Risk of death or life-threatening injury for women with children not sired by the abuser.

Women who are abused by their male intimate partners incur many costs, ranging in severity from fleeting physical pain to death. Previous research has linked the presence of children sired by a woman's previous partner to increased risk of woman abuse and to increased risk of femicide. The current research extends this work by securing data from samples of 111 unabused women, 111 less severely abused women, 128 more severely abused women, and 26 victims of intimate partner femicide from the Chicago Women's Health Risk Study to document an ordinal trend in the risk of experiencing more severe forms of violence for women who have children in the household sired by a previous partner. The discussion addresses two potential explanations for this trend and highlights directions for future research.

Intimate partner violence and miscarriage: examination of the role of physical and psychological abuse and posttraumatic stress disorder.

Despite research documenting high rates of violence during pregnancy, few studies have examined the impact of physical abuse, psychological abuse, and posttraumatic stress disorder (PTSD) on miscarriage. Secondary analysis of data collected by the Chicago Women's Health Risk Study permitted an exploration of the relationships among physical abuse, psychological abuse, PTSD, and miscarriage among 118 primarily ethnic minority women. The interaction between maximum severity of abuse and age provided the best multivariate predictor of miscarriage rate, accounting for 26.9% of the variance between live birth and miscarriage outcome. Mean scores of psychological abuse, physical violence, forced sex, and PTSD were significantly higher in the miscarriage group than in the live birth group. Women who experience physical violence and psychological abuse during pregnancy may be at greater risk for miscarriage. Prospective studies can confirm findings and determine underlying mechanisms. Routine screening for traumatic stress and PTSD may reduce rates of miscarriage.

Non-fatal strangulation is an important risk factor for homicide of women.

The purpose of this study was to examine non-fatal strangulation by an intimate partner as a risk factor for major assault, or attempted or completed homicide of women. A case control design was used to describe non-fatal strangulation among complete homicides and attempted homicides (n = 506) and abused controls (n = 427). Interviews of proxy respondents and survivors of attempted homicides were compared with data from abused controls. Data were derived using the Danger Assessment. Non-fatal strangulation was reported in 10% of abused controls, 45% of attempted homicides, and 43% of homicides. Prior non-fatal strangulation was associated with greater than six-fold odds (odds ratio [OR] 6.70, 95% confidence interval [CI] 3.91-11.49) of becoming an attempted homicide, and over seven-fold odds (OR 7.48, 95% CI 4.53-12.35) of becoming a completed homicide. These results show non-fatal strangulation as an important risk factor for homicide of women, underscoring the need to screen for non-fatal strangulation when assessing abused women in emergency department settings.

Risk factors for femicide-suicide in abusive relationships: results from a multisite case control study.

The killing of women by men who then take their own lives (femicide-suicide) is the most common form of homicide-suicide. This study identified femicide-suicide risk factors in an 11-city case-control study of femicide in the United States. Perpetrator, victim, relationship, and incident characteristics were analyzed for femicide-suicide cases (n = 67) and controls (n = 356, women living in the community with nonfatal physical abuse) using logistic regression modeling. Two risk factors emerged that were unique to femicide-suicides cases compared to overall femicide risk analyses: prior perpetrator suicide threats and victims having ever been married to the perpetrator.

Couple age discrepancy and risk of intimate partner homicide.

Although national level studies in the United States and Canada find that extreme partner age discrepancy is a risk factor for intimate partner homicide in opposite-sex couples, these studies carry two caveats: They are limited to cohabiting marital or common-law couples and they are not detailed enough to explore alternative explanations for the age discrepancy-homicide risk association. Using the Chicago Homicide Dataset, which includes all homicides that occurred in Chicago from 1965 to 1996, we analyze the 2,577 homicides in which the victim was killed by a current or former legal spouse, common-law spouse, or heterosexual boyfriend or girlfriend, and in which the woman was at least 18 years of age. Within each of 14 categories of couple age discrepancy, we estimate the population of intimate heterosexual couples and calculate the population-based risk of homicide. The results replicate national level findings showing that the risk of intimate partner homicide is considerably elevated for couples with a large discrepancy between their ages-where the man is at least 16 years older than the woman or the woman is at least 10 years older than the man. This risk pattern occurs regardless of whether the man or the woman was the homicide offender. We then investigate whether the link between partner age discrepancy and homicide risk is explained by the offender's arrest record. Results show that the higher risk of intimate partner homicide for age discrepant couples is robust, and does not depend on the previous arrest record of the offender. Discussion addresses other possible explanations for the increased risk of partner homicide for age discrepant couples, and the practical implications of these findings.