Abstract:Problem/ConditionIn 2014, approximately 59,000 persons died in the United States as a result of violence-related injuries. This report summarizes data from CDC’s National Violent Death Reporting System (NVDRS) regarding violent deaths from 18 U.S. states for 2014. Results are reported by sex, age group, race/ethnicity, marital status, location of injury, method of injury, circumstances of injury, and other selected characteristics.Reporting Period Covered2014.Description of SystemNVDRS collects data from parti… Show more
“…Precipitating circumstances included the following: physical health problems (e.g., cancer, pain‐related conditions); civil legal problems; financial problems; job problems; and other relationship problems. These factors have been cited elsewhere as precipitating circumstances of homicide‐suicide (Bossarte et al., ; Fowler et al., ; Logan et al., ; Violence Policy Center, ) and risk factors for suicide (DeLeo et al., ). Other preceding circumstances included the following: current depressed mood; mental health conditions; alcohol problems; other substance abuse problems; alcohol use at the time of death based on the toxicology reports; current mental health or substance abuse treatment; history of mental health or substance abuse treatment; history of suicide attempts; disclosure of suicide intent; and leaving a note.…”
Section: Methodsmentioning
confidence: 99%
“…Screening for IP problems in isolation of other predictors would greatly overestimate men at risk of perpetrating IP homicide‐suicide, even among men who have suicidal intentions. Therefore, it is challenging for clinicians, counselors, or even acquaintances to know when they should engage in reducing risk of IP homicide if they are concerned and monitoring risk of suicide (DeLeo, Bertolote, & Lester, ; Fowler, Jack, Lyons, Betz, & Petrosky, ; Knoll, ).…”
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 suicide decedents with known IP problems.
Methods
We examined IP homicide correlates among male suicide decedents aged 18+ years who had known IP problems using 2003–2015 National Violent Death Reporting System data. Prevalence odds ratios and 95% confidence intervals were estimated for demographic, incident, and circumstance variables. IP homicide‐suicide narratives were examined to identify additional prevention opportunities.
Results
An estimated 1,504 (5.0%) of 30,259 male suicide decedents who had IP problems killed their partner. IP homicide‐suicide perpetration was positively correlated with suicide by firearm and precipitating civil legal problems but negatively correlated with mental health/substance abuse treatment. An estimated 33.7% of IP homicide‐suicides occurred during a breakup; 21.9% of IP homicide‐suicide perpetrators had domestic violence histories.
Conclusions
Connections between the criminal justice and mental health systems as well as stronger enforcement of laws prohibiting firearm possession among domestic violence offenders may prevent IP homicide‐suicides.
“…Precipitating circumstances included the following: physical health problems (e.g., cancer, pain‐related conditions); civil legal problems; financial problems; job problems; and other relationship problems. These factors have been cited elsewhere as precipitating circumstances of homicide‐suicide (Bossarte et al., ; Fowler et al., ; Logan et al., ; Violence Policy Center, ) and risk factors for suicide (DeLeo et al., ). Other preceding circumstances included the following: current depressed mood; mental health conditions; alcohol problems; other substance abuse problems; alcohol use at the time of death based on the toxicology reports; current mental health or substance abuse treatment; history of mental health or substance abuse treatment; history of suicide attempts; disclosure of suicide intent; and leaving a note.…”
Section: Methodsmentioning
confidence: 99%
“…Screening for IP problems in isolation of other predictors would greatly overestimate men at risk of perpetrating IP homicide‐suicide, even among men who have suicidal intentions. Therefore, it is challenging for clinicians, counselors, or even acquaintances to know when they should engage in reducing risk of IP homicide if they are concerned and monitoring risk of suicide (DeLeo, Bertolote, & Lester, ; Fowler, Jack, Lyons, Betz, & Petrosky, ; Knoll, ).…”
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 suicide decedents with known IP problems.
