Karakasi Maria-Valeria, Markopoulou Maria, Tentes Ioannis K, Tsikouras Panagiotis N, Vasilikos Epameinondas, Pavlidis Pavlos
Adult Psychiatry, Psychiatric Department, G. Papanikolaou General Hospital of Thessaloniki, Exohi, Asvestoxori, GR 57010, Thessaloniki, Greece.
Department of Forensic Psychiatry, Psychiatric Hospital of Thessaloniki, GR 56429, Stavroupolis, Thessaloniki, Greece.
J Forensic Sci. 2017 Jul;62(4):1097-1106. doi: 10.1111/1556-4029.13365. Epub 2017 Jun 5.
Peripartum psychosis is a rare but serious psychiatric disorder characterized by the presence of a mood episode with psychotic features. Although controversy surrounds the nosological status of peripartum mental disorders, these conditions continue to be of exceptional interest to the medical and forensic mental health communities. The aim of this study was to report a rare case of prepartum psychosis which escalated to the endpoint of neonaticide and summarize literature on peripartum mental disorders and infanticide. A 30-year-old mother murdered her newborn with the spike of her serum delivery system and planned to commit suicide while in hospital after hallucinating due to an acute puerperal psychotic disorder with a prepartum onset and postpartum deterioration. Her disorder was not managed until neonaticide. Throughout this paper, the significance of a multidisciplinary approach for the optimal management of these incidents is highlighted and diagnostic as well as therapeutic issues are addressed.
产后精神病是一种罕见但严重的精神障碍，其特征是存在伴有精神病性特征的情绪发作。尽管产后精神障碍的疾病分类地位存在争议，但这些病症仍然受到医学和法医精神卫生界的特别关注。本研究的目的是报告一例罕见的产前精神病病例，该病例升级为杀婴结局，并总结关于产后精神障碍和杀婴行为的文献。一名30岁的母亲用她的血清输送系统的尖状物谋杀了她的新生儿，并在因急性产褥期精神病性障碍（产前发病、产后恶化）出现幻觉后，住院期间计划自杀。直到发生杀婴行为，她的病情才得到处理。在本文中，强调了多学科方法对这些事件进行最佳管理的重要性，并探讨了诊断和治疗问题。
