A meta-analysis of alcohol toxicology study findings among homicide victims
Joseph B. Kuhns,
David B. Wilson,
Tammatha A. Clodfelter,
Edward R. Maguire, Stephanie A. Ainsworth,
Corresponding Author
Joseph B. Kuhns
University of North Carolina at Charlotte (study location), Department of Criminal Justice, Charlotte, NC, USA,
Joseph B. Kuhns, University of North Carolina at Charlotte (study location), Department of Criminal Justice, 9201 University City Boulevard, Charlotte, NC 28223, USA. E-mail: [email protected]Search for more papers by this authorDavid B. Wilson
George Mason University (study location), Department of Criminology, Law and Society, Fairfax, VA, USA,
Search for more papers by this authorTammatha A. Clodfelter
University of North Carolina at Charlotte, Charlotte, NC, USA,
Search for more papers by this authorStephanie A. Ainsworth
George Mason University, Fairfax, VA, USA
Search for more papers by this authorJoseph B. Kuhns,
David B. Wilson,
Tammatha A. Clodfelter,
Edward R. Maguire, Stephanie A. Ainsworth,
Corresponding Author
Joseph B. Kuhns
University of North Carolina at Charlotte (study location), Department of Criminal Justice, Charlotte, NC, USA,
Joseph B. Kuhns, University of North Carolina at Charlotte (study location), Department of Criminal Justice, 9201 University City Boulevard, Charlotte, NC 28223, USA. E-mail: [email protected]Search for more papers by this authorDavid B. Wilson
George Mason University (study location), Department of Criminology, Law and Society, Fairfax, VA, USA,
Search for more papers by this authorTammatha A. Clodfelter
University of North Carolina at Charlotte, Charlotte, NC, USA,
Search for more papers by this authorStephanie A. Ainsworth
George Mason University, Fairfax, VA, USA
Search for more papers by this authorABSTRACT
Aim To synthesize the results of alcohol toxicology reports for homicide victims and examine variations in these results across person and setting characteristics.
Methods We meta-analyzed 61 independent studies from 57 published manuscripts which met the study inclusion criteria and reported alcohol toxicology test results for homicide victims. A total of 71 031 toxicology test results, derived from 78 265 homicide victims across 13 countries (most from the United States), were examined.
Results On average, 48% of homicide victims tested positive for alcohol and 33% (using the 0.08 threshold) or 35% (using the 0.10 threshold) were determined to be intoxicated. The proportion of homicide victims testing positive for alcohol appeared to be decreasing over time. Further, the proportion testing positive increased with age is higher for female than for male victims, and differs by race. Finally, the overall estimates were relatively stable across study sites.
Conclusion Alcohol toxicology test results remain an important method for measuring the success of efforts to manage the consequences of alcohol. However, future toxicology studies should focus upon collecting information on evidence processing time, establishing measurement standards for reporting data and ensuring that subgroup estimates are included for purposes of cross-site comparisons.
References
- 1 Haberman P. W., Baden M. M. Alcohol, Other Drugs and Violent Death. New York: Oxford University Press; 1978; p. 1–11, 78–83.
- 2 Tardiff K., Wallace Z., Tracy M., Piper T. M., Vlahov D., Galea S. Drug and alcohol use as determinants of New York City homicide trends from 1990 to 1998. J Forensic Sci 2005; 50: 470–4.
- 3 Smith J. A. T., Kuller L. H., Perper J. A., Brent D. A., Moritz G., Costantino J. P. Epidemiology of homicide in Allegheny County, Pennsylvania between 1966 and 1974 and 1984–1993. Prev Med 1998; 27: 452–60.
- 4 Frazier M. The female homicide victim: trends in a metropolitan county from 1969 to 1980. J Forensic Sci 1983; 28: 577–87.
- 5 Tardiff K., Gross E. M., Messner S. F. A study of homicides in Manhattan, 1981. J Forensic Sci 1986; 76: 139–43.
- 6 Kuhns J. B., Maguire E. R. Using Toxicology Reports as a Tool for Understanding Drug Use and Homicide Victimization in Trinidad and Tobago. Unpublished paper, 2010.
- 7 Tardiff K., Marzuk P. M., Leon A. C., Hirsch C. S., Stajic M., Portera L. et al. Cocaine, opiates, and ethanol in homicides in New York City: 1990 and 1991. J Forensic Sci 1995; 40: 387–90.
