This study explores 63 homicide-suicide cases that include two or more homicide victims, in the People's Republic of China. This is the first study to examine homicide-suicide in the Chinese context, following calls to develop a research strategy outside of the USA and Europe. Data are derived from a content analysis of Chinese news sources from 2000 to 2014. Findings show homicide-suicide offenders are likely to be married males living in rural cities who kill their intimate partners and/or children inside a residence using knives. Intimate partner conflict and extramarital affairs are precipitating factors in almost half of the incidents. Patterns of homicide-suicide in China are comparable to those in high-income countries, except that firearms are not the primary means in China and there is no evidence of Bmercy killing^among older persons, as described in western homicide-suicide studies. Findings are related to the social and economic structure of Chinese society. Clinical and policy implications include the need for greater transparency and a nationwide homicide and suicide tracking system in China, stricter domestic violence laws, postmortem studies of the brains of homicide-suicide offenders, and psychological autopsies on homicide-suicide perpetrators.Keywords Homicide-suicide . Murder . Suicide . Intimate partner violence . ChinaEvery year, 800,000 people commit suicide worldwide, the equivalent of one suicide every 40 s (World Health Organization 2014). Another 430,000 people are victims of intentional homicide (United Nations Office on Drugs and Crime 2013). The literature on suicide (i.e., intentional self-inflicted death) and homicide (i.e., the deliberate and unlawful killing of another person), as separate, albeit related, phenomena, is extensive Asian Criminology