scholarly journals Mental health, substance use and intimate partner problems among pregnant and postpartum suicide victims in the National Violent Death Reporting System

2012 ◽  
Vol 34 (2) ◽  
pp. 139-145 ◽  
Author(s):  
Katherine J. Gold ◽  
Vijay Singh ◽  
Sheila M. Marcus ◽  
Christie Lancaster Palladino
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Reporting System ◽  
Intimate Partner ◽  
Violent Death

Pregnant Victims of Intimate Partner Homicide in the National Violent Death Reporting System Database, 2003–2014: A Descriptive Analysis

2020 ◽  
pp. 088626052094372
Author(s):  
Penelope K. Morrison ◽  
Chelsea Pallatino ◽  
Rachel A. Fusco ◽  
Tanya Kenkre ◽  
Judy Chang ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Reporting System ◽  
Mental Health Problems ◽  
The United States ◽  
Intimate Partner ◽  
Violent Death ◽  
Intimate Partner Homicide ◽  
Service Engagement ◽  
History Of

Intimate partner homicide (IPH) is a leading cause of maternal mortality in the United States. However, very little information exists as to the circumstantial factors associated with IPH during pregnancy. We conducted a descriptive study of the demographic characteristics, psychosocial service engagement, and crises experiences (i.e., life and relationship stressors) among pregnant and nonpregnant victims to understand what differences, if any, exist in their risk profile for IPH. Data from the Centers for Disease Control and Prevention’s National Violent Death Reporting System (NVDRS) were used for this study. The NVDRS is a national opt-in tracking system of all violent deaths in the United States. Pregnant victims ( N = 293) were significantly more likely to be 5 years younger than nonpregnant victims, African American, and never married. Pregnant victims were more likely to be seen in the emergency room following the fatal incident. Nonpregnant victims ( N = 2,089) were significantly more likely to have suspected alcohol use at the time of their death. In strictly proportional terms, we also observed higher rates of mental health problems, a history of mental health treatment, and a reported history of intimate partner violence (IPV), crisis, or family problems among nonpregnant victims. A wider range of IPH-related risk factors (e.g. substance abuse) need to be included IPV assessments. Future studies should seek to develop effective interventions to prevent IPH, particularly among reproductive aged women.

scholarly journals Exploring links between common mental health problems, alcohol/substance use and perpetration of intimate partner violence: A rapid ethnographic assessment with men in urban Kenya

2018 ◽  
Vol 5 ◽  
Author(s):  
A. Schafer ◽  
P. Koyiet
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Substance Use ◽  
Alcohol Use ◽  
Marital Conflict ◽  
Partner Violence ◽  
Mental Health Problems ◽  
High Stress ◽  
Intimate Partner ◽  
Psychosocial Issues

Introduction:Kenya has some of the highest rates of gender-based violence (GBV) in the world, particularly intimate partner violence. World Vision completed a rapid ethnographic assessment to explore common problems faced by men and local perspectives about the links between men, mental health, alcohol use and GBV.Methods:Data from community free-listing surveys (n = 52), four focus group discussions and two key informant interviews formed the basis for thematic analysis and findings.Results:Lack of jobs, ‘idleness’ and finances were viewed as top priority concerns facing men; however, alcohol and substance use were equally prioritised. Family problems, crime and general psychosocial issues (e.g., high stress, low self-esteem) were also reported. Men withdrawing socially, changing behaviour and increasing alcohol consumption were described as signs that men were experiencing mental health challenges. The community observed alcohol use as the biggest cause of GBV, believing men resorted to drinking because of having ‘too much time’, marital conflict, psychosocial issues and access to alcohol. The findings theorise that a circular link between unemployment, alcohol and crime is likely contributing to familial, psychosocial and gender concerns, and that men's mental health support may assist to re-direct a trajectory for individuals at risk of perpetrating GBV.Conclusions:Data confirmed that GBV is a major concern in these Kenya communities and has direct links with alcohol use, which is subsequently linked to mental health and psychosocial problems. Attempting to disrupt progression to the perpetration of violence by men, via mental health care interventions, warrants further research.

Characteristics of persons who die on their first suicide attempt: results from the National Violent Death Reporting System

2019 ◽  
Vol 50 (8) ◽  
pp. 1390-1397 ◽  
Author(s):  
Joshua T. Jordan ◽  
Dale E. McNiel
Keyword(s):  
Mental Health ◽  
Law Enforcement ◽  
Suicide Attempt ◽  
Reporting System ◽  
Significant Proportion ◽  
Medical Examiner ◽  
Violent Death ◽  
Legal Problem ◽  
History Of ◽  
Life Circumstances

AbstractBackgroundMuch of suicide research focuses on suicide attempt (SA) survivors. Given that more than half of the suicide decedent population dies on their first attempt, this means a significant proportion of the population that dies by suicide is overlooked in research. Little is known about persons who die by suicide on their first attempt–and characterizing this understudied population may improve efforts to identify more individuals at risk for suicide.MethodsData were derived from the National Violent Death Reporting System, from 2005 to 2013. Suicide cases were included if they were 18–89 years old, with a known circumstance leading to their death based on law enforcement and/or medical examiner reports. Decedents with and without a history of SA were compared on demographic, clinical, and suicide characteristics, and circumstances that contributed to their suicide.ResultsA total of 73 490 cases met criteria, and 57 920 (79%) died on their first SA. First attempt decedents were more likely to be male, married, African-American, and over 64. Demographic-adjusted models showed that first attempt decedents were more likely to use highly lethal methods, less likely to have a known mental health problem or to have disclosed their intent to others, and more likely to die in the context of physical health or criminal/legal problem.ConclusionsFirst attempt suicide decedents are demographically different from decedents with a history of SA, are more likely to use lethal methods and are more likely to die in the context of specific stressful life circumstances.

