (i.e., “IP homicide‐suicide”), while most of these decedents did not. To inform prevention efforts, this study identified correlates of IP homicide among male […]

Factors contributing to homicide-suicide: Differences between firearm and non-firearm deaths

The primary aim of this study is to determine the relationship between situational factors, method of death, and homicide-suicide deaths, specifically comparing method of death (firearm vs. nonfirearm) across these factors. We used data from the national violence death reporting system, a reporting system for violent deaths that links data from multiple sources. We included […]

Comparison of rates of firearm and nonfirearm homicide and suicide in black and white non-Hispanic men, by U.S. State.

BACKGROUND: The extent to which differences in homicide and suicide rates in black versus white men vary by U.S. state is unknown. OBJECTIVE: To compare the rates of firearm and nonfirearm homicide and suicide in black and white non-Hispanic men by U.S. state and to examine whether these deaths are associated with state prevalence of […]

A comparison of note writers and no note writers in homicide-suicide cases in Germany.

The aim of this study is to investigate potential differences between homicide-suicide cases in which the perpetrator does or does not write a suicide note. As homicide-suicides are complex types of lethal violence for which the aggressor cannot be held accountable, suicide notes may be a valuable source of information about the background of these […]

Homicide in the western family and background factors of a perpetrator.

Aims: Familicide is a multiple-victim homicide incident in which the killer’s spouse and one or more children are slain. A systematic review was conducted to reveal the background factors of western homicide perpetrators. Methods: The systematic search was performed in the Arto, Medic, Cinahl, Medline, EBSCOhost Academic Search Premier and Social Services abstracts databases. The keywords were familicide, […]

American roulette: Murder-suicide in the United States.

Murder-suicide is “a dramatic, violent event” in which a person, almost always a man, commits one murder or multiple murders, and then shortly after commits suicide.1 What makes these acts particularly disturbing is that they involve more than one person and often involve a family. They almost always are committed with a firearm. Yet the […]

A mother’s reckoning: Living in the aftermath of tragedy.


Homicide-suicide and the role of mental disorder: A national consecutive case series.

There is a lack of robust empirical research examining mental disorder and homicideÐsuicide. Primary care medical records are seldom used in homicideÐsuicide research. The aims of this study were to describe the characteristics of offenders and victims; determine the prevalence of mental disorder and contact with mental health services and examine adverse events prior to […]

Emergency department visits prior to suicide and homicide: Linking statewide surveillance systems.

Copy held in CSP Library.

Suicide history and mortality: A follow-up of a national cohort in the United States.

Little is known about the cause-specific deaths among young suicide attempters from the general population, and the time window for intervention to reduce the elevated rate of death was unclear. We analyzed a nationally representative sample of young adults (17Ð39 years old) who participated in the third National Health and Nutrition Examination Survey (NHANES III, […]

Rates of homicide-followed-by-suicide among white, African American, and Hispanic men.

Highlights NVDRS is the only data differentiating HFBS from other suicides. African American and Hispanic men were more likely to die in HFBS event than Whites. Prevention efforts should recognize the importance of racial and ethnic differences. HFBS events need to be identified, monitored, and better understood to be prevented.

Homicide-suicide and duty to warn.


A retrospective study of blade wound characteristics in suicide and homicide.

The distinction between self-inflicted blade wounds and blade wounds inflicted by another can be difficult in situations where there is little available history or context. We reviewed homicides and suicides in the past 10 years at the Vermont Office of the Chief Medical Examiner to define the characteristics of homicidal and suicidal blade wounds. All […]

Bereavement and mental health after sudden and violent losses: A review.

This paper reviews the literature on the psychological consequences of sudden and violent losses, including disaster and military losses. It also reviews risk and resilience factors for grief and mental health and describes the effects and possible benefit of psychosocial interventions. Contact us for a copy of this article, or view online at

The perversion of virtue: Understanding murder-suicide.

Of the approximately 38,500 deaths by suicide in the U.S. annually, about two percent – between 750 and 800 – are murder-suicides. The horror of murder-suicides looms large in the public consciousness – they are reported in the media with more frequency and far more sensationalism than most suicides, and yet we have little understanding […]

Suicide in primary care in England: 2002-2011. National Confidential Inquiry into Suicide and Homicide by People with Mental Illness.


Embitterment in suicide and homicide-suicide (In: Embitterment: Societal, psychological, and clinical perspectives edited by M. Linden and A. Maercker).

Linden (2003) has posited that a salient, negative life event can lead to the development of posttraumatic embitterment disorder (PTED), conceptualized as an adjustment disorder marked by the prolonged experience of strong emotions marked by bitterness and related feelings in an individual who had otherwise been functioning normally and prior had minimal or no diagnosable […]

Psychiatric disorders and aggression in the printed media: Is there a link? A central European perspective.

Persons with mental illness are still over-portrayed as perpetrators of violent crimes, especially homicides.