Intimate partner problems (IPP)-which include divorce, breakups, arguments, jealousy, conflict, discord, and violence-have been robust precipitating factors associated with an increased risk for suicidal thoughts and behaviors. Although research on suicide related to IPP is growing, efforts to explore the circumstances surrounding suicidality among female victims struggling with IPP remain insufficient. To address this gap, this exploratory study sought to understand the circumstances surrounding female IPP-related suicide in the United States. We conducted a secondary analysis of data from the U.S. National Violent Death Reporting System (NVDRS, 2003-2019) which includes 43 states, the District of Columbia, and Puerto Rico. Of the final analytical sample of 58,545 female suicide cases in the United States, we delineated IPP-included suicide cases (13,496, 23.1%) and non-IPP-included suicide cases (45,049, 76.9%). Two-sided Pearson chi-square tests and standardized difference (SD) tests identified significant differences in the surrounding circumstances between IPP-included suicide and non-IPP-included suicide. IPP-included female suicide was more common among younger women, those involved in an intimate relationship, and women who were pregnant or postpartum (p < .001; SD > .10). IPP-included suicide victims were more likely to have experienced depression, substance abuse, and previous interpersonal trauma than non-IPP-included suicide victims (p < .001; SD > .10). Compared to non-IPP-included suicide, IPP-included suicide was more likely to occur at the victim's house or apartment during evening and nighttime by firearm or hanging (p < .001; SD > .10). Our findings also showed that IPP-included suicide victims had previous suicidal thoughts and were more likely to have disclosed their suicidal ideation with others before committing suicide than non-IPP-included suicide victims (p < .001; SD > .10). Findings identified unique circumstances and characteristics possibly associated with IPP-included female suicide. Our understanding of suicide may be enhanced by exploring the causal pathway behind these relationships.

中文翻译：

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女性亲密伴侣问题自杀的特征和相关情况：对国家暴力死亡报告系统数据的分析（2003-2019）。

亲密伴侣问题（IPP）——包括离婚、分手、争吵、嫉妒、冲突、不和和暴力——一直是与自杀想法和行为风险增加相关的强有力的诱发因素。尽管与 IPP 相关的自杀研究不断增加，但探索与 IPP 相关的女性受害者自杀情况的努力仍然不足。为了解决这一差距，这项探索性研究试图了解美国女性 IPP 相关自杀的情况。我们对美国国家暴力死亡报告系统（NVDRS，2003-2019）的数据进行了二次分析，该系统包括 43 个州、哥伦比亚特区和波多黎各。在美国 58,545 例女性自杀案例的最终分析样本中，我们划分了包含 IPP 的自杀案例（13,496 例，23.1%）和不包含 IPP 的自杀案例（45,049 例，76.9%）。双边 Pearson 卡方检验和标准化差异 (SD) 检验发现，包含 IPP 的自杀和不包含 IPP 的自杀之间的周围环境存在显着差异。包括 IPP 在内的女性自杀在年轻女性、有亲密关系的女性以及怀孕或产后的女性中更为常见 (p < .001；SD > .10)。与不包含 IPP 的自杀受害者相比，包含 IPP 的自杀受害者更有可能经历过抑郁、药物滥用和先前的人际创伤 (p < .001；SD > .10)。与不包含 IPP 的自杀相比，包含 IPP 的自杀更有可能在傍晚和夜间在受害者的房屋或公寓中通过枪支或上吊发生（p < .001；SD > .10）。我们的研究结果还表明，与不包含 IPP 的自杀受害者相比，包含 IPP 的自杀受害者以前有过自杀念头，并且更有可能在自杀前向他人透露自己的自杀意念 (p < .001；SD > .10)。研究结果确定了可能与包括 IPP 在内的女性自杀相关的独特情况和特征。通过探索这些关系背后的因果关系，我们对自杀的理解可能会得到加强。