Immigrating to Unsafe Spaces: Unique Patterns of Homicide in Immigrant Victims Compared to Native-Born Citizens.

INTRODUCTION: Contrary to popular belief, immigrant enclaves produce less crime than other areas of the United States, yet that does not mean immigrants avoid violent crime altogether. The purpose of this project is to better characterize the victims of homicide in this population. Specifically, we sought to compare differences in victim demographics, injury patterns, and circumstances of violent death between the immigrant population and native-born victims of homicide. METHODS: We queried the National Violent Death Reporting System (NVDRS) from the years 2003-2019 for deaths in victims who were born outside of the United States. We extracted demographic information including age, race or ethnicity, means of homicide, and circumstances surrounding the event to compare immigrant to nonimmigrant deaths. RESULTS: Immigrant victims were less likely to be killed by a firearm and to have substance use or alcohol implicated. Immigrant victims were twice as likely to be killed during multiple homicide events that involved suicide of the perpetrator (2.1% to 1%, P ≤ 0.001) and to be killed by a stranger (12.9% to 6.2%, P ≤ 0.001). Immigrant victims were also more likely to be killed during the perpetration of another crime (19.1% to 15%, P ≤ 0.001), and more likely to be killed in a commercial setting such as a grocery store or retail outlet (7.6% to 2.4%, P ≤ 0.001). CONCLUSIONS: Injury prevention measures for the immigrant population require different techniques, focusing on distinct features of victimization centered on random acts in contrast to native-born citizens who tend to be victims of people they know.

Family Can Hurt You the Most: Examining Perpetrators in Multiple Casualty Events.

INTRODUCTION: Recently, multiple-homicide events, particularly mass shootings, have become a focus of media attention. We hypothesize that many multiple homicides are related to domestic conflict and suicidality. MATERIALS AND METHODS: We analyzed multiple-homicide events (involving two or more victims) in the National Violent Death Reporting System from 2003 to 2015, including those that were followed by suicide of the perpetrator. We characterized circumstances of these events and compared victims with those found in single-homicide events. RESULTS: We identified 2425 multiple-victim incidents involving a total of 5424 homicide victims (9.3% of all homicide victims in National Violent Death Reporting System). Of these events, 14.1% (n = 341) were homicides followed by suicide of the perpetrator. Many multiple homicides involved intimate partners or family members of the victims (n = 741, 30.6%). Few of these events were related specifically to a mental health crisis (n = 39, 2.3%), resulting in the deaths of multiple strangers. Even in mass homicide events (more than four victims), many involved the death of an intimate partner or family member of the perpetrator (n = 14/31, 45.2%). Risk of homicide-suicide increased as the number of victims in the incident increased. CONCLUSIONS: In our examination of multiple-homicide events, we found that many involve the death of the intimate partner and/or family members of the perpetrator, even for events with more than four victims. Although the scenario of a perpetrator with mental health issues going on a "shooting rampage" and murdering multiple strangers is commonly invoked in mass homicide incidents, it is rare overall.