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Affiliation
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Department of Family Medicine, University of Washington, Seattle, Washington, USA. |
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Abstract
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BACKGROUND: The incidence of homicide-related death among individuals of college age in the United States population is estimated at 15.5/100 000. The incidence of homicide among National Collegiate Athletic Association (NCAA) athletes is unknown.
AIM: To investigate the rate of homicide-related death in NCAA athletes and to identify associated risk factors.
METHODS: The NCAA Resolutions list, NCAA catastrophic insurance claims, media reports, and published NCAA demographic data were used to identify student athlete deaths and total participant seasons from 2003-04 through 2012-13. Homicide-related deaths were analysed by sex, race, division, sport, method, location, and circumstance. Internet searches were used to gather case details.
RESULTS: Forty-two cases of homicide-related death were identified from 4 242 519 individual participant seasons during the ten-year study period. The incidence of homicide-related death in NCAA athletes was 1.0/100 000. The incidence in males was 1.45/100 000 and in females was 0.4/100 000 (relative risk (RR) 2.9, p=0.01). The incidence in black athletes was 4.2/100 000 and in white athletes was 0.4/100 000 (RR 7.0, p<0.001). The highest sport-specific homicide-related death rate was in American football (3.7/100 000), with a RR of 4.4 (p=0.002) compared to all other sports. 88% of cases occurred off-campus. 38% of cases occurred at a social gathering, and 38% of cases occurred in a place of residence. 74% involved a fatal shooting.
CONCLUSIONS: Homicide-related deaths in NCAA athletes occur most commonly in males, black athletes, and American football players. Understanding the incidence, risk factors, and circumstances of homicide-related deaths in college athletes may assist NCAA institutions in developing preventative measures. TRIAL REGISTRATION NUMBER: University of Washington Human Subjects Application, HSD No. 42077.
Language: en |