Appendix for Homicides of American Indians/Alaska Natives — National Violent Death Reporting System, United States, 2003–2018
Surveillance Summaries / November 19, 2021 / 70 (8);1–19
Appendix : Circumstances preceding homicide — National Violent Death Reporting System
Mental health/substance use
- Current depressed mood: decedent was perceived by self or others to be feeling depressed at the time of death.
- Current diagnosed mental health problem: decedent was identified as having a mental health disorder or syndrome listed in the Diagnostic and Statistical Manual, Fifth Version (DSM-5), with the exception of alcohol and other substance dependence (these are captured in separate variables).
- Current mental health treatment: decedent was receiving mental health treatment as evidenced by a current prescription for a psychotropic medication, visit or visits to a mental health professional, or participation in a therapy group within the previous 2 months.
- History of ever being treated for mental health problem: decedent was identified as having ever received mental health treatment.
- Alcohol problem: decedent was perceived by self or others to have a problem with, or to be addicted to, alcohol.
- Substance use problem (excludes alcohol): decedent was perceived by self or others to have a problem with, or be addicted to, a substance other than alcohol.
- Other addiction: decedent was perceived by self or others to have an addiction other than to alcohol or other substance (e.g., gambling or sex).
Interpersonal
- Family relationship problem: decedent was experiencing problems with a family member, other than an intimate partner.
- Intimate partner violence–related: incident is related to conflict between current or former intimate partners; includes the death of an intimate partner or nonintimate partner (e.g., child, parent, friend, or law enforcement officer) killed in an incident that originated in a conflict between intimate partners.
- Jealousy (lovers’ triangle): jealousy or distress over an intimate partner’s relationship or suspected relationship with another person.
- Other relationship problem (nonintimate): decedent was experiencing problems with a friend or associate (other than an intimate partner or family member).
- Victim of interpersonal violence during previous month: decedent was the target of interpersonal violence during the past month.
- Perpetrator of interpersonal violence during previous month: decedent perpetrated interpersonal violence during the previous month.
Life stressor
- Argument or conflict: a specific argument or disagreement led to the victim’s death.
- Crisis during previous or upcoming 2 weeks: current crisis or acute precipitating event or events that either occurred during the previous 2 weeks or was impending in the following 2 weeks (e.g., a trial for a criminal offense begins the following week) and appeared to have contributed to the death. Crises typically are associated with specific circumstance variables (e.g., family relationship problem was a crisis).
- History of child abuse/neglect: as a child, decedent had history of physical, sexual, or psychological abuse; physical (including medical or dental), emotional, or educational neglect; exposure to a violent environment, or inadequate supervision by a caretaker.
- Physical fight (two persons, not a brawl): a physical fight between two persons that resulted in the death of the decedent, who was either involved in the fight, a bystander, or trying to stop the fight.
Crime and criminal activity
- Drug involvement: drug dealing, drug trade, or illicit drug use.
- Gang related: incident resulted from gang activity or gang rivalry; not used if the decedent was a gang member and the death did not appear to result from gang activity.
- Precipitated by another crime: incident occurred as the result of another serious crime.
- Nature of crime: the specific type of other crime that occurred during the incident. Examples include the following:
- Arson: to unlawfully and intentionally damage, or attempt to damage, any building, real estate, or personal property by fire or incendiary device.
- Assault or homicide: an unlawful fatal or nonfatal attack by one person upon another. To qualify as a serious crime, the assault should be an aggravated assault (one that involves bodily injury or threat with a deadly weapon).
- Burglary: the unlawful entry into a building or other structure without the owner’s consent and with the intent to commit a felony or a theft.
- Drug trade: the buying, selling, or passing of drugs from one person to another in exchange for goods or money.
- Robbery: taking, or attempting to take, anything of value from another person or persons by force or threat of force or violence.
- Rape or sexual assault: a sexual act that is committed or attempted by another person without freely given consent of the victim or against someone who is unable to consent or refuse.
- Crime in progress: another serious crime was in progress at the time of the incident.
- Terrorist attack: decedent was injured in a terrorist attack, leading to death.
Homicide event
- Brawl: mutual physical fight involving three or more persons.
- Caretaker abuse/neglect led to death: decedent was experiencing physical, sexual, or psychological abuse; physical (including medical or dental), emotional, or educational neglect; exposure to a violent environment; or inadequate supervision by a caretaker that led to death.
- Drive-by shooting: suspect drove near the decedent and fired a weapon while driving.
- Hate crime: decedent was selected intentionally because of decedent’s actual or perceived gender, religion, sexual orientation, race, ethnicity, or disability.
- Justifiable self-defense: decedent was killed by a law enforcement officer in the line of duty or by a civilian in legitimate self-defense or in defense of others.
- Mentally ill suspect: suspect’s attack on decedent was believed to be the direct result of a mental illness.
- Mercy killing: decedent wished to die because of a terminal or hopeless disease or condition, and documentation indicates that the decedent wanted to be killed.
- Prostitution: prostitution or related activity that includes prostitutes, pimps, clients, or others involved in such activity.
- Random violence: decedent was killed in a random act of violence (i.e., an act in which the suspect is not concerned with who is being harmed, just that someone is being harmed).
- Stalking: pattern of unwanted harassing or threatening tactics by either the decedent or suspect.
- Victim was a bystander: decedent was not the intended target in the incident (e.g., pedestrian walking past a gang fight).
- Victim was an intervener assisting a crime victim: decedent was attempting to assist a crime victim at the time of the incident (e.g., a child attempts to intervene and is killed while trying to assist a parent who is being assaulted).
- Victim was a police officer on duty: decedent was a law enforcement officer killed in the line of duty.
- Victim used a weapon: decedent used a weapon to attack or defend during the course of the incident.
- Walk-by assault: decedent was killed by a targeted attack (e.g., ambush) after which the suspect fled on foot.
MMWR and Morbidity and Mortality Weekly Report are service marks of the U.S. Department of Health and Human Services.
Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of
Health and Human Services.
References to non-CDC sites on the Internet are
provided as a service to MMWR readers and do not constitute or imply
endorsement of these organizations or their programs by CDC or the U.S.
Department of Health and Human Services. CDC is not responsible for the content
of pages found at these sites. URL addresses listed in MMWR were current as of
the date of publication.
All HTML versions of MMWR articles are generated from final proofs through an automated process. This conversion might result in character translation or format errors in the HTML version. Users are referred to the electronic PDF version (https://www.cdc.gov/mmwr) and/or the original MMWR paper copy for printable versions of official text, figures, and tables.
Questions or messages regarding errors in formatting should be addressed to mmwrq@cdc.gov.