Little empirical information is available on the impact of homicide on surviving family members. Existing descriptions fall into a dichotomy of grief theory and those reporting symptoms of Post-traumatic Stress Disorder. This pilot study offers a multidimensional formulation which combines symptoms reported across previous studies. Participants were 19 survivors recruited through a victim witness program and a victim rights organization. A learning model, Mowrer's Two Factor Theory, was applied to explain the acquisition and maintenance of post-traumatic symptoms. Consistent with this model, survivors reported recurrent homicide-related intrusions and avoidance behaviors on the Horowitz Impact of Event Scale (IES). Comparison of survivors' IES scores with those of victims of rape, loss of a family member, and other trauma revealed a high frequency of symptoms. Mean length of time since homicide was 2.5 years. The Derogatis Symptom Check List 90-Revised (SCL9O-R) revealed a high level of general psychiatric distress, with 66% of survivors meeting “caseness” criteria, indicating a need for treatment intervention. A 7-point Likert scale measure of satisfaction with the criminal justice system was highly correlated with SCL9O-R subscales of depression (r = − 0.82) and anxiety (r = − 0.82). This link between distress and perceptions of the justice system provided preliminary support for an equity theory perspective on survivor attributions. Conceptual, research, and clinical implications were discussed.