“…IPH also has the highest incidence of homicide-suicide of any type of homicide. In addition, IPH followed by a self-destructive act (SDA; for example, suicide or attempted suicide) is almost exclusively committed by men (Barber et al, 2008;Harper & Voigt, 2007;Koziol-McLain et al, 2006;Malphurs & Cohen, 2002;Marzuk, Tardiff, & Hirsch, 1992;Milroy, 1995;Roberts, 2009;Starzomski & Nussbaum, 2000). Men committing lethal SDAs leave little or nothing for scientists to learn about the antecedents of the event without resorting to secondary resources, such as psychological autopsy, for information (Cavanagh, Carson, Sharpe, & Lawrie, 2003).…”