Department of Neuropathology, Institute of Psychiatry and Neurology, 02-957 Warsaw, Poland.
Department of Forensic Psychiatry, Institute of Psychiatry and Neurology, 02-957 Warsaw, Poland.
Biomolecules. 2021 Nov 11;11(11):1674. doi: 10.3390/biom11111674.
Homicide combined with subsequent suicide of the perpetrator is a particular form of interpersonal violence and, at the same time, a manifestation of extreme aggression directed against oneself. Despite the relatively well-described individual acts of homicide and suicide, both in terms of psychopathology and law, acts of homicide and subsequent suicide committed by the same person are not well-studied phenomena. The importance of emotional factors, including the influence of mental state deviations (psychopathology), on this phenomenon, is discussed in the literature, but still there is relatively little data with which to attempt neuropathological assessments of the brains of suicide killers. This paper is dedicated to the issue based on the neuropathological studies performed.
We analyzed a group of murder-suicides using histochemical and immunohistochemical methods.
The results of our research indicate the presence of neurodegenerative changes including multiple deposits of ß-amyloid in the form of senile/amyloid plaques and perivascular diffuse plaques.
Neurodegenerative changes found in the analyzed brains of suicide killers may provide an interesting starting point for a number of analyses. The presence of neurodegenerative changes at such a young age in some murderers may suggest preclinical lesions that affect cognitive functions and are associated with depressed moods.
凶手杀人后自杀是一种特殊形式的人际暴力,同时也是一种针对自身的极端攻击性表现。尽管在精神病理学和法律方面对单独的杀人行为和自杀行为有相对详细的描述,但由同一人实施的杀人后自杀行为并没有得到很好的研究。文献中讨论了情感因素的重要性,包括精神状态偏差(精神病理学)的影响,但仍缺乏尝试对自杀杀人者的大脑进行神经病理学评估的相关数据。本文基于已进行的神经病理学研究,对这一问题进行了探讨。
我们使用组织化学和免疫组织化学方法分析了一组杀人后自杀者的大脑。
我们的研究结果表明,存在神经退行性变化,包括β-淀粉样蛋白的多种沉积,表现为老年/淀粉样斑块和血管周围弥漫性斑块。
在分析的自杀杀人者的大脑中发现的神经退行性变化可能为许多分析提供一个有趣的起点。一些凶手在如此年轻的年龄就出现神经退行性变化,这可能表明存在影响认知功能和与抑郁情绪相关的临床前病变。