- 8 Darke S., Duflou J. Toxicology and circumstances of death of homicide victims in New South Wales, Australia 1996–2005. J Forensic Sci 2008; 53: 447–51.
- 9 Batalis N. I., Collins K. A. Adolescent death: a 15-year retrospective review. J Forensic Sci 2005; 50: 1444–9.
- 10 Goodman R. A., Mercy J. A., Loya F., Rosenberg M. L., Smith J. C., Allen N. H. et al. Alcohol use and interpersonal violence: alcohol detected in homicide victims. Am J Public Health 1986; 76: 144–9.
- 11 Darke S. The toxicology of homicide offenders and victims: a review. Drug Alcohol Rev 2010; 29: 202–15.
- 12 Goldstein P. J. The drugs/violence nexus: a tripartite conceptual framework. J Drug Issues 1985; 14: 493–506.
- 13 Cairney S., Clough A., Jaragba M., Maruff P. Cognitive impairment in aboriginal people with heavy episodic patterns of alcohol use. Addiction 2007; 102: 909–15.
- 14 Fishbein D. H. Differential susceptibility to comorbid drug abuse and violence. J Drug Issues 1998; 28: 859–90.
- 15 Attwood A. S., Ohlson C., Benton C. P., Penton-Voak I. S., Munafo M. R. Effects of acute alcohol consumption on processing of perceptual cues of emotional expression. J Psychopharmacol 2009; 23: 23–30.
- 16 Craig L. C., Attwood A. S., Benton C. P., Penton-Voak I. S., Munafo M. R. Effects of acute alcohol consumption and alcohol expectancy on processing perceptual cues of emotional expression. J Psychopharmacol 2009; 23: 258–65.
- 17 Boles S. M., Miotto K. Substance abuse and violence: a review of the literature. Aggression Violent Behav 2003; 8: 155–74.
- 18 Hoaken P. N. S., Stewart S. H. Drugs of abuse and the elicitation of human aggressive behavior. Addict Behav 2003; 28: 1533–54.
- 19 Finney A. Violence and the Night-Time Economy: Key Findings from the Research. Research, Development and Statistics Office. London: Home Office; 2004.
- 20 Donkins S., Birk D. J. Victims and Offenders of Night-Time Economy Violence. London: UCL Jill Dando Institute of Crime Sciences; 2007.
- 21 Forsyth A. J. M. Assessing the Relationships between Late Night Drinks, Marketing and Alcohol-Related Disorder in Public Spaces. Glasgow: Glasgow Caledonian University, Glasgow Centre for the Study of Violence; 2006.
- 22 Cohen L., Felson M. Social change and crime rate trends: a routine activity approach. Am Sociol Rev 1979; 44: 588–608.
- 23 Smith G. S., Branas C. C., Miller T. R. Fatal non-traffic injuries involving alcohol: a meta-analysis. Inj Prev 1999; 33: 659–68.
- 24 Wilson D. B. Systematic coding for research synthesis. In: H. Cooper, L. V. Hedges, J. Valentine, editors. Handbook of Research Synthesis and Meta-Analysis, 2nd edn. New York: Russell Sage; 2009. pp. 159–76.
- 25 Lipsey M. W., Wilson D. B. Practical Meta-Analysis. Thousand Oaks, CA: Sage; 2001.
- 26 Fleiss J. L. Measures of effect size for categorical data. In: H. M. Cooper, L. V. Hedges, editors. The Handbook of Research Synthesis. New York: Russell Sage Foundation; 1994. pp. 245–60.
- 27 Hedges L. V., Olkin I. Statistical Methods for Meta-Analysis. New York: Academic Press; 1985.
- 28 Overton R. C. A comparison of fixed-effects and mixed (random-effects) models for meta-analysis tests of moderator variable effects. Psychol Methods 1998; 3: 354–79.
- 29 DerSimonian R., Laird N. Meta-analysis in clinical trials. Control Clin Trials 1986; 7: 177–88.
- 30 Avis S. P. Homicide in Newfoundland: a nine-year review. J Forensic Sci 1996; 41: 101–5.
- 31 Abrams R. C., Leon A. C., Tardiff K., Marzuk P. M., Sutherland K. Gray murder: characteristics of elderly compared with nonelderly homicide victims in New York City. Am J Public Health 2007; 97: 1666–70.
