ABSTRACT
Introduction
In 2020, suicide was the 12th leading cause of death among adults in the United States. Prior research has shown
that one common precipitating circumstance among adult suicide decedents is experiencing
intimate partner problems (IPP), such as divorce, separation, romantic break-ups,
arguments, conflicts, and intimate partner violence. This study examines how precipitating
factors differ between IPP and non-IPP-related suicides.
Methods
In 2022, this study analyzed National Violent Death Reporting System (NVDRS) data
from adult suicide decedents in 48 states and two territories between 2003 and 2020.
Multivariable logistic regression models were used to compare precipitating circumstances
between IPP and non-IPP-related suicides, controlling for socio-demographic characteristics.
Results
Of the 402,391 suicides, 20% (n = 80,717) were known to be IPP-related. Circumstances
that significantly increased the odds of IPP-related suicides included history of
suicidal thoughts and attempts and mental health problems (depressed mood, alcohol
problem, mental health diagnosis); life stressors (interpersonal violence perpetration
and victimization, arguments, financial problems, job problems, family problems);
and recent legal problems. Non-IPP-related suicides were more likely to occur among
older individuals and to be precipitated by a physical health problem or crime.
Conclusions
The findings can inform prevention strategies that build resiliency and problem-solving
skills, strengthen economic support, and identify and assist people at risk for IPP-related
suicides. The Centers for Disease Control and Prevention's Suicide Resource for Action
and Intimate Partner Violence Prevention resource packages highlight the best available
evidence for policies, programs, and practices related to preventing suicides and
intimate partner problems.
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© 2023 Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.
