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Research ArticleRegular Article

Firearm Use Increases Risk of Multiple Victims in Domestic Homicides

Aaron J. Kivisto and Megan Porter
Journal of the American Academy of Psychiatry and the Law Online December 2019, JAAPL.003888-20; DOI: https://doi.org/10.29158/JAAPL.003888-20
Aaron J. Kivisto
Dr. Kivisto is Co-Director, Clinical Psychology Doctoral Program, and Associate Professor of Clinical Psychology, University of Indianapolis, School of Psychological Sciences, Indianapolis, Indiana. Ms. Porter is a Clinical Psychology Doctoral Student, University of Indianapolis, School of Psychological Sciences, Indianapolis, Indiana.
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Megan Porter
Dr. Kivisto is Co-Director, Clinical Psychology Doctoral Program, and Associate Professor of Clinical Psychology, University of Indianapolis, School of Psychological Sciences, Indianapolis, Indiana. Ms. Porter is a Clinical Psychology Doctoral Student, University of Indianapolis, School of Psychological Sciences, Indianapolis, Indiana.
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    Figure 1.

    Interaction between gun use and victim–offender relationship on incidence of multiple victim homicides, United States, 1976–2016. IRR, incidence rate ratio.

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    Figure 2.

    Interaction between gun use and perpetrator sex on incidence of multiple victim homicides, stratified by victim–offender relationship, United States, 1976–2016.

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    Table 1

    Demographic Characteristics of Homicide Perpetrators by Domestic Status and Firearm Use

    Total HomicideDomestic HomicideNondomestic Homicide
    All-CauseGunNon-GunAll-CauseGunNon-GunAll-CauseGunNon-Gun
    Age, y
        < 187.88.56.44.44.64.29.09.77.5
        18–2432.134.028.719.317.221.836.839.032.2
        25–3430.028.732.429.527.432.130.229.032.6
        35–4920.619.123.429.530.228.617.415.920.7
        50+9.59.79.117.320.613.36.66.56.9
    Sex
        Male89.191.285.473.775.571.694.795.892.6
        Female10.98.814.626.324.528.45.34.27.4
    Race
        White45.842.551.956.157.754.242.138.150.7
        Black51.555.344.740.839.942.055.459.846.0
        Other2.62.23.43.12.43.82.52.13.2
    • All values are percentages.

    • View popup
    Table 2

    Incidence of Multiple Homicide Victims by Firearm Use and Victim–Offender Relationship, United States, 1976–2016

    Total Sample
    % Gun Use% Multiple Victim HomicidesIRR (95% CI)P
    All MeansGunNon-Gun
    Total homicides64.33.64.22.71.427 (1.246–1.636)< .001
    Domestic homicides54.14.65.83.31.709 (1.553–1.879)< .001
        Intimate partner homicides58.42.81.73.72.110 (1.913–2.328)< .001
        Family homicides47.87.39.65.21.748 (1.540–1.985)< .001
    Nondomestic homicides67.93.33.72.31.387 (1.165–1.652)< .001
        Friend/acquaintance homicides66.83.23.72.31.453 (1.251–1.687)< .001
        Stranger homicides70.13.33.72.51.270 (0.991–1.628).06
    Male Perpetrators
    % Gun Use% Multiple Victim HomicidesIRR (95% CI)P
    All MeansGunNon-Gun
    Total homicides64.03.84.42.81.460 (1.268–1.681)< .001
    Domestic homicides57.15.46.93.61.885 (1.706–2.084)< .001
        Intimate partner homicides61.23.74.92.12.228 (1.975–2.513)< .001
        Family homicides51.77.69.75.31.995 (1.741–2.285)< .001
    Nondomestic homicides66.63.43.82.41.470 (1.252–1.726)< .001
        Friend/acquaintance homicides65.43.33.82.41.571 (1.371–1.801)< .001
        Stranger homicides69.33.43.72.51.273 (1.003–1.616).05
    Female Perpetrators
    % Gun Use% Multiple Victim HomicidesIRR (95% CI)P
    All MeansGunNon-Gun
    Total homicides47.52.22.22.20.913 (0.769–1.085).30
    Domestic homicides48.22.42.42.50.884 (0.712–1.097).26
        Intimate partner homicides59.40.91.00.62.470 (1.400–4.356).002
        Family homicides23.26.09.04.91.968 (1.559–2.485)< .001
    Nondomestic homicides46.01.82.01.60.757 (0.540–1.062).11
        Friend/acquaintance homicides45.61.71.81.50.757 (0.529–1.082).13
        Stranger homicides50.42.72.82.40.822 (0.493–1.370).45
    • Incidence rate ratio (IRR) models show incidence of multiple victims with guns (1) versus without (0) guns and include fixed effects for year. Errors are adjusted for clustering within states, and are controlled for region and level of urban classification.

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Journal of the American Academy of Psychiatry and the Law Online: 53 (1)
Journal of the American Academy of Psychiatry and the Law Online
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1 Mar 2025
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Firearm Use Increases Risk of Multiple Victims in Domestic Homicides
Aaron J. Kivisto, Megan Porter
Journal of the American Academy of Psychiatry and the Law Online Dec 2019, JAAPL.003888-20; DOI: 10.29158/JAAPL.003888-20

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Firearm Use Increases Risk of Multiple Victims in Domestic Homicides
Aaron J. Kivisto, Megan Porter
Journal of the American Academy of Psychiatry and the Law Online Dec 2019, JAAPL.003888-20; DOI: 10.29158/JAAPL.003888-20
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