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J Am Acad Psychiatry Law 37:3:371-376 (2009)
Copyright © 2009 by the American Academy of Psychiatry and the Law.
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Murder-Suicide: A Review of the Recent Literature

Scott Eliason, MD

Dr. Eliason is Clinical Instructor, Department of Psychiatry, University of Washington, and Behavioral Health Medical Director, State of Idaho Department of Health and Welfare. At the time of submission, Dr. Eliason was a Forensic Fellow at the University of California San Francisco. Address correspondence to: Scott Eliason, MD, 1720 Westgate Drive, Suite B, Boise, ID 83704. E-mail: seliason1{at}gmail.com

There has been recent widespread media coverage of events that involve murder-suicide. In this paper, the author does an extensive literature review of studies about murder-suicide. The purpose is to determine whether the incidence of murder-suicide is increasing and what its risk factors are. The results of this review show that the incidence of murder-suicide remains at under 0.001%. Risk factors for murder-suicide are based on relationship between perpetrator and victims, history of domestic violence, sex or perpetrator and victim, age of perpetrator, presence of divorce/separation, use of weapon, and history of mental illness. This paper shows that the incidence of murder-suicide is low, stable, and similar to what has been reported in the past. There are, however, some distinct risk factors for murder-suicide including: substance abuse (not as common), mostly male perpetrators, depression (more common), and older male caregivers are at risk.




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