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The global prevalence of intimate partner homicide: a systematic review
Open accessAbstract
Background Homicide is an important cause of premature mortality globally, but evidence for the magnitude of homicides by intimate partners is scarce and hampered by the large amount of missing information about the victim-offender relationship. The objective of the study was to estimate global and regional prevalence of intimate partner homicide.Methods A systematic search of five databases (Medline, Global Health, Embase, Social Policy, and Web of Science) yielded 2167 abstracts, and resulted in the inclusion of 118 full-text articles with 1122 estimates of the prevalence of intimate partner homicide after double-blind screening. All studies were included that reported the number or proportion of women or men who were murdered by an intimate partner in a country, province, or town, using an inclusive definition of an intimate partner. Additionally, a survey of official sources of 169 countries provided a further 53 estimates. We selected one estimate per country-year using a quality assessment decision algorithm. The median prevalence of intimate partner homicide was calculated by country and region overall, and for women and men separately.Findings Data were obtained for 66 countries. Overall 13·5% (IQR 9·2-18·2) of homicides were committed by an intimate partner, and this proportion was six times higher for female homicides than for male homicides (38·6%, 30·8-45·3, vs 6·3%, 3·1-6·3). Median percentages for all (male and female) and female intimate partner homicide were highest in high-income countries (all, 14·9%, 9·2-18·2; female homicide, 41·2%, 30·8-44·5) and in southeast Asia (18·8%, 11·3-18·8; 58·8%, 58·8-58·8). Adjustments to account for unknown victim-offender relationships generally increased the prevalence, suggesting that results presented are conservative.Interpretation At least one in seven homicides globally and more than a third of female homicides are perpetrated by an intimate partner. Such violence commonly represents the culmination of a long history of abuse. Strategies to reduce homicide risk include increased investment in intimate partner violence prevention, risk assessments at different points of care, support for women experiencing intimate partner violence, and control of gun ownership for people with a history of violence. Improvements in country-level data collection and monitoring systems are also essential, because data availability and quality varied strongly across regions.Funding WHO, Sigrid Rausing Trust, and the UK Economic and Social Research Council.
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“The negative effects can include low birth weight, poor school performance, relatively high rates of physical health complications, and depression, anxiety, substance abuse and suicidal behaviour, with substantial, persistent, wide-ranging economic impacts. 250”
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“In addition, Peru has one of the highest rates of intimate partner homicide worldwide (Stöckl et al., 2013), reaching a rate of 0.9 deaths for every 100,000 women (INEI, 2019).”
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Missing the Mark? A Typology of Lethal and Non-Lethal Firearm Violence in the Netherlands
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“In addition, shootings included align with studies on domestic homicide, which usually include a high share of female victims (Chopra et al.,2022; Stöckl et al., 2013), take place in private spaces (Cussen & Bryant, 2015), and are strongly associated with (attempted) suicide by the perpetrator…”
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“Globally, it is estimated that women are six times more likely to be killed by a romantic partner (Stöckl et al., 2013), and in the United States specifically, approximately half of all femicide is attributed to IPV (Campbell et al., 2004; Petrosky et al., 2017).”
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“…IPH where sex differences are much starker; females are at much greater risk of being killed by an intimate partner than males: around 80% of IPH victims are female, and an intimate partner is implicated in 40% of female and only 5% of male homicides (Spencer & Stith, 2020; Stöckl et al., 2013).”
BackgroundShields, M. E., Tonmyr, L., Pollock, N. J., González, A., Hovdestad, W., Tanaka, M., & MacMillan, H. L. (2024) · American Journal of Epidemiology · doi:10.1093/aje/kwae305 · Cited by 3
Stöckl, H., Balica, E., Corradi, C., Baldry, A. C., Schröttle, M., Sanz‐Barbero, B., & Vives‐Cases, C. (2020) · RIVISTA SPERIMENTALE DI FRENIATRIA · doi:10.3280/rsf2020-001005 · Cited by 4
Self-citationPalermo et al. Respond to "Disclosure of Gender-Based Violence"
Palermo, T., Bleck, J. R., & Peterman, A. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kwt297 · Cited by 4
Stöckl, H. (2014) · BMJ Evidence-Based Medicine · doi:10.1136/ebmed-2014-110049 · Cited by 4
Self-citationQuintanilla, B. P. A., Pollock, W., McDonald, S., & Taft, A. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020147 · Cited by 4
Fearon, J. D., & Hoeffler, A. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108233767.006 · Cited by 4
Global estimates of homicide risk related to intimate partner violence
Pilger, D., & Watts, C. H. (2013) · The Lancet · doi:10.1016/s0140-6736(13)62357-0 · Cited by 4
Self-citationMen’s Violence Against Female Partners: The Role of Culture
Krahé, B. (2021) · Springer eBooks · doi:10.1007/978-3-319-19650-3_893 · Cited by 4
Han, X., Yao, Z., & Mu, Y. (2024) · Violence Against Women · doi:10.1177/10778012241283494 · Cited by 3
“An extreme form of interpersonal violence in the private sphere, intimate partner homicide (IPH) is among the most prevalent types of homicide, and accounts for approximately 15% of total homicides worldwide (Stöckl et al., 2013).”
