NESMOS, Sapienza University of Rome, Sant'Andrea Hospital, Via di Grottarossa, 1035-1039, Rome, Italy.
J Am Acad Psychiatry Law. 2012;40(4):462-8.
Homicide followed by suicide (H-S) is a lethal event in which an individual kills another individual and subsequently dies by suicide. This article presents a review of research carried out in Asia, Australia, Canada, Europe, and the United States of America over the past 60 years on the prevalence of mental illness among the perpetrators of H-S. Analysis of the available data indicated a great disparity in the results of the different studies. Overall, depression was the most frequent disorder reported (about 39% of the cases in the 20 studies that assessed depressive disorders), followed by substance abuse (about 20% in 10 studies) and psychosis (about 17% in 11 studies). This review, therefore, indicated that mental illness plays an important role in H-S. The prevention of these events depends on the identification and treatment of psychiatric disorder in potential perpetrators.
杀人后自杀（H-S）是一种致命事件，其中一个人杀死另一个人，然后自杀身亡。本文回顾了过去 60 年来在亚洲、澳大利亚、加拿大、欧洲和美国进行的关于 H-S 行为者中精神疾病患病率的研究。对现有数据的分析表明，不同研究的结果存在很大差异。总体而言，抑郁症是报告中最常见的疾病（在评估抑郁障碍的 20 项研究中约占 39%），其次是药物滥用（在 10 项研究中约占 20%）和精神病（在 11 项研究中约占 17%）。因此，本综述表明，精神疾病在 H-S 中起着重要作用。这些事件的预防取决于对潜在行为者中精神障碍的识别和治疗。
