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[重度精神疾病与杀子女行为:对患有精神病性精神疾病的女性实施的杀子女行为的描述性分析]

[Major psychiatric disorders and filicide: a descriptive analysis of filicides perpetrated by women with psychotic mental illness].

作者信息

Lehoczki Ágnes, Lukács-Miszler Katalin

机构信息

Igazságügyi Megfigyelő es Elmegyógyitó Intézet, Hungary.

出版信息

Psychiatr Hung. 2013;28(2):145-58.

Abstract

INTRODUCTION

This study aims to reflect on the connection between maternal filicide and major psychiatric disorders based on international literature, and analysis of filicides perpetrated by women and ending with compulsory medical treatment based on a not guilty by reason of insanity verdict.

METHOD

For the purpose of the analysis we collected cases back to 1993 from the archives of the Forensic Observation and Psychiatric Institution (IMEI), when a female perpetrator committed homicide against her blood-related offspring, after which she spent her compulsory medical treatment in the Institution. We had 14 cases which were only descriptively analysed due to the low number of cases. We collected data through overview of the documentation of the patients. We focused on several factors: demographic characteristics of the victims, characteristics of the homicidal act, demographic and psychiatric characteristics of the perpetrators.

RESULTS

Most importantly, our results show interesting findings in the field of gender distribution of the victims. In relation to suicide risk, our results concur with previous findings pointing out its strong connection with filicide. Furthermore, our findings point out the relevance of schizoaffective disorder, as it was the most frequent diagnosis in our cases.

CONCLUSION

We make our conclusions primarily in regard of prevention, we emphasise the strongest risk factors according to the results, which can draw the clinical practitioner's attention to the danger of filicide.

摘要

引言

本研究旨在基于国际文献,探讨母亲杀婴与主要精神障碍之间的联系,并对基于因精神错乱而无罪判决的女性杀婴案件及最终接受强制医疗的情况进行分析。

方法

为进行分析,我们从法医观察与精神病院(IMEI)的档案中收集了自1993年以来的案例,即女性犯罪者对其血亲后代实施凶杀,之后在该机构接受强制医疗的案例。由于案例数量较少,我们仅有14个案例进行描述性分析。我们通过查阅患者的文档资料收集数据。我们关注了几个因素:受害者的人口统计学特征、杀人行为的特征、犯罪者的人口统计学和精神科特征。

结果

最重要的是,我们的结果在受害者性别分布领域显示出有趣的发现。关于自杀风险,我们的结果与先前指出其与杀婴有紧密联系的发现一致。此外,我们的发现指出了分裂情感性障碍的相关性,因为它是我们案例中最常见的诊断。

结论

我们主要从预防方面得出结论,根据结果强调最强的风险因素,这可以引起临床医生对杀婴危险的关注。

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