Soares, M. Q., de Melo, C. M., Silva, E. F. E., Pinto, I. V., & Bevilacqua, P. D. (2025) · BMC Public Health · doi:10.1186/s12889-025-23035-1 · Cited by 3
“Among the female homicides recorded globally, 38.6% are attributed to IPV [36].”
InfluentialWilson, R. A., Balfour, R., Alisic, E., Molyneaux, R., & Kiemle, G. (2025) · Death Studies · doi:10.1080/07481187.2025.2556108 · Cited by 4
Soares, M. Q., de Melo, C. M., Pinto, I. V., Malta, D. C., & Bevilacqua, P. D. (2025) · Physis Revista de Saúde Coletiva · doi:10.1590/s0103-73312025350329pt · Cited by 3
Disseminating the Community Advocacy Project in Mexico: A Feasibility Study
Sullivan, C. M., Aguilar, E., López‐Zerón, G., & Parra‐Cardona, J. R. (2016) · Journal of Interpersonal Violence · doi:10.1177/0886260516663901 · Cited by 3
“…globally (Black et al., 2011; Fleming et al., 2015; Garcia-Moreno & Watts, 2011), often resulting in long-term health problems (Bonomi et al., 2006), psychological distress (Coker, Weston, Creson, Justice, & Blakeney, 2005; Dutton et al., 2006), and sometimes even death (Stockl et al., 2013).”
BackgroundCausas externas de mortalidade em mulheres grávidas e puérperas
do Nascimento, S. G., da Silva, R. S., Cavalcante, L. D. M., de Carvalho, A. P. R., & do Bonfim, C. V. (2018) · Acta Paulista de Enfermagem · doi:10.1590/1982-0194201800026 · Cited by 3
“No Reino Unido, essa proporção é de 54% e na África do Sul, de 50%.(13)”
BackgroundLa interseccionalidad en el acceso a la justicia para mujeres víctimas de violencias
Oviedo, C. (2022) · Revista Llapanchikpaq Justicia · doi:10.51197/lj.v4i4.594 · Cited by 3
Buongiorno, L., Carabellese, F., Margari, A., Parente, L., Mandarelli, G., Catanesi, R., & Carabellese, F. (2024) · International Review of Psychiatry · doi:10.1080/09540261.2024.2378070 · Cited by 4
Marco, M. H. D., Baranyi, G., & Evans, D. P. (2024) · PLOS mental health. · doi:10.1371/journal.pmen.0000064 · Cited by 3
Epigenetic changes produced in women victims of intimate partner violence: A systematic review
González‐Martínez, C., Haarkötter, C., Carnero‐Montoro, E., Lorente, J. A., & Acosta, M. L. (2024) · Women s Health · doi:10.1177/17455057241290335 · Cited by 6
Brennan‐Wilson, A., Ain, Q. U., Özkaya, C., Amin, A., García‐Moreno, C., Thurston, A., MacKenzie, A., Lagdon, S., Stark, P., & Lohan, M. (2024) · BMJ Global Health · doi:10.1136/bmjgh-2024-015877 · Cited by 4
“64 Prior to the pandemic, systematic reviews also tended to focus on IPV and DV or physical/sexual violence, 56–64 neglecting other forms of violence and were more likely to include studies conducted in HICs.”