- 32 Adelson L. The Pathology of Homicide: A Vade Mecum for Pathologist, Prosecutor and Defense Counsel. Springfield, IL: Charles C. Thomas Publisher; 1974.
- 33 Berkelman R. L., Herndon J. L., Callaway J. L., Stivers R., Howard L. B., Bezjak A. et al. Fatal injuries and alcohol. Am J Prev Med 1985; 1: 21–8.
- 34 Bouzon H. V. Assessing Increases in Violence: an Analysis of Homicide Cases from Orleans Parish, Louisiana. Thesis. Department of Geography and Anthropology: Louisiana State University. 2004.
- 35 Bowden K. M., Wilson D. W., Turner L. K. A survey of blood alcohol testing in Victoria (1951–1956). Med J Aust 1958; 45: 13–15.
- 36 Budd R. D. The incidence of alcohol use in Los Angeles County homicide victims. Am J Drug Alcohol Abuse 1982; 9: 105–11.
- 37 Carlson M. S. A Study of Homicide Related Deaths and Blood Alcohol Levels in Dallas County, Texas 1977–1978. Thesis. Fort Hood, TX: School of Public Health; 2009.
- 38 Clark T. A. Prevalence of drugs and alcohol in autopsied homicide cases in St. John Parish, Louisiana. J LA State Med Soc 1996; 148: 257–9.
- 39 Cleveland F. P. Problems in homicide investigation. Cinci J Med 1955; January: 28–30.
- 40 Costantino J. P., Kuller L. H., Perper J. A., Cypress R. H. An epidemiologic study of homicides in Allegheny County, Pennsylvania. Am J Epidemiol 1977; 106: 314–23.
- 41 Duflou J. A., Lamont D. L., Knobel G. J. Homicide in Cape Town, South Africa. Am J Forensic Med Pathol 1988; 9: 290–4.
- 42 Fine P. R., Roseman J. M., Constandinou C. M., Brissie R. M., Glass J. M., Wrigley J. M. Homicide among black males in Jefferson County, Alabama 1978–1989. J Forensic Sci 1994; 39: 674–84.
- 43 Fisher R. S. Alcohol, accidents, and crime. Curr Med Dig 1952.
- 44 Frazer M. The female homicide victim: trends in a metropolitan county from 1969 to 1980. J Forensic Sci 1983; 28: 577–87.
- 45 Garriott J. C. Drug use among homicide victims: changing patterns. Am J Forensic Med Pathol 1993; 14: 234–7.
- 46 Garriott J. C., Di Maio V. J. M., Rodriguez R. G. Detection of cannabinoids in homicide victims and motor vehicle fatalities. J Forensic Sci 1986; 31: 1274–82.
- 47 Goodman R. A., Istre G. F., Jordan F. B., Herndon J. L., Kelaghan J. Alcohol and fatal injuries in Oklahoma. J Stud Alcohol 1991; 52: 156–61.
- 48 Haberman P. W., Baden M. M. Alcoholism and violent death. Q J Stud Alcohol 1974; 35: 221–31.
- 49 Haberman P. W., Natarajan G. Trends in alcoholism and narcotics abuse from medical examiner data. J Stud Alcohol 1986; 47: 316–21.
- 50 Hilal A., Cekin N., Gulmen M. K., Ozdemir M. H., Karanfil R. Homicide in Adana, Turkey. Am J Forensic Med Pathol 2005; 26: 141–5.
- 51 Hollis W. S. On the etiology of criminal homicides: the alcohol factor. J Police Sci Adm 1974; 2: 50–3.
- 52 Hougen H. P., Rogde S., Poulsen K. Homicides in two Scandinavian capitals. Am J Forensic Med Pathol 1999; 20: 293–9.
- 53 Le Roux L. C., Smith L. S. Violent deaths and alcoholic intoxication. J Forensic Med 1964; 11: 131–47.
- 54 Lindqvist P. Criminal homicide in northern Sweden 1970–1981: alcohol intoxication, alcohol abuse and mental disease. Int J Law Psychiatry 1986; 8: 19–37.
- 55 Lowry P. W., Hassig S. E., Gunn R. A., Mathison J. B. Homicide victims in New Orleans: recent trends. Am J Epidemiol 1988; 128: 1130–6.