Methods
We examined IP homicide correlates among male suicide decedents aged 18+ years who had known IP problems using 2003–2015 National Violent Death Reporting System data. Prevalence odds ratios and 95% confidence intervals were estimated for demographic, incident, and circumstance variables. IP homicide‐suicide narratives were examined to identify additional prevention opportunities.
Results
An estimated 1,504 (5.0%) of 30,259 male suicide decedents who had IP problems killed their partner. IP homicide‐suicide perpetration was positively correlated with suicide by firearm and precipitating civil legal problems but negatively correlated with mental health/substance abuse treatment. An estimated 33.7% of IP homicide‐suicides occurred during a breakup; 21.9% of IP homicide‐suicide perpetrators had domestic violence histories.
Conclusions
Connections between the criminal justice and mental health systems as well as stronger enforcement of laws prohibiting firearm possession among domestic violence offenders may prevent IP homicide‐suicides.
“…The consequences of IPV are considerable and underscore the burden that this form of violence creates. The most severe consequence of IPV is death; data from the National Violent Death Reporting System (NVDRS) from 18 states in 2014 indicated that IPV was a precipitating factor in 48% of all homicides of females and in 9% of homicides of males (Fowler et al 2018). However, victims of IPV are not the only ones who are killed in incidents involving IPV.…”
Intimate partner violence (IPV) is a serious public health problem affecting millions of Americans. In addition to the consequences of injury and death, IPV is associated with a myriad of negative and long-lasting physical and mental health outcomes. Preventing IPV before it starts is critical to improving our nation's health and well-being. Although more research is needed to determine the prevention strategies with the broadest and most sustained impact, it is important to focus now on the best available evidence for preventing IPV and to assist communities in their prevention efforts. This chapter outlines the six strategies and corresponding approaches that are presented in CDC's technical package on preventing IPV (Niolon et al. Preventing intimate partner violence across the lifespan: a technical package of programs, policies, and practices. Centers for Disease Control and Prevention, Atlanta, 2017). These strategies include those with a focus on preventing IPV from happening in the first place or to prevent it from continuing. They are as follows:
“…A review of suicides in the Marshall Islands identified a commonality of alcohol and other illicit substance use at the time of the incident 13. From 1991 to 1995, the percent of alcohol-related suicides in the Marshall Islands averaged 68% but were as high as 83%, which is significantly higher than the general US population 26,27. The association between substance use and suicide in addition to underreporting of depressive symptoms, stigma, and beliefs may have significant implications for the Marshallese population.…”
IntroductionThe lifetime risk of developing depression is 16.6%, however the risk is 2-fold in patients with diabetes. The rate of diabetes is much higher for the Marshallese than the general US population, with a prevalence ranging from 25% to 50%, however the prevalence of depression is not well defined among this minority group. The primary objective of this study was to obtain the rate of positive depression screenings, using the Patient Health Questionnaire-2 (PHQ-2), among adult Marshallese patients with diabetes.MethodsA retrospective chart review was performed for Marshallese adults receiving care in a student-led clinic in Northwest Arkansas. Marshallese adults with a documented PHQ-2 score and a diagnosis of type 1 or 2 diabetes, as outlined by the American Diabetes Association, were included. Demographic information was obtained from the medical records. The data were analyzed using descriptive statistics.ResultsThe study included 96 patients. Ten patients scored a 3 or higher on the PHQ-2, indicating a positive screen. Of these, scores ranged from 3 to 6, with the majority of patients scoring 4 (N = 6). The average hemoglobin A1C for patients with a positive PHQ-2 score was 10.5%.DiscussionThis project identified a rate of 10.4% of patients with a positive PHQ-2 from the study sample. This finding is similar to the prevalence of depression for the general US population, however it is lower than rates cited in the literature for patients diagnosed with diabetes. Future studies should use Native Marshallese community health workers and focus groups to develop a multistep approach to obtain a culturally appropriate, translated tool with high sensitivity for patient response.
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