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. 2023 May 26;72(5):1–38. doi: 10.15585/mmwr.ss7205a1

TABLE 5. Number* and percentage of homicides, by decedent sex and precipitating circumstances — National Violent Death Reporting System, 48 states§ and the District of Columbia, 2020.

Precipitating circumstance Male
No. (%) Female
No. (%) Total
No. (%)
Mental health and substance use
Other substance use problem (excludes alcohol)
1,499 (13.1)
300 (10.4)
1,799 (12.6)
Current diagnosed mental health problem
514 (4.5)
193 (6.7)
707 (4.9)
Alcohol problem
489 (4.3)
106 (3.7)
595 (4.2)
History of ever being treated for a mental health or substance use problem
272 (2.4)
102 (3.5)
374 (2.6)
Current mental health or substance use treatment
142 (1.2)
70 (2.4)
212 (1.5)
Other addiction (e.g., gambling or sexual)
72 (<1.0)
11 (<1.0)
83 (<1.0)
Current depressed mood
33 (<1.0)
18 (<1.0)
51 (<1.0)
Interpersonal
Intimate partner violence related
898 (7.9)
1,190 (41.3)
2,088 (14.6)
Other relationship problem (nonintimate)
910 (8.0)
147 (5.1)
1,057 (7.4)
Family relationship problem
505 (4.4)
254 (8.8)
759 (5.3)
Jealousy (lovers’ triangle)
241 (2.1)
87 (3.0)
328 (2.3)
Victim of interpersonal violence during past month
125 (1.1)
156 (5.4)
281 (2.0)
Perpetrator of interpersonal violence during past month
201 (1.8)
14 (<1.0)
215 (1.5)
Life stressor
Argument or conflict
3,961 (34.7)
876 (30.4)
4,837 (33.9)
Physical fight (two persons, not a brawl)
1,702 (14.9)
257 (8.9)
1,959 (13.7)
Crisis during previous or upcoming 2 weeks
523 (4.6)
220 (7.6)
743 (5.2)
History of child abuse or neglect
79 (<1.0)
49 (1.7)
128 (<1.0)
Crime and criminal activity
Precipitated by another crime
2,722 (23.9)
542 (18.8)
3,264 (22.9)
Crime in progress
1,822 (66.9)
333 (61.4)
2,155 (66.0)
Drug involvement
1,301 (11.4)
173 (6.0)
1,474 (10.3)
Gang related
1,004 (8.8)
96 (3.3)
1,100 (7.7)
Homicide event
Drive-by shooting
1,605 (14.1)
208 (7.2)
1,813 (12.7)
Walk-by assault
955 (8.4)
108 (3.8)
1,063 (7.4)
Victim used a weapon
963 (8.4)
39 (1.4)
1,002 (7.0)
Random violence
498 (4.4)
114 (4.0)
612 (4.3)
Caretaker abuse or neglect led to death
308 (2.7)
258 (9.0)
566 (4.0)
Justifiable self-defense
442 (3.9)
11 (<1.0)
453 (3.2)
Mentally ill suspect
192 (1.7)
181 (6.3)
373 (2.6)
Victim was a bystander
216 (1.9)
126 (4.4)
342 (2.4)
Brawl
272 (2.4)
12 (<1.0)
284 (2.0)
Victim was an intervener assisting a crime victim
147 (1.3)
23 (<1.0)
170 (1.2)
Stalking
22 (<1.0)
39 (1.4)
61 (<1.0)
Prostitution
25 (<1.0)
23 (<1.0)
48 (<1.0)
Victim was a police officer on duty
29 (<1.0)
3 (<1.0)
32 (<1.0)
Hate crime
14 (<1.0)
1 (<1.0)
15 (<1.0)
Mercy killing
1 (<1.0)
10 (<1.0)
11 (<1.0)
Total** 11,405 (68.0) 2,879 (73.9) 14,284 (69.1)

* Includes homicides with one or more precipitating circumstances. Total numbers do not equal the sums of the columns because more than one circumstance could have been present per decedent.

Denominator includes those homicides with one or more precipitating circumstances. The sums of percentages in columns exceed 100% because more than one circumstance could have been present per decedent.

§ Includes all U.S. states, with exception of Florida and Hawaii. Data for California are for violent deaths that occurred in 35 counties (Amador, Butte, Colusa, Contra Costa, Fresno, Glenn, Humboldt, Imperial, Kern, Kings, Lassen, Lake, Los Angeles, Marin, Mendocino, Merced, Modoc, Mono, Orange, Placer, Sacramento, San Benito, San Diego, San Francisco, San Mateo, Santa Cruz, Shasta, Siskiyou, Solano, Sonoma, Stanislaus, Tehama, Trinity, Ventura, and Yolo). Data for Texas are for violent deaths that occurred in four counties (Bexar, Dallas, Harris, and Tarrant).

Denominator includes those decedents involved in an incident that was precipitated by another crime.

** Circumstances were unknown for 6,397 decedents (5,379 males and 1,018 females); total number of homicide decedents = 20,681 (16,784 males and 3,897 females).