Patel Natasha R, Rehmani Numa, Utter Rachel, Gracious Barbara
Department of Psychiatry, Orange Park Medical Center, Orange Park, USA.
Department of Medicine, Edward Via College of Osteopathic Medicine-Carolinas Campus, Spartanburg, USA.
Cureus. 2024 Jul 26;16(7):e65436. doi: 10.7759/cureus.65436. eCollection 2024 Jul.
Persistent homicidal ideation (HI), while not common among psychiatric disorders, can occur within multiple diagnoses in the Diagnostic and Statistical Manual of Mental Disorders. There is a growing global and national concern for homicide and homicide-related deaths. In this case report, we discuss refractory homicidal ideation in an 18-year-old male with the diagnoses of autism spectrum disorder (ASD) and schizophrenia and a history of Tourette's syndrome and highlight the interplay of comorbidities and challenges in effective management and treatment.
持续性杀人观念（HI）在精神疾病中并不常见，但可出现在《精神疾病诊断与统计手册》中的多种诊断中。全球和国内对杀人及与杀人相关的死亡问题的关注日益增加。在本病例报告中，我们讨论了一名18岁男性的难治性杀人观念，该男性被诊断为自闭症谱系障碍（ASD）和精神分裂症，并有抽动秽语综合征病史，并强调了合并症之间的相互作用以及有效管理和治疗中的挑战。