scholarly journals How Adolescents, Mothers, and Fathers Qualitatively Describe Their Experiences of Co-Occurrent Problems: Intimate Partner Violence, Mental Health, and Substance Use

2020 ◽  
pp. 088626051990096 ◽  
Author(s):  
Geneviève Lessard ◽  
Sylvie Lévesque ◽  
Chantal Lavergne ◽  
Annie Dumont ◽  
Pamela Alvarez-Lizotte ◽  
...  
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Substance Use ◽  
Partner Violence ◽  
Intimate Partner ◽  
Analysis Method ◽  
Structured Interviews ◽  
Mothers And Fathers ◽  
Future Studies ◽  
Content Analysis Method

This qualitative study examines the perceptions of mothers, fathers, and adolescents on the relations they see between intimate partner violence, mental health and substances use parental problems that co-occur in their family, and the mothers’ and fathers’ associated parenting challenges. The sample was composed of 43 people (15 mothers, 16 fathers, and 12 adolescents) who were directly affected by the co-occurrence of intimate partner violence and mental health or substances use parental problems. The participants were recruited with the collaboration of public and community organizations in the Province of Québec (Canada). The data were collected through semi-structured interviews and combined with a table detailing the specific problems identified by the participants. A thematic content analysis method was employed to do the coding, and a summary of the results was returned to some participants who agreed to collaborate with the validation of the results. The analysis revealed numerous and diverse relations between the interviewees’ co-occurring problems, but two principal patterns emerged. The first one was chiefly observed in the comments made by mothers and adolescents who saw the co-occurring problems as being the consequence of the intimate partner violence on the mother. The second pattern was largely observed in the fathers’ comments, who explained that the substance use problems came before the intimate partner violence and acted as an aggravating factor. The co-occurrence of intimate partner violence with other parental problems strongly affected the mothers’ and fathers’ parenting, making it more difficult to meet the children’s needs. Considering the complexity and diversity of the experiences and needs of the mothers, fathers, and children in co-occurring situations, future studies should evaluate the services provided to these families and the coordination between the different concerned organizations.

scholarly journals Examining associations between COVID-19 stressors, intimate partner violence, health, and health behaviors

2021 ◽  
pp. 026540752110120
Author(s):  
Abriana M. Gresham ◽  
Brett J. Peters ◽  
Gery Karantzas ◽  
Linda D. Cameron ◽  
Jeffry A. Simpson
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Substance Use ◽  
Health Behaviors ◽  
Partner Violence ◽  
Structural Equation ◽  
Online Survey ◽  
Intimate Partner ◽  
Equation Modeling ◽  
Physical And Mental Health

The economic, social, and health impacts of the COVID-19 pandemic are expected to increase the occurrence of intimate partner violence (IPV) victimization. IPV victimization may, in turn, contribute to physical and mental health, substance use, and social distancing behaviors during the COVID-19 pandemic. The primary objective of the current study was to understand the extent to which 1) COVID-19 stressors are associated with IPV victimization and 2) IPV victimization is associated with health and health behaviors. Participants ( N = 1,813) completed an online survey between May 15 and 28, 2020 that assessed COVID-19 stressors (financial anxiety, social disconnection, health anxiety, COVID-19-specific stress), IPV victimization, physical and mental health, substance use, and movement outside of the home. Structural equation modeling indicated that greater COVID-19-related stressors were associated with greater IPV victimization during the pandemic, even after controlling for enduring vulnerabilities associated with IPV victimization. Additionally, greater IPV victimization during the COVID-19 pandemic was associated with higher levels of substance use and movement outside of the home, but not poorer physical and mental health. COVID-19 stressors may have detrimental relationship effects and health implications, underscoring the need for increased IPV intervention and support services during the pandemic. Findings from the current work provide preliminary correlational evidence for a theoretical model centered on IPV victimization, rather than perpetration.

scholarly journals A Latent Profile Analysis of Aggression and Victimization across Relationship Types Among Veterans Who Use Substances

2019 ◽  
Author(s):  
RaeAnn Elizabeth Anderson ◽  
Maureen Walton ◽  
Erin Bonar ◽  
Sheila A. M. Rauch ◽  
Quyen Epstein-Ngo ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Intimate Partner ◽  
Psychological Aggression ◽  
Substance Use Treatment ◽  
Legal Problems ◽  
Partner Relationships ◽  
Latent Profile

Objective: This study examined patterns of violence victimization and aggression in both intimate partner and non-partner relationships among veterans, and used latent profile analysis to identify subtypes of violence involvement. Methods: Participants were 841 substance use treatment-seeking veterans (94% male) from a large VA Medical Center who completed screening measures for a randomized controlled trial. Self-report measures were: substance use, legal problems, depression, and violence involvement. Results: Past year violence involvement, including both intimate partner (IPV) and non-partner (NPV) were common in the sample; although NPV occurred at somewhat higher rates. When including either IPV or NPV aggression or victimization, over 48% reported involvement with physical violence, 31% with violence involving injury and 86% with psychological aggression. Latent profile analysis including both aggression and victimization in partner and non-partner relationships indicated a four profile solution: no-low violence (NLV, n = 701), predominantly IPV (n = 35), predominantly NPV (n = 83), and high general violence (HGV, n = 22). Multinomial logistic regression analyses revealed that compared to the no-low violence group, the remaining three groups differed in demographics, depressive symptoms, alcohol and other drug use, and legal involvement. Individuals within each profile had different patterns of substance use and legal involvement with the participants with an HGV profile reporting the most legal problems. Conclusions: IPV and NPV are relatively common among veterans seeking substance use treatment. Characteristics of violence and associated substance use, mental health, and legal difficulties may be useful in considering how to tailor substance use and mental health services.

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