Markopoulou Maria, Chatzinikolaou Fotios, Avramidis Athanasios, Karakasi Maria-Valeria, Tasios Konstantinos, Vlachvei Christina, Pavlidis Pavlos, Douzenis Athanasios
Department of Forensic Psychiatry, Psychiatric Hospital of Thessaloniki, Thessaloniki, Greece.
Department of Forensic Medicine and Toxicology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Med Sci Law. 2024 Oct 3:258024241286743. doi: 10.1177/00258024241286743.
The aim of the present study was to provide a forensic psychiatric characterization of perpetrators of parricide who were found not guilty by reason of insanity (NGRI). We conducted a study involving 52 NGRI patients who had committed homicide or attempted homicide within the Department of Forensic Psychiatry in Thessaloniki, Greece, between January 2015 and 2020. Subjects were categorized into two groups: parricide ( = 21) and a control group ( = 31). Our findings revealed that in the parricide group, the majority of patients were unmarried males in their thirties, with a history of prior contact with mental health services and nonadherence to treatment. Additionally, they had a background of substance abuse and exhibited violent behavior before the index crime. A notable trend observed among parricide offenders was the tendency to seek hospitalization, possibly as a means of distancing themselves from stressful family environments, based on information obtained in the interviews conducted as a part of this research. All instances of parricide involved the use of sharp weapons, and the crimes were consistently committed in private settings. Symptomatology among parricide patients was assessed as moderate to severe, with a significant long-term risk observed following the crime. The primary differences identified between the two groups were the higher pre-crime voluntary admissions and the elevated estimated postcrime risk observed in the parricide group. Early intervention, comprehensive assessment of risk factors, family support, and assistance in resolving conflicts and reintegrating patients into society are emphasized as critical interventions that can potentially prevent future tragedies.
本研究的目的是对因精神错乱而被判无罪（NGRI）的杀亲者进行法医精神病学特征描述。我们对2015年1月至2020年期间在希腊塞萨洛尼基法医精神病科犯下杀人或杀人未遂罪的52名NGRI患者进行了一项研究。受试者分为两组：杀亲组（n = 21）和对照组（n = 31）。我们的研究结果显示，在杀亲组中，大多数患者为30多岁的未婚男性，有过与心理健康服务机构接触及不坚持治疗的历史。此外，他们有药物滥用背景，在指数犯罪前表现出暴力行为。根据本研究访谈所获信息，在杀亲犯罪者中观察到一个显著趋势，即他们倾向于寻求住院治疗，这可能是他们与压力大的家庭环境保持距离的一种方式。所有杀亲事件均涉及使用利器，且犯罪行为均在私密场所实施。杀亲患者的症状被评估为中度至重度，犯罪后观察到有显著的长期风险。两组之间确定的主要差异是杀亲组犯罪前自愿入院率较高以及犯罪后估计风险升高。早期干预、对风险因素进行全面评估、家庭支持以及协助解决冲突并使患者重新融入社会被强调为可能预防未来悲剧的关键干预措施。
