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[一例与新型冠状病毒肺炎相关的自杀病例]

[A Case of Suicide Related with COVID-19].

作者信息

Toker Uğurlu Tuğçe, Seydaoğulları Baltacı Ayşe, Akça Alper, Acar Kemalettin

出版信息

Turk Psikiyatri Derg. 2020 Winter;31(4):290-293. doi: 10.5080/u25615.

DOI:10.5080/u25615
PMID:33454941
Abstract

The worldwide public health problem of suicide, requires a multidisciplinary assessment, given its economic, cultural, social and psychological aspects. The global COVID-19 pandemic that originated from the Peoples Republic of China in the last months of 2019 has the potential to trigger mental disorders and even suicidal attemps through fear, psychosocial pressures and as a result of disruption of the customary daily life styles. In this report we discuss a case of completed suicide of a 34-year old male who had confined himself to his home, after stocking up large amounts of food, drinking water and cleaning materials in response to the COVID-19 pandemic in our country using site investigation reports, medico-legal autopsy and psychological authopsy of the deceased. It was found out that the victim was following the internet and the television daily for news on the COVID-19 outbreak in the country. One week before the event, he had left his workplace telling his colleagues that he would confine himself to his home for 15-20 days to clean up the premises. Washed banknotes and blister tablets were found in the house as well as stocked water and cooked food. The deceased had twice consulted hospitals for fear of COVID-19 infection 2 days before his demise. It was discussed that he might have the diagnosis of "mixed anxiety and depression". Evaluation of his experiences, discourses and behaviours within the span of 3-4 days before the act and the site investigation have suggested that he might have attempted suicide as a response to stress.

摘要

自杀作为一个全球性的公共卫生问题,鉴于其经济、文化、社会和心理等方面,需要进行多学科评估。2019年最后几个月起源于中华人民共和国的全球新冠疫情,有可能通过恐惧、心理社会压力以及日常生活习惯的改变引发精神障碍甚至自杀未遂。在本报告中,我们通过现场调查报告、法医尸检以及对死者的心理剖析,讨论了一例34岁男性自杀身亡的案例。该男子因应对我国的新冠疫情,储备了大量食物、饮用水和清洁用品后,一直足不出户。调查发现,受害者每天通过网络和电视关注国内新冠疫情的新闻。事发前一周,他离开工作场所,告知同事自己要在家中隔离15至20天以便打扫房屋。屋内发现了洗过的钞票和泡罩包装的药片,还有储备的水和熟食。死者在去世前两天曾因担心感染新冠两次前往医院就诊。据讨论,他可能被诊断为“混合性焦虑和抑郁”。对其在自杀行为发生前3至4天内的经历、言论和行为的评估以及现场调查表明,他可能是因压力而试图自杀。

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