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OtherREGULAR ARTICLE

Filicide-Suicide: Common Factors in Parents Who Kill Their Children and Themselves

Susan Hatters Friedman, Debra R. Hrouda, Carol E. Holden, Stephen G. Noffsinger and Phillip J. Resnick
Journal of the American Academy of Psychiatry and the Law Online January 2005, 33 (4) 496-504;
Susan Hatters Friedman
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Debra R. Hrouda
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Carol E. Holden
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Stephen G. Noffsinger
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Phillip J. Resnick
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    Table 1

    Factors Coded in the Study: Eight Subgroups of Factors

    Demographics: parent sex, age of parent, marital status, 
 employment, race
    Legal history: history of charges, history of prison, juvenile legal 
 history
    Substance history: alcohol history, drug history, alcohol use prior to 
 offense, drug use prior to offense, intoxication during act
    Offense characteristics: total children, children in filicide, child age, 
 child sex, description of motive, description of filicide act, other 
 victims, accomplice, method, previous attempts at filicide, length 
 of consideration of filicide
    Illness characteristics: history of mental illness, diagnosis, age at 
 diagnosis/symptom onset, age at first hospitalization, length of 
 mental illness treatment, history of psychiatric admissions, last 
 contact with psychiatry/mental health services, history of suicide 
 attempts and method, auditory hallucinations, command 
 hallucinations, visual hallucinations, delusions and quality, 
 depression, mania
    Family characteristics: domestic violence, abuse of children
    Offender developmental/psychosocial characteristics: social support, 
 childcare, biological father involvement/stepfather, involvement of 
 child protective services, source of income, custody dispute, 
 school problems
    Offender medical history: history of postpartum depression or 
 psychosis, postpartum or pregnant state, medical problems
    • View popup
    Table 2

    Parental Mental Illness

    Maternal Filicide-Suicide (n = 10)Paternal Filicide-Suicide (n = 20)Total Filicide-Suicide (n = 30)
    Mental illness
        Total90% (9)75% (15)80% (24)
        Saw counselor/psychiatrist/medication70% (7)30% (6)43% (13)
        Evidence against10% (1)15% (3)13% (4)
        Unknown010% (2)7% (2)
    Previous admissions to psychiatric hospital20% (2)10% (2)13% (4)
    Previous suicide attempt20% (2)5% (1)10% (3)
    Delusional20% (2)20% (4)20% (6)
    Psychosis30% (3)25% (5)27% (8)
    Depression70% (7)50% (10)57% (17)
    • Data are the percentage of the total group (n).

    • View popup
    Table 3

    Motive for Filicide-Suicide

    Maternal Filicide-Suicide (n = 10)Paternal Filicide-Suicide (n = 20)Total Filicide-Suicide (n = 30)
    Altruistic90% (9)60% (12)70% (21)
        Psychotic10% (1)20% (4)16% (5)
        Nonpsychotic80% (8)40% (8)53% (16)
    Acutely psychotic010% (2)7% (2)
    Inconclusive10% (1)30% (6)23% (7)
    • Data are the percentage of the total group (n).

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Journal of the American Academy of Psychiatry and the Law Online: 33 (4)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 33, Issue 4
1 Jan 2005
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Filicide-Suicide: Common Factors in Parents Who Kill Their Children and Themselves
Susan Hatters Friedman, Debra R. Hrouda, Carol E. Holden, Stephen G. Noffsinger, Phillip J. Resnick
Journal of the American Academy of Psychiatry and the Law Online Jan 2005, 33 (4) 496-504;

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Filicide-Suicide: Common Factors in Parents Who Kill Their Children and Themselves
Susan Hatters Friedman, Debra R. Hrouda, Carol E. Holden, Stephen G. Noffsinger, Phillip J. Resnick
Journal of the American Academy of Psychiatry and the Law Online Jan 2005, 33 (4) 496-504;
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