- 56 Lunetta P., Penttila A., Sarna S. The role of alcohol in accident and violent deaths in Finland. Alcohol Clin Exp Res 2001; 25: 1654–61.
- 57 McBride D. C., Burgman-Habermehl C. B., Alpert J., Chitwood D. D. Drugs and homicide. Bull NY Acad Med 1986; 62: 497–508.
- 58 Mouzos J. Changing Patterns in Homicide. 1999. Presented at the National Outlook Symposium, Canberra. Australia.
- 59 Mouzos J. Homicide in Australia. Australia: Australian Institute of Criminology; 2005.
- 60 Nordrum I., Eide T. J., Jorgensen L. Alcohol in a series of medico-legally autopsied deaths in Northern Norway 1973–1992. Forensic Sci Int 2000; 110: 127–37.
- 61 Norton L. E., Garriott J. C., DiMaio V. J. M. Drug detection at autopsy: a prospective study of 247 cases. J Forensic Sci 1982; 27: 66–71.
- 62 Perrone P. A., Richmond J. B. Murder in Hawaii 1992–1997. Crime Trend Ser 1998; 6: 1–7. Department of the Attorney General, Crime Prevention and Justice Assistance Division, Honolulu.
- 63 Riddick L., Luke J. L. Alcohol-associated deaths in the District of Columbia: a postmortem study. J Forensic Sci 1978; 25: 493–501.
- 64 Rutledge R., Messick W. J. The association of trauma death and alcohol use in a rural state. J Trauma 1992; 33: 737–42.
- 65 Sjogren H., Eriksson A., Ahlm K. Alcohol and unnatural deaths in Sweden: a medico-legal autopsy study. J Stud Alcohol 2000; 61: 507–41.
- 66 Smith A. T. Jr, Kuller L. H., Perper J. A., Brent D. A., Moritz G., Costantino J. P. Epidemiology of homicide in Allegheny County, Pennsylvania, between 1966 and 1974 and 1984–1993. Prev Med 1998; 27: 452–60.
- 67 Smith S. M., Goodman R. A., Thacker S. B., Burton A. H., Parsons J. E., Hudson P. Alcohol and fatal injuries: temporal patterns. Am J Prev Med 1989; 5: 296–302.
- 68
Sobol J. J.
Behavioral characteristics and level of involvement for victims of homicide.
Homicide Stud
1997; 1: 359–76.
10.1177/1088767997001004004 Google Scholar
- 69
Virkknunen M.
Alcohol as a factor precipitating aggression and conflict behaviour leading to homicide.
Br J Addict
1974; 69: 149–54.
10.1111/j.1360-0443.1974.tb01295.x Google Scholar
- 70 Welte J. W., Abel E. L. Homicide: drinking by the victim. J Stud Alcohol 1989; 50: 197–201.
- 71 Cherpitel C. J. Regional differences in alcohol and fatal injury: a comparison of data from two county coroners. J Stud Alcohol 1996a; 57: 244–48.
- 72 Cherpitel C. J. Regional differences in alcohol and fatal injury: a comparison of data from two county coroners. J Stud Alcohol 1996b; 57: 244–48.
- 73 Gulmatico M. L. Drug-Related Mortality: Postmortem Findings in Clark County, Nevada for 2005. Thesis, University of Nevada, Las Vegas, Department of Public Health. 2007.
- 74 Harper F. D., editor. Alcohol and Crime in Black America. Alcohol Abuse and Black America. Alexandria, VA: Douglass Publishers, Inc.; 1976a. pp. 129–40.
- 75 Harper F. D., editor. Alcohol and Crime in Black America. Alcohol Abuse and Black America. Alexandria, VA: Douglass Publishers, Inc.; 1976b. pp. 129–40.
- 76 Harper F. D., editor. Alcohol and Crime in Black America. Alcohol Abuse and Black America. Alexandria, VA: Douglass Publishers, Inc.; 1976c. pp. 129–40.
- 77 Harper F. D., editor. Alcohol and Crime in Black America. Alcohol Abuse and Black America. Alexandria, VA: Douglass Publishers, Inc.; 1976d. pp. 129–40.