Femizide als extreme Form geschlechtsbezogener Gewalt gegen Frauen
Hellmann, D. F. (2025) · Forensische Psychiatrie Psychologie Kriminologie · doi:10.1007/s11757-024-00864-1 · Cited by 3
Haynes, C., & Kebbell, M. R. (2025) · Journal of Criminal Psychology · doi:10.1108/jcp-08-2024-0083 · Cited by 4
Shields, M. E., Tonmyr, L., Pollock, N. J., González, A., McKinnon, B., Joshi, D., Crompton, L., & MacMillan, H. L. (2025) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2025.103011 · Cited by 3
“Furthermore, women are more likely than men to experience severe physical/sexual IPV (Canadian Centre for Justice Statistics, 2016; Stockl et al., 2013; Yakubovich et al., 2019), which is associated with the most adverse outcomes including severe injury and mortality (Caldwell et al., 2012).”
Dheensa, S., Bracewell, K., Boughton, G., Hepworth, E., Myall, M., & Rowlands, J. (2025) · Journal of Family Violence · doi:10.1007/s10896-025-00839-8 · Cited by 4
“In England and Wales, there were 353 domestic homicides between March 2021 and 2023, mostly ( n = 224) females killed by males (ONS, 2024), 2 a gendered disparity reflected in global prevalence statistics (Stöckl et al., 2013).”
Messner, W. (2025) · World Development · doi:10.1016/j.worlddev.2025.107121 · Cited by 3
McKee, B. E., & Mason, S. (2015) · Pastoral Care in Education · doi:10.1080/02643944.2015.1074267 · Cited by 3
“Funded by the WHO and the UK Economic and Social Research Council, Stöckl et al. (2013) examined domestic violence-related murders internationally and found that at least one in seven homicides and over one-third of female homicides are perpetrated by the victims partner.”
MethodNarrativas mediáticas sobre o femicídio na intimidade: análise de um jornal popular português
Instituto Universitário da Maia, P., Neves, S., Gomes, S., Instituto Universitário da Maia, P., Martins, D., & Instituto Universitário da Maia, P. (2016) · ex aequo - Revista da Associação Portuguesa de Estudos sobre as Mulheres · doi:10.22355/exaequo.2016.34.06 · Cited by 3
Doctors and Uxoricide: What Can We Learn From Tragedy?
Levy, R. M. (2017) · Neuromodulation Technology at the Neural Interface · doi:10.1111/ner.12596 · Cited by 3
An introduction to domestic homicide: understanding the diverse nature of the problem
Jaffe, P. G., SCOTT, K. L., & Straatman, A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-819463-8.00001-0 · Cited by 3
Francis, S., Shrestha, P. N., Shrestha, B., Ferguson, G., Batayeh, B., Hennink, M. M., & Clark, C. J. (2020) · Global Public Health · doi:10.1080/17441692.2020.1845767 · Cited by 3
“It remains the leading cause and top risk of homicide for women (Abramsky et al., 2014; Breiding et al., 2015; NCDVTMH, 2014; Silverman & Raj, 2014; Stöckl et al., 2013; UNODC, 2018).”
BackgroundSexual and Psychological Violence Among Pregnant Women in Tigray, Ethiopia
Adhena, G., & Oljira, L. (2020) · American Journal of Health Research · doi:10.11648/j.ajhr.20200806.11 · Cited by 3
“Violence during pregnancy can have serious health consequences for women and their children [4].”
Background
Metadata
- Authors
- Stöckl, H., Devries, K., Rotstein, A., Abrahams, N., Campbell, J., Watts, C., & Moreno, C. G.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- McMaster University (CA)
- South African Medical Research Council (ZA)
- Johns Hopkins University (US)
- World Health Organization (CH)
- Corresponding author
- Stöckl, Heidi
- ORCID
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 382
- Issue
- 9895
- Pages
- 859-865
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2124952808
- Cited by
- 955
- References
- 34
- Citations by year
- 2026: 44 · 2025: 64 · 2024: 95 · 2023: 76 · 2022: 113 · 2021: 99 · 2020: 95 · 2019: 77 · 2018: 71 · 2017: 73 · 2016: 61 · 2015: 39 · 2014: 35 · 2013: 12
- FWCI
- 8.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Funders
- Economic and Social Research Council (ES/I003045/1)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Health › Gun Ownership and Violence Research
- Keywords
- intimate partner homicide, intimate partner violence, victim-offender relationship, high-income countries, Southeast Asia, gun control, intimate partner violence prevention
- MeSH terms
- Cause of Death, Cross-Sectional Studies, Cross-Cultural Comparison, Data Collection, Female, Homicide, Humans, Male, Risk, Sex Factors, Socioeconomic Factors, Spouse Abuse
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