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Killing the Mother of One’s Child: Psychiatric Risk Factors Among Male Perpetrators and Offspring Health Consequences

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dc.contributor.author Lysell, H., Dahlin, M., Långström, N., Lichtenstein, P., & Runeson, B.
dc.date.accessioned 2016-01-27T20:53:13Z
dc.date.available 2016-01-27T20:53:13Z
dc.date.issued 2016
dc.identifier.citation Lysell, H., Dahlin, M., Långström, N., Lichtenstein, P., & Runeson, B. (2016). Killing the Mother of One’s Child: Psychiatric Risk Factors Among Male Perpetrators and Offspring Health Consequences. The Journal of Clinical Psychiatry, (VALUE!), 1-478. en_US
dc.identifier.uri http://www.psychiatrist.com/jcp/article/Pages/2016/aheadofprint/14m09564.aspx  
dc.identifier.uri http://hdl.handle.net/11212/2711
dc.description.abstract Objective: To study possible psychiatric and criminological risk factors of intimate partner femicide (IPF) as well as the bereaved offspring’s psychiatric morbidity and premature death. Method: We conducted a nested case-control study, based on Swedish national registries, including all perpetrators of IPF. We computed risk estimates relative to matched population controls, which were compared to those of non-IPF homicide offenders. Exposed children were matched to population controls and followed longitudinally up to 37 years. Offspring outcomes were psychiatric and substance use disorders (according to ICD) self-harm; violent crime; suicide; and premature, all-cause death. Results: We identified 261 male IPF perpetrators and 494 bereaved children from 1973 through 2009. Multivariable logistic regression suggested that major mental disorder (adjusted odds ratio [OR] = 5.9; 95% CI, 3.3–10.6) and violent crime convictions (adjusted OR = 4.4; 95% CI, 2.7–7.2) were independent risk factors of IPF, but substance use disorders were not (aOR = 0.4; 95% CI, 0.2–1.0). Children exposed to IPF before age 18 years had elevated risks of major mental disorder (adjusted hazard ratio [HR] = 5.7; 95% Cl, 3.0–10.6), substance use disorders (adjusted HR = 5.8; 95% CI, 2.8–11.9) and self-harm (adjusted HR = 5.7; 95% CI, 3.0–11.1). Offspring 18 years or older at the IPF had an increased risk of completed suicide (adjusted HR = 4.3; 95% CI, 1.3–14.5). Conclusions: Previous major mental disorder and violent behavior were strong independent risk factors for IPF. Bereavement caused by IPF had significant associations with the offspring’s future life, especially for those below 18 years of age at exposure. Our findings demonstrate the need of direct support to the exposed offspring by health care providers and social services. (Author Abstract) en_US
dc.language.iso en en_US
dc.publisher The Journal of Clinical Psychiatry en_US
dc.subject child abuse en_US
dc.subject child witness en_US
dc.subject domestic violence en_US
dc.subject exposure to violence en_US
dc.subject family violence en_US
dc.subject research en_US
dc.subject psychological effects en_US
dc.title Killing the Mother of One’s Child: Psychiatric Risk Factors Among Male Perpetrators and Offspring Health Consequences en_US
dc.type Article en_US


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