Dakhlaoui Olfa, Khémiri Omar, Gaha Nesrine, Ridha Rym, Haffani Fakhreddine
Service de psychiatrie E du Professeur F. Haffani, Hôpital Razi, rue des, orangers, La Manouba, Tunisie.
Tunis Med. 2009 Dec;87(12):824-8.
The parricide is defined as "murder of the father or the mother or any other legitimate ascendant." It represents 1 to 5% of all homicides and 20 to 30% of psychotic homicides. In Tunisia, few studies have focused on this issue.
We propose in this work to describe the profile of psychotic parricide. We tried to identify risk factors in order to prevent this acting out.
Our study is retrospective we observed 16 male patients diagnosed with schizophrenia hospitalized between June 1979 and March 2008 in the forensic psychiatry department at the psychiatric hospital in Tunis, discharged for no ground for prosecution following parricide.
They accounted for 20.8% of psychotic homicides hospitalized during the same period (16/77) and approximately 30% of homicides committed by schizophrenic patients. We found as many as patricide as matricide. The main factors that have emerged through our study are an early age (28 years), being single (70%), the socio-cultural poverty, unemployment, paranoid delusions, hallucinations and recent treatment interruption. All these factors have been cited by many authors including Millaud et al, they also cited history of violence and violent behavior and alcohol or drug abuse. One important point is that some signs of this imminent gesture are often present but misunderstood, such a sense of situational impasse, a request for help, or reluctance during interview.
It is essential to identify risk factors, even to actively seek some warning signs, which often are not spontaneously reported by the psychotic patient. Hospitalization under constraint in psychiatry should be the appropriate response if these dangerousness signals are noticed by the psychiatrist.
弑亲被定义为“谋杀父亲、母亲或任何其他合法长辈”。它占所有凶杀案的1%至5%，占精神病患者凶杀案的20%至30%。在突尼斯，很少有研究关注这个问题。
我们在这项研究中旨在描述精神病患者弑亲的特征。我们试图识别风险因素以预防这种行为的发生。
我们的研究是回顾性的，观察了1979年6月至2008年3月期间在突尼斯精神病医院法医精神科住院的16名被诊断为精神分裂症的男性患者，他们因弑亲被免予起诉而出院。
他们占同期住院的精神病患者凶杀案的20.8%（16/77），约占精神分裂症患者凶杀案的30%。我们发现杀父与杀母的案例数量相同。我们的研究中出现的主要因素包括年龄较小（28岁）、单身（70%）、社会文化贫困、失业、偏执妄想、幻觉以及近期治疗中断。所有这些因素都被包括米洛德等人在内的许多作者提及，他们还提到了暴力史、暴力行为以及酗酒或药物滥用。一个重要的点是，这种即将发生的行为的一些迹象往往存在但被误解，比如一种情境僵局感、求助请求或面谈时的不情愿。
识别风险因素至关重要，甚至要积极寻找一些警示信号，而精神病患者通常不会主动报告这些信号。如果精神科医生注意到这些危险信号，在精神病院进行强制住院治疗应是恰当的应对措施。
