Child Outcomes and Risk Factors in U.S. Homicide-Suicide Cases 1999–2004

Intimate partner homicide-suicide (IPHS) represents the most severe form of domestic violence, and often results in multiple
fatalities. This paper examines outcomes of children in households that experience IPHS. Reports of 325 IPHS cases among adults
age 18–44 in the U.S. between 1999 and 2004 were collected and examined. Results indicate children were often fatally wounded,
but were most likely to witness the eventthen be absent or killed. Difficult financial conditions during times of economic
downturn may increase the possibility of stress-related suicide, and subsequent familicide. Children with a suicidal parent
are at increased risk of harm, so identification is of vital importance. Children are most likely harmed or killed by a primarily
suicidal male perpetrator, who is usually their biological father. Firearms were used more than other methods in IPHS events.
Even those perpetrators with protective orders more often utilized a firearm, which reflected a weakness in Violence Against
Women Act gun ban enforcement. In this research, regions of the U.S. with less stringent firearm regulations were disproportionately
likely to contain IPHS events. Findings illustrate the importance of making distinctions among perpetrators of IPHS, and assessing
firearms policies, in order to improve child death prevention efforts.