- 78 Riddick L., Brissie R. M., Embry J. H., Cumberland G. D., Gilchrist T. F., Glass J. M. et al. Homicide in Alabama: an analysis of urban, suburban and rural murders in the deep south. Forensic Sci Int 1989; 40: 105–22.
- 79 Krieger J., Song L., Heck K., Talltree C., Allen J. Too Many, Too Young: Violence in Seattle and King County. Seattle, WA: Seattle-King County Department of Public Health; 1994.
- 80 Thomsen J. L., Albrektsen S. B., Aalund O., Breiting V. B., Danielsen L., Helweg-Larsen K. et al. Injuries due to deliberate violence in areas of Denmark, II: victims of homicide in the Copenhagen area. Forensic Sci Int 1989; 40: 291–7.
- 81 Loya F., Mercy J. A., Allen N. H., Vargas L. A., Smith J. C., Goodman R. A. et al. The Epidemiology of Homicide in the City of Los Angeles, 1970–79. Los Angeles, CA: University of California, Department of Health and Human Services, Center for Disease Control; 1985.
- 82 Loftus I. A. J., Dada M. A. A retrospective analysis of alcohol in medicolegal postmortems over a period of five years. Am J Forensic Med Pathol 1992; 13: 248–52.
- 83 Narongchai S., Narongchai P. The prevalence of detectable blood alcohol concentration among unnatural deaths in northern Thailand. J Med Assoc Thailand 2006; 89: 809–13.
- 84 Wilentz W. C. The Alcohol Factor in Violent Deaths. NJ: Medical Examiner Office; Middlesex County; 1961.
- 85 Greenfield T. K., Kerr W. C. Tracking Alcohol Consumption Over Time. National Institute on Alcohol Abuse and Alcoholism. 2009. Available at: http://pubs.niaaa.nih.gov/publications/arh27-1/30-38.htm (accessed 1 October 2010; archived by Webcite at http://www.webcitation.org/5tQXEOUkn).
- 86 Nephew T. M., Williams G. D., Stinson F. S., Nguyen K., Dufour M. C. Surveillance Report No. 55. Apparent Per Capita Alcohol Consumption: National, State, and Regional Trends, 1977–1998. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism; 2000.
- 87 International Center for Alcohol Policies. Drinking Age Limits. Washington, DC: International Center for Alcohol Policies; 2010. Available at: http://icap.org/ (accessed June 2010).
- 88
Graham K.,
Jelley J.,
Purcell J.
Training bar staff in preventing and managing aggression in licensed premises.
J Subst Use
2005; 10: 48–61.
10.1080/1465989042000271219 Google Scholar
- 89 Scott M. S., Dedel K. Assaults In and Around Bars, 2nd edn. Center for Problem Oriented Policing, Problem Solving Guide Series no. 1. Washington, DC: US Department of Justice, Office of Community Oriented Policing Services; 2006.
- 90 Duailibi S., Ponicki W., Grube J., Pinsky I., Laranjeira R., Raw M. The effect of restricting opening hours on alcohol-related violence. Am J Public Health 2007; 97: 2276–80.
- 91 Biderman C., De Mello J. M. P., Schneider A. A. Dry Law and Homicides: Evidence from the Sao Paulo Metropolitan Area (no. 518). Departamento De Economia. Available at: http://www.econ.puc-rio.br/pdf/td518.pdf (accessed 1 October 2010; archived by Webcite at http://www.webcitation.org/5tQX8hdoq).
- 92 Cook D. S., Braithwaite R. A., Hale K. A. Estimating antemortem drug concentrations from postmortem blood samples: the influence of postmortem redistribution. J Clin Pathol 2000; 53: 282–5.
- 93 Jones A. W., Holmgren P. Uncertainty in estimating blood ethanol concentrations by analysis of vitreous humour. J Clin Pathol 2001; 54: 699–702.
- 94 Baselt R. C. Disposition of Toxic Drugs and Chemicals in Man, 6th edn. Foster City: Biochemical Publications; 2002.
- 95 Moore S., Montane-Jaime L. K., Carr L. G., Ehlers C. L. Variations in Alcohol-Metabolizing Enzymes in People of East Indian and African Descent from Trinidad and Tobago. Alcohol Research and Health; 2007, winter edition. Available at http://pubs.niaaa.nih.gov/publications/arh301/28-31.pdf (accessed June 2010).
