Sathasivam Raveendran, Wijetunga Prasan, Munasinghe B M, Mahendra B Dimuthu
Forensic Medicine, Base Hospital, Panadura, LKA.
Anaesthetics, Postgraduate Institute of Medicine, Colombo, LKA.
Cureus. 2023 Jul 17;15(7):e42041. doi: 10.7759/cureus.42041. eCollection 2023 Jul.
Road traffic accidents and related deaths are on the rise, especially in developing countries. Even though uncommon and probably under-recognized, predisposing psychiatric states may be contributory, posing the question of whether these could be avoided. Psychological autopsy, despite not being performed routinely, might play a pivotal role in such instances, in reconstructing events leading to the catastrophe and determining the role played by the parties involved. The legal implications, such as the exoneration of the wrongly accused, might be substantial. This case report presents a death of a middle-aged South Asian male with strong history and evidence of small penis anxiety following a direct collision in a road traffic accident. It highlights the careful evaluation of the clinical history of the deceased by a psychological autopsy and reiterates the importance of the former in suspected cases.
道路交通事故及相关死亡人数正在上升，尤其是在发展中国家。尽管诱发精神状态并不常见且可能未得到充分认识，但它们可能是导致事故的因素之一，这就引发了这些事故是否可以避免的问题。心理解剖虽非常规操作，但在此类情况下可能发挥关键作用，有助于重构导致灾难的事件，并确定相关各方所起的作用。其法律影响，比如为被错误指控者洗脱罪名，可能颇为重大。本病例报告呈现了一名南亚中年男性在道路交通事故中遭遇直接碰撞后死亡的案例，该男子有强烈的小阴茎焦虑病史及相关证据。它强调了通过心理解剖对死者临床病史进行仔细评估，并再次强调了心理解剖在疑似病例中的重要性。
