Could we have known? A qualitative analysis of data from women who survived an attempted homicide by an intimate partner
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OBJECTIVE: To examine in-depth the lives of women whose partners attempted to kill them, and to identify patterns that may aid in the clinician’s ability to predict, prevent, or counsel about femicide or attempted femicide.
DESIGN: Qualitative analysis of 30 in-depth interviews.
SETTING: Six U.S. cities.
PARTICIPANTS: Thirty women, aged 17–54 years, who survived an attempted homicide by an intimate partner.
RESULTS: All but 2 of the participants had previously experienced physical violence, controlling behavior, or both from the partner who attempted to kill them. The intensity of the violence, control, and threats varied greatly, as did the number of risk factors measured by the Danger Assessment, defining a wide spectrum of prior abuse. Approximately half (14/30) of the participants did not recognize that their lives were in danger. Women often focused more on relationship problems involving money, alcohol, drugs, possessiveness, or infidelity, than on the risk to themselves from the violence. The majority of the attempts (22/30) happened around the time of a relationship change, but the relationship was often ending because of problems other than violence.
CONCLUSIONS: Clinicians should not be falsely reassured by a woman’s sense of safety, by the lack of a history of severe violence, or by the presence of few classic risk factors for homicide. Efforts to reduce femicide risk that are targeted only at those women seeking help for violence-related problems may miss potential victims.
- Russel D. Introduction. In: Radford J, Russell DEH, eds. Femicide: The Politics of Woman Killing. New York: Twayne; 1992:3–12.
- Campbell JC, Runyon CW. Femicide: guest editors’ introduction. Homicide Stud. 1998;2:347–52. CrossRef
- Russell D. Introduction: the politics of femicide. In: Russell D, Harmes RA, eds. Femicide in Global Perspective. New York: Teachers College Press; 2001:3–11.
- Hoyert DL, Kochanek KD, Murphy SL. Deaths: final data for 1997. Natl Vital Stat Rep. 1999;47:28–37.
- Grisso JA, Schwartz DF, Hirschinger N, et al. Violent injuries among women in an urban area. N Engl J Med. 1999;341:1899–905. CrossRef
- Puzone CA. National trends in intimate partner homicide. United States 1976–95. Violence Against Women. 2000;6:409–26. CrossRef
- Kellermann A, Heron S. Firearms and family violence. Emerg Med Clin North Am. 1999;17:699–716, viii. CrossRef
- Greenfeld LA, Rand MR, Craven D, et al. Violence by intimates: Bureau of Justice Statistics Fact-Book Washington, DC: US Department of Justice (Publication NCJ-167237); 1998.
- Arbuckle J, Olson L, Howard M, Brillman J, Anctil C, Sklar D. Safe at home? Domestic violence and other homicides among women in New Mexico. Ann Emerg Med. 1996;27:210–5.
- Bailey JE, Kellermann AL, Somes GW, Banton JG, Rivara FP, Rushforth NP. Risk factors for violent death of women in the home. Arch Intern Med. 1997;157:777–82. CrossRef
- Rennison M, Welchans S. (U.S. Department of Justice). Intimate partner violence. Bureau of Justice Statistics special report; May 2000.
- Paulozzi LJ, Saltzman LE, Thompson MP, Holmgreen P. Surveillance for homicide among intimate partners—United States, 1981–98. MMWR CDC Surveill Summ. 2001;50:1–15.
- Sharps PW, Koziol-McLain J, Campbell J, McFarlane J, Sachs C, Xu X. Health care providers’ missed opportunities for preventing femicide. Prev Med. 2001;33:373–80. CrossRef
- Moracco KE, Runyon CW, Butts J. Femicide in North Carolina. Homicide Stud. 1998;2:422–46. CrossRef
- Pataki S. State of New York Commission on Domestic Violence Fatalities; 1997.
- Campbell JC. Assessing dangerousness: violence by sexual offenders, batterers, and child abusers. Thousand Oaks, CA: Sage; 1995.
- Campbell JC, Webster D, Koziol-McLain J, et al. Risk factors for femicide in abusive relationships: results from a multi-site case control study. Am J Public Health. 2003;93:1089–97. CrossRef
- Ryan G, Bernard HR. Data management and analysis methods. In: Denzin NK, Lincoln YS, eds. Handbook of Qualitative Research. 2nd edn. Thousand Oaks, CA: Sage; 2000:769–802.
- Koziol-McLain J, Campbell J, Webster D, Campbell D, Gary F. Femicide risk: reconciling attempted and actual models. Proceedings of the 2001 Annual Meeting of the Homicide Research Work Group, Orlando, FL; 2001.
- Campbell JC. ‘If I can’t have you no one can’: power and control in homicide of female partners. In: Radford J, Russel DEH, eds. Femicide: The Politics of Woman Killing. New York: Twayne; 1992:99–113.
- Block C, Christakos A. Intimate partner homicide in Chicago over 29 years. Crime Delinq. 1995;41:496–526. CrossRef
- Dutton DG, Browing JJ. Concern for power, fear of intimacy and aversive stimuli for wife abuse. In: Hotaling GT, Finkelhor D, Kirkpatrick JT, Straus MA, eds. Family Abuse and its Consequences: New Directions for Research. Beverly Hills, CA: Sage 1988;163–75.
- Mason A, Blankenship V. Power and affiliation, motivation, stress and abuse in intimate relationships. J Pers Soc Psychol. 1987;52:203–10. CrossRef
- Nicolaidis C. The voices of survivors: documentary using patient narrative educate physicians about domestic violence. J Gen Intern Med. 2002;17:117–24. CrossRef
- McFarlane JM, Campbell JC, Wilt S, Sachs CJ, Ulrich Y, Xu X. Stalking and intimate partner femicide. Homicide Stud. 1999;3:300–16. CrossRef
- Tjaden P, Thoennes N, on behalf of the US Department of Justice. Stalking in America: Findings from the National Violence Against Women Survey; 1998.
- Campbell JC, Koziol-McLain J, Webster D, et al. Research results from a national study of intimate partner femicide: the danger assessment instrument. NIJ Briefs; 2002.
- Weisz A, Tolman R, Saunders DG. Assessing the risk of severe domestic violence. The importance of survivor’s predictions. J Interpers Violence. 2000;15:75–90. CrossRef
- Could we have known? A qualitative analysis of data from women who survived an attempted homicide by an intimate partner
Journal of General Internal Medicine
Volume 18, Issue 10 , pp 788-794
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- intimate partner violence
- attempted femicide
- qualitative research
- Industry Sectors
- Dr. Christina Nicolaidis MD, MPH (1)
- Dr. Mary Ann Curry RN, DNSc (1)
- Dr. Yvonne Ulrich PhD, RN (3)
- Dr. Phyllis Sharps PhD, RN (5)
- Dr. Judith McFarlane DrPH, RN (7)
- Dr. Doris Campbell PhD, RN (9)
- Dr. Faye Gary EdD, RN (10)
- Ms. Kathryn Laughon RN, MSN (5)
- Dr. Nancy Glass RN, PhD (1) (5)
- Jacquelyn Campbell PhD, RN (5)
- Author Affiliations
- 1. Division of General Internal Medicine and Geriatrics, Oregon Health and Science University, L475, 3181 SW Sam Jackson Park Road, 97239, Portland, OR
- 3. the University of Washington, Seattle, Wash
- 5. Johns Hopkins University, Baltimore, Md
- 7. Texas Women’s University, Houston, Tex
- 9. the University of South Florida, Tampa, Fla
- 10. the University of Florida, Gainsville, Fla