Intimate Partner Homicide of Adolescents
Intimate Partner Homicide of Adolescents
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DOI：
10.1001/jamapediatrics.2019.0621
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发表时间：
2019-06-01
期刊：
影响因子：
26.1
通讯作者：
Rivara, Frederick P.
中科院分区：
文献类型：
--
作者：
Adhia, Avanti;Kernic, Mary A.;Rivara, Frederick P.
青少年时期的亲密伴侣暴力很普遍，后果可能很严重。亲密伴侣凶杀（IPH）是亲密伴侣暴力的最极端形式，但关于IPH的文献几乎只关注成年人。目的确定由亲密伴侣实施的青少年杀人案的比例，并描述这些行凶者的受害者、行凶者和事件特征。2003年至2016年国家暴力死亡报告系统定量和定性监测数据分析数据代表32个州，这些州为该系统贡献了1年或更长时间。有8048起凶杀案的受害者年龄在11至24岁之间，受害者和肇事者之间有已知的关系。在11至18岁的人中，有2188人被杀。分析开始于2018年9月。如果加害者和受害者之间的关系被编码为配偶、前配偶、女友或男友、前女友或前男友、或女友或男友（未指明现任或前任），则该事件被确定为IPH。感兴趣的变量包括受害者和犯罪者的人口统计学特征（年龄、性别、种族/民族）、死亡时的关系状况、杀人-自杀、杀人方法、枪支类型和杀人地点。语境范畴是从定性叙述中创造出来的。结果青少年杀人案中，有150例（6.9%）属于IPH。135例（90%）患者为女性（平均[SD]年龄16.8[1.3]岁）。总体而言，102名施暴者（77.9%）年龄在18岁及以上（平均[SD]年龄20.6[5.0]岁），94名施暴者（62.7%）是受害者目前的亲密伴侣。火器，特别是手枪，是最常见的伤害机制。与19至24岁的年轻人相比，青少年受害者的施暴者更年轻，而且不太可能是目前的亲密伴侣。青少年IPH杀人最常见的类型是破裂/渴望的关系或嫉妒和争吵，其次是鲁莽的枪支行为和怀孕相关。青少年，特别是女孩，在恋爱关系中可能面临杀人的风险，特别是在分手或嫉妒的情况下，当肇事者有机会获得枪支时。了解早期恋爱关系中的杀人行为可以为针对青少年的预防和干预措施提供信息。
IMPORTANCE Intimate partner violence during adolescence is widespread, and consequences can be severe. Intimate partner homicide (IPH) is the most extreme form of intimate partner violence, but literature on IPH has almost exclusively focused on adults.OBJECTIVES To determine the proportion of adolescent homicides that is perpetrated by intimate partners and to describe the victim, perpetrator, and incident characteristics of these IPHs.DESIGN, SETTING, AND PARTICIPANTS Analysis of quantitative and qualitative surveillance data from the National Violent Death Reporting System from 2003 to 2016. Data represent 32 states that contributed to the system for 1 year or longer. There were 8048 homicides of victims aged 11 to 24 years with a known relationship between the victim and perpetrator. For persons aged 11 to 18 years, there were 2188 homicides. Analysis began September 2018.MAIN OUTCOMES AND MEASURES An incident was identified as an IPH if the relationship between the perpetrator and victim was coded as spouse, ex-spouse, girlfriend or boyfriend, ex-girlfriend or ex-boyfriend, or girlfriend or boyfriend (unspecified current or former). Variables of interest included demographic characteristics (age, sex, race/ethnicity) for the victim and perpetrator, relationship status at time of death, homicide-suicide, homicide method, firearm type, and location of homicide. Contextual categories were created from the qualitative narratives.RESULTS Of adolescent homicides, 150 (6.9%) were classified as IPH. A total of 135 victims (90%) were female (mean [SD] age, 16.8 [1.3] years). Overall, 102 perpetrators (77.9%) were 18 years and older (mean [SD] age, 20.6 [5.0] years), and 94 (62.7%) were current intimate partners of the victim. Firearms, specifically handguns, were the most common mechanism of injury. Compared with IPHs of young adults aged 19 to 24 years, perpetrators of adolescent victims were younger and less likely to be a current intimate partner. The most common categories of adolescent IPH homicides were broken/desired relationship or jealousy and an altercation followed by reckless firearm behavior and pregnancy related.CONCLUSIONS AND RELEVANCE Adolescents, particularly girls, in dating relationships may face risk of homicide, especially in circumstances of a breakup or jealousy and when perpetrators have access to firearms. Understanding homicide in early dating relationships can inform prevention and intervention efforts tailored to adolescents.