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新冠后自杀:法医学分析。

POST-COVID SUICIDE: FORENSIC SCIENCE ANALYSIS.

机构信息

YAROSLAV MUDRYI NATIONAL LAW UNIVERSITY, KHARKIV, UKRAINE; VILNIUS UNIVERSITY, VILNIUS, LITHUANIA.

出版信息

Wiad Lek. 2022;75(8 pt 2):2031-2035. doi: 10.36740/WLek202208216.

DOI:10.36740/WLek202208216
PMID:36129091
Abstract

OBJECTIVE

The aim: The article draws attention to the raise of suicide incidents after COVID-19 and proposes special knowledge to use in some forensic examinations for patients with COVID-19 and after as a measure of suicide preventing.

PATIENTS AND METHODS

Materials and methods: Scientific researches and comparative analyzes of criminal cases marked as a suicide were done based on statistics method. 415 suicide cases were fixed in Ukraine in 2020, and other persons' influence for suicide committing was revealed only in 61cases. In 2021, the tendency has increased, and only during the first four months (from January till April) there were 213 suicide cases.

CONCLUSION

Conclusions: There are so many cases of suicide after COVID-19 caused by mental and neurological disorders due to the coronavirus effects on human brain and psyche, not only at hospitals but at home as well. The virus can disrupt nervous system work both directly and indirectly, activating the immune system excessively (the so-called cytokine storm). Complex forensic medical and psychological examination may be appointed to determine the mental state of persons after COVID-19. There are two ways to solve the problem with the help of special knowledge and forensic science. On the one hand, investigate person's predisposition for suicide after covid to prevent a suicide. On the other hand, if you had failed and the person committed a suicide use the information received to prevent other persons' suicides.

摘要

目的

本文提请关注 COVID-19 后自杀事件的增加,并提出在对 COVID-19 患者和之后进行法医检查时使用的特殊知识,作为预防自杀的措施。

对象和方法

材料和方法:基于统计方法对标记为自杀的刑事案件进行了科学研究和比较分析。2020 年在乌克兰确定了 415 例自杀案例,只有在 61 例案例中揭示了其他对自杀行为的影响因素。2021 年,这一趋势有所增加,仅在头四个月(从 1 月至 4 月)就有 213 例自杀案例。

结论

由于冠状病毒对人脑和心理的影响,COVID-19 后有很多精神和神经紊乱导致的自杀案例,不仅在医院,在家中也是如此。病毒可以通过过度激活免疫系统(所谓的细胞因子风暴)直接和间接干扰神经系统的工作。可能需要进行复杂的法医和心理检查,以确定 COVID-19 后人员的精神状态。可以通过特殊知识和法医学来解决这个问题有两种方法。一方面,调查人在 COVID 后自杀的倾向,以预防自杀。另一方面,如果您未能预防自杀,可利用所获得的信息来预防其他人的自杀。

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