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Research Letter
November 19, 2018

Risk of Intimate Partner Homicide Among Caregivers in an Urban Children’s Hospital

Author Affiliations
  • 1Division of Emergency Medicine, Children’s Mercy, Kansas City, Missouri
  • 2Department of Social Work, Children’s Mercy, Kansas City, Missouri
  • 3School of Social Work, University of Missouri–Kansas City
  • 4Department of Preventive Medicine and Public Health, University of Kansas School of Medicine, Kansas City
JAMA Pediatr. Published online November 19, 2018. doi:10.1001/jamapediatrics.2018.3222

Given the high prevalence and lifelong negative outcomes of childhood exposure to intimate partner violence (IPV), the American Academy of Pediatrics recommends that pediatricians assess and provide intervention for IPV.1 Clinicians must ensure that methods for IPV screening and intervention maximize safety. Leaving an abusive partner increases the risk for intimate partner homicide (IPH)2; children are also at significant risk for homicide in this context.3 Among patients disclosing IPV at an adult emergency department, 61% were at high risk for IPH; children in the home were associated with increased risk.4 To our knowledge, no studies to date examine risk of IPH among adults in pediatric health care settings.