{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:18:44Z","timestamp":1788279524553,"version":"build-2803163510"},"reference-count":27,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:00:00Z","timestamp":1743552000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Alcohol consumption has been a longstanding public health concern and known link to violence. The aims of this study were to analyze alcohol-related homicide cases in Lithuania, focusing on the prevalence of binge drinking among perpetrators and victims, the situational and behavioral patterns leading to violence, and the legal outcomes of these cases. Materials and Methods: This study employed a retrospective analysis of court case law of criminal cases of the year 2019. The analysis was conducted by combining qualitative and quantitative analytical approaches. Results: The findings revealed that 84.6% of homicides occurred during binge drinking events. Alcohol intoxication was prevalent among both perpetrators (92.3%) and victims (86.5%), emphasizing the dual role of alcohol in homicide cases. Interpersonal violence was the primary pattern of homicide (78.8%), while planned homicides accounted for 21.2%. Thematic content analysis of the cases revealed that Lithuanian courts consistently regard alcohol consumption as an aggravating factor that contributes to the commission of violent crimes and influences the severity of criminal punishment. This reflects a judicial position that voluntary intoxication does not lessen legal responsibility, despite its effects on impairing judgment, heightening aggression and impulsivity, and escalating conflicts into deadly violence. Conclusions: Our findings revealed that the majority of alcohol-involved homicides occurred during binge drinking events, in a domestic environment, and because of unplanned acts of interpersonal violence. Targeted public health interventions should focus on strengthening alcohol control policies and enforcing stricter regulations to discourage binge drinking environments.<\/jats:p>","DOI":"10.3390\/medicina61040657","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T16:26:31Z","timestamp":1743611191000},"page":"657","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Explaining the Link Between Alcohol and Homicides: Insights from the Analysis of Legal Cases in Lithuania"],"prefix":"10.3390","volume":"61","author":[{"given":"Laura","family":"Mi\u0161\u010dikien\u0117","sequence":"first","affiliation":[{"name":"Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Til\u017e\u0117s str. 18, 47181 Kaunas, Lithuania"},{"name":"Department of Health Management, Faculty of Public Health, Lithuanian University of Health Sciences, Til\u017e\u0117s str. 18, 47181 Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justina","family":"Tri\u0161ausk\u0117","sequence":"additional","affiliation":[{"name":"Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Til\u017e\u0117s str. 18, 47181 Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mindaugas","family":"\u0160telem\u0117kas","sequence":"additional","affiliation":[{"name":"Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Til\u017e\u0117s str. 18, 47181 Kaunas, Lithuania"},{"name":"Department of Preventive Medicine, Faculty of Public Health, Lithuanian University of Health Sciences, Til\u017e\u0117s str. 18, 47181 Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Astromsk\u0117","sequence":"additional","affiliation":[{"name":"Department of Health Management, Faculty of Public Health, Lithuanian University of Health Sciences, Til\u017e\u0117s str. 18, 47181 Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,2]]},"reference":[{"key":"ref_1","unstructured":"(2025, January 30). Alcohol. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/alcohol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1177\/10439862241251624","article-title":"Intentional Homicides and Alcohol Abuse in Lithuania","volume":"40","author":"Dobryninas","year":"2024","journal-title":"J. Contemp. Crim. Justice"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1093\/eurpub\/ckae059","article-title":"The prevalence of alcohol-related deaths in autopsies performed in Lithuania between 2017 and 2020: A cross-sectional study","volume":"34","author":"Rehm","year":"2024","journal-title":"Eur. J. Public Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2614","DOI":"10.1111\/acer.13230","article-title":"Alcohol Involvement in Homicide Victimization in the United States","volume":"40","author":"Naimi","year":"2016","journal-title":"Alcohol. Clin. Exp. Res."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.jflm.2018.03.004","article-title":"Pre-offense alcohol intake in homicide offenders and victims: A forensic-toxicological case-control study","volume":"56","author":"Hedlund","year":"2018","journal-title":"J. Forensic Leg. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1177\/0306624X211028774","article-title":"The Impact of Aggregate Level Alcohol Consumption on Homicide Rates: A Time Series Analysis","volume":"67","year":"2023","journal-title":"Int. J. Offender Ther. Comp. Criminol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1177\/0269881114536476","article-title":"Effects of Acute Alcohol Consumption on the Processing of Emotion in Faces: Implications for Understanding Alcohol-Related Aggression","volume":"28","author":"Attwood","year":"2014","journal-title":"J. Psychopharmacol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"048","DOI":"10.29328\/journal.jfsr.1001027","article-title":"Victim of violent death: What is the role of alcoholemia?","volume":"5","author":"Miziara","year":"2021","journal-title":"J. Forensic Sci. Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1177\/0886260510370596","article-title":"Alcohol May Not Cause Partner Violence But It Seems to Make It Worse: A Cross National Comparison of the Relationship Between Alcohol and Severity of Partner Violence","volume":"26","author":"Graham","year":"2011","journal-title":"J. Interpers. Violence"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1111\/j.1465-3362.2009.00099.x","article-title":"The toxicology of homicide offenders and victims: A review","volume":"29","author":"Darke","year":"2010","journal-title":"Drug Alcohol. Rev."},{"key":"ref_11","unstructured":"(2025, February 04). Criminal Code of the Republic of Lithuania, 26 September 2000, No. VIII-1968. Available online: https:\/\/e-seimas.lrs.lt\/portal\/legalAct\/lt\/TAD\/TAIS.111555\/asr."},{"key":"ref_12","unstructured":"(2025, February 02). Legal Research and Synthesis Department of the Supreme Court of Lithuania. Review of case law on domestic violence in criminal cases. Baud\u017eiam\u0173j\u0173 byl\u0173 ap\u017evalgos|Lietuvos Auk\u0161\u010diausiasis Teismas. Available online: https:\/\/www.lat.lt\/lat-praktika\/teismu-praktikos-apzvalgos\/baudziamuju-bylu-apzvalgos\/68."},{"key":"ref_13","unstructured":"Liutkut\u0117 Gumarov, V., Tamutiene, I., \u0160telem\u0117kas, M., Jogait\u0117, B., Telksnys, T., and Makut\u0117nait\u0117, M. (2018). Alkoholio Vartojimo S\u0105lygojamos \u017dalos Lietuvoje Skai\u010diavimo Metodika ir \u017dalos \u012evertinimas 2015 ir 2016 m [Methodology for Estimating Alcohol Related Harm and Harm Assessment in Lithuania in 2015\u20132016], Lietuvos Sveikatos Moksl\u0173 Universiteto Leidybos Namai."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1177\/1088767913493629","article-title":"The Prevalence of Alcohol-Involved Homicide Offending: A Meta-Analytic Review","volume":"18","author":"Kuhns","year":"2014","journal-title":"Homicide Stud."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1111\/j.1360-0443.2006.01701.x","article-title":"Alcohol and violence: Use of possible confounders in a time-series analysis","volume":"102","author":"Bye","year":"2007","journal-title":"Addiction"},{"key":"ref_16","unstructured":"(2025, February 03). Information System of Lithuanian Courts (Liteko). Available online: https:\/\/liteko.teismai.lt\/viesasprendimupaieska\/detalipaieska.aspx?detali=2."},{"key":"ref_17","unstructured":"(2025, March 02). Alcohol, Heavy Episodic Drinking (Population) Past 30 Days. Available online: https:\/\/www.who.int\/data\/gho\/indicator-metadata-registry\/imr-details\/459."},{"key":"ref_18","unstructured":"(2025, February 02). Data|Information Technology and Communications Department Under Ministry of the Interior of Lithuania. Available online: https:\/\/www.ird.lt\/lt\/paslaugos\/tvarkomu-valdomu-registru-ir-informaciniu-sistemu-paslaugos\/nusikalstamu-veiku-zinybinio-registro-nvzr-atviri-duomenys-paslaugos\/nvzr-nusikalstamumas-pagal-savivaldybes?year=2019&month=12&municipality=0."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1177\/0022427808317986","article-title":"A Comparison of Victim, Offender, and Event Characteristics of Alcohol- and Non-Alcohol-Related Homicides","volume":"45","author":"Pridemore","year":"2008","journal-title":"J. Res. Crime. Delinq."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1177\/0093854810382003","article-title":"The Effects of Alcohol Intoxication on Violent Versus Other Offending","volume":"37","author":"Felson","year":"2010","journal-title":"Crim. Justice Behav."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Sontate, K.V., Rahim Kamaluddin, M., Naina Mohamed, I., Mohamed, R.M.P., Shaikh, M.F., Kamal, H., and Kumar, J. (2021). Alcohol, Aggression, and Violence: From Public Health to Neuroscience. Front. Psychol., 12.","DOI":"10.3389\/fpsyg.2021.699726"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1097\/PAF.0000000000000744","article-title":"Non\u2013Firearm-related Homicides at the Medical University of South Carolina, 2013\u20132018","volume":"43","author":"Sullivan","year":"2022","journal-title":"Am. J. Forensic Med. Pathol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1111\/dar.12925","article-title":"Alcohol use in family, domestic and other violence: Findings from a cross-sectional survey of the Australian population","volume":"38","author":"Curtis","year":"2019","journal-title":"Drug Alcohol. Rev."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"102785","DOI":"10.1016\/j.jflm.2024.102785","article-title":"Ethyl alcohol consumption characteristics of deceased individuals in Lithuania","volume":"108","author":"Stasiunas","year":"2024","journal-title":"J. Forensic Leg. Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1998","DOI":"10.1111\/j.1360-0443.2009.02716.x","article-title":"Alcohol consumption in homicide victims in the city of S\u00e3o Paulo","volume":"104","author":"Andreuccetti","year":"2009","journal-title":"Addiction"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.jflm.2019.04.010","article-title":"Homicide victims and mechanisms in Lithuania from 2004 to 2016","volume":"65","author":"Chmieliauskas","year":"2019","journal-title":"J. Forensic Leg. Med."},{"key":"ref_27","unstructured":"(2025, February 04). dataUNODC|United Nations Office on Drugs and Crime (UNODC). Available online: https:\/\/dataunodc.un.org\/."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/4\/657\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:09:01Z","timestamp":1760029741000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/4\/657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,2]]},"references-count":27,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,4]]}},"alternative-id":["medicina61040657"],"URL":"https:\/\/doi.org\/10.3390\/medicina61040657","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,2]]}}}