Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Universidade Federal Fluminense, Rio de Janeiro, Brasil.
J Forensic Sci. 2021 Sep;66(5):2048-2053. doi: 10.1111/1556-4029.14745. Epub 2021 May 7.
Violence committed by individuals with severe mental disorders has become a growing focus of interest among physicians, law enforcement officials, and the general population. Homicide involving relatives, specially parricide, matricide, and filicide, despite the relatively low incidence of these crimes, may be enigmatic, so forensic psychiatrist are frequently called on the courts to answer questions about insanity and criminal responsibility. The current study aims to describe Brazilian cases of parricide, matricide, and filicide associated with presence of major mental disorders and personality disorders, discussing the assessment of criminal responsibility in each case. The case series described were specifically related to people with mental illness, as bipolar disorder, schizophrenia, and borderline personality with comorbidity of drug abuse. Two of them were considered not guilty by reason of insanity, and the other one was considered partially criminally responsible, according to Brazilian Law and Forensic Psychiatric Reports of the cases. The justice determined compulsory psychiatric treatment for all of them. The question of criminal responsibility of individuals with mental disorders is challenging for criminal justice, psychiatry, and society. Adequate treatment is mandatory to prevent crimes involving mental disorders, as shown in literature. The verification of criminal responsibility is essential for persons' adequate referral in any system of criminal law, thus protecting human rights and referring those who need psychiatric treatment.
患有严重精神障碍的个体实施的暴力行为,已成为医生、执法人员和普通民众日益关注的焦点。涉及亲属的凶杀案,特别是杀亲、杀母和杀子案件,尽管这些犯罪的发生率相对较低,但可能具有神秘性,因此法医精神病学家经常被法庭传唤,解答关于精神错乱和刑事责任的问题。本研究旨在描述与严重精神障碍和人格障碍相关的巴西杀亲、杀母和杀子案件,讨论每个案件中的刑事责任评估。所描述的病例系列专门涉及患有精神疾病的人,如双相情感障碍、精神分裂症和边缘型人格障碍,同时伴有药物滥用的共病。其中两人因精神错乱而被判无罪,另一人则被认为部分负有刑事责任,这是根据巴西法律和案例的法医精神病学报告做出的判决。司法机关决定对他们所有人进行强制精神治疗。精神障碍患者的刑事责任问题对刑事司法、精神病学和社会构成了挑战。正如文献所示,对涉及精神障碍的犯罪进行充分治疗是预防犯罪的必要条件。刑事责任的核实对于在任何刑法体系中对人员进行适当转介至关重要,从而保护人权并将需要精神治疗的人员转介给专业人士。