• Joseph E Logan, Sabrina Walsh, Nimeshkumar Patel, and Jeffrey E Hall.
• Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, GA, USA. ffa3@cdc.gov
• Am J Health Behav. 2013 Jul 1;37(4):531-42.

ObjectivesTo describe homicide-followed-by-suicide incidents involving child victimsMethodsUsing 2003-2009 National Violent Death Reporting System data, we characterized 129 incidents based on victim and perpetrator demographic information, their relationships, the weapons/mechanisms involved, and the perpetrators' health and stress-related circumstances.ResultsThese incidents accounted for 188 child deaths; 69% were under 11 years old, and 58% were killed with a firearm. Approximately 76% of perpetrators were males, and 75% were parents/caregivers. Eighty-one percent of incidents with paternal perpetrators and 59% with maternal perpetrators were preceded by parental discord. Fifty-two percent of incidents with maternal perpetrators were associated with maternal psychiatric problems.ConclusionsStrategies that resolve parental conflicts rationally and facilitate detection and treatment of parental mental conditions might help prevention efforts.

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