Precipitating Circumstances Associated With Intimate Partner Problem-Related Suicides

Introduction: In 2020, suicide was the 12th leading cause of death among adults in the U.S. Previ-ous research has shown that one common precipitating circumstance among adult suicide dece-dents is experiencing intimate partner problems (IPPs), such as divorce, separation, romantic break-ups, arguments, conflicts, and intimate partner violence. This study examines how precipitat-ing factors differ between IPP- and non-IPP-related suicides. Methods: In 2022, this study analyzed National Violent Death Reporting System data from adult suicide decedents in 48 states and 2 territories between 2003 and 2020. Multivariable logistic regres-sion models were used to compare precipitating circumstances between IPP- and non-IPP-related suicides, controlling for sociodemographic characteristics. Results: Of the 402,391 suicides, 20% (n=80,717) were known to be IPP-related. Circumstances that significantly increased the odds of IPP-related suicides included a history of suicidal thoughts and attempts and mental health problems (depressed mood, alcohol problem, mental health diag-nosis), life stressors (interpersonal violence perpetration and victimization, arguments, financial problems, job problems, family problems), and recent legal problems. Non-IPP-related suicides were more likely to occur among older individuals and to be precipitated by a physical health prob-lem or crime. Conclusions: The findings can inform prevention strategies that build resiliency and problem-solving skills, strengthen economic support, and identify and assist people at risk for IPP-related suicides. The Centers for Disease Control and Prevention's Suicide Resource for Action and Intimate Partner Vio-lence Prevention resource packages highlight the best available evidence for policies, programs, and practices related to preventing suicides and IPP.