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Therefore, using qualitative data from the 2003-2011 National Violent Death Reporting System, we examined 175 cases of homicide-suicide involving child victims in an effort to better understand the complex situational factors of these events. Our findings indicate that 98% of homicide-suicides with child victims are perpetrated by adults (mostly parents) and propelled by the perpetrators\u2019 intimate partner problems, mental health problems, and criminal\/legal problems. These events are often premeditated, and plans for the violence are sometimes disclosed prior to its occurrence. Findings provide support for several theoretical perspectives, and implications for prevention are discussed.<\/jats:p>","DOI":"10.1177\/0886260515605124","type":"journal-article","created":{"date-parts":[[2015,9,18]],"date-time":"2015-09-18T20:42:49Z","timestamp":1442608969000},"page":"379-401","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":42,"title":["Circumstances Preceding Homicide-Suicides Involving Child Victims: A Qualitative Analysis"],"prefix":"10.1177","volume":"33","author":[{"given":"Kristin M.","family":"Holland","sequence":"first","affiliation":[{"name":"National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina V.","family":"Brown","sequence":"additional","affiliation":[{"name":"University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey E.","family":"Hall","sequence":"additional","affiliation":[{"name":"National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph E.","family":"Logan","sequence":"additional","affiliation":[{"name":"National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,9,17]]},"reference":[{"key":"bibr1-0886260515605124","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994","edition":"4"},{"key":"bibr2-0886260515605124","doi-asserted-by":"publisher","DOI":"10.1111\/j.1943-278X.1979.tb00899.x"},{"key":"bibr3-0886260515605124","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2006.012807"},{"key":"bibr4-0886260515605124","first-page":"74","volume":"35","author":"Bourget D.","year":"2007","journal-title":"Journal of the American Academy of Psychiatry & the Law"},{"key":"bibr5-0886260515605124","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2010.08.003"},{"key":"bibr6-0886260515605124","doi-asserted-by":"publisher","DOI":"10.1097\/00000433-200209000-00008"},{"key":"bibr7-0886260515605124","doi-asserted-by":"publisher","DOI":"10.1177\/0886260508317180"},{"key":"bibr8-0886260515605124","doi-asserted-by":"publisher","DOI":"10.1023\/A:1022032904116"},{"key":"bibr9-0886260515605124","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702006943"},{"key":"bibr10-0886260515605124","unstructured":"Centers for Disease Control and Prevention. 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