Zubair Usama Bin, Taj Rizwan, Ali Syed Azhar, Kayani Asma, Khan Asima Mehboob
Department of Psychiatry, Mater Misericordiae University Hospital, Dublin, Ireland.
Pakistan Institute of Medical Sciences, Islamabad, Pakistan.
J Ayub Med Coll Abbottabad. 2020 Apr-Jun;32(2):271-273.
Filicide is the murder of a child by the parent. It is associated with various psychiatric and nonpsychiatric conditions. We herein present a case report of a filicide by an emotionally unstable mother suffering from depressive psychosis. A thirty years old woman previously treated for depression with psychotic features, having undergone electro-convulsive therapy and on oral medication three years ago was brought by the police for psychiatric assessment. She had slaughtered her two sons of 4 and 7 years of age three days ago without any guilt or remorse. She had low mood, irritability, crying spells, hopelessness and loss of sleep, appetite and sexual desires for the past six months along with the delusions of poverty and infidelity for the past two months. She was a chain smoker. Multiple deliberate self-harm and suicidal attempts were reported in the past two months. She had disturbed family life and multiple conflicts with the husband. Psychometrics revealed BDI score of 32, BPRS score of 39 and PCL-R score of 28. She was diagnosed as a case of depressive psychosis with emotionally unstable personality traits leading to impaired judgment and poor comprehension of the consequences of her actions. This case report highlights the importance of accurately and timely diagnosing and managing a mental health disorder in order to avoid the harm towards self and others.
杀子是指父母杀害自己的孩子。它与多种精神疾病和非精神疾病状况相关。我们在此呈现一例由患有抑郁性精神病且情绪不稳定的母亲实施的杀子案例报告。一名30岁女性，曾因伴有精神病性特征的抑郁症接受治疗，三年前接受过电休克治疗且一直在口服药物治疗，三天前被警方送来进行精神科评估。她三天前杀害了自己4岁和7岁的两个儿子，却毫无愧疚或懊悔之意。在过去的六个月里，她情绪低落、易怒、经常哭泣、感到绝望，睡眠、食欲和性欲均减退，在过去的两个月里还伴有贫穷和不忠的妄想。她是个烟鬼。在过去的两个月里有多次蓄意自我伤害和自杀未遂的情况。她的家庭生活混乱，与丈夫发生过多次冲突。心理测量结果显示贝克抑郁量表（BDI）得分为32分，简明精神病评定量表（BPRS）得分为39分，精神病态量表修订版（PCL-R）得分为28分。她被诊断为患有抑郁性精神病，伴有情绪不稳定的人格特质，导致判断力受损，对自己行为的后果理解能力差。本案例报告强调了准确及时地诊断和管理精神健康障碍以避免对自己和他人造成伤害的重要性。
