Arora Simran, Suhas Satish, Gowda Guru S, Reddi Venkata Senthil Kumar, John John P
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore, 560029, India.
Arch Womens Ment Health. 2025 Aug;28(4):831-839. doi: 10.1007/s00737-025-01559-0. Epub 2025 Feb 1.
Maternal filicide is a deeply distressing and potentially preventable phenomenon that demands priority attention. This study aims toshed light on the psychological, social and systemic factors contributing to maternal filicide. It calls for robust early intervention strategies and the establishment of comprehensive mental health support systems to mitigate the risk and prevent the occurence of such tragedies..
A detailed evaluation of a mother who committed filicide was undertaken The assessments included in-depth psychiatric evaluations, interviews with family members, review of the individual's medical history, prior social circumstances, and existing legal records. This comprehensive approach allowed for the identification of potential warning signs and gaps in intervention. Additionally, a review of existing literature and national frameworks related to maternal mental health was undertaken to contextualize the findings within the broader socio-cultural and healthcare landscape of India.
The case highlights a complex interplay of untreated mental health disorders, social stigma, lack of accessible mental health services, and a failure to recognize warning signs by family members and professionals. The analysis reveals missed opportunities for intervention that might have prevented the act of filicide. Key contributing factors included postpartum mental health issues, socio-economic stressors, and inadequate social and legal support for the mother. This case underscores the need for systemic changes, including improved mental health screening during the perinatal period and the establishment of crisis intervention services.
Maternal filicide is not solely a legal issue but also a multifaceted public health and social problem that warrants a multidisciplinary response. The findings emphasize the need for an integrated approach involving healthcare professionals, social workers, and law enforcement agencies to address the mental health challenges faced by mothers in distress. Early identification of at-risk individuals, destigmatization of mental health care, and the provision of timely interventions are pivotal in preventing such tragedies. This study underscores the urgency of implementing mental health policies that prioritize maternal mental health, enhance public awareness, and ensure the availability of accessible, culturally sensitive support systems for at-risk families.
母亲杀婴是一种极其令人痛心且有可能预防的现象,需要优先关注。本研究旨在揭示导致母亲杀婴的心理、社会和系统因素。它呼吁采取强有力的早期干预策略,并建立全面的心理健康支持系统,以降低风险并防止此类悲剧的发生。
对一名实施杀婴行为的母亲进行了详细评估。评估包括深入的精神病学评估、与家庭成员的访谈、对个人病史、既往社会情况和现有法律记录的审查。这种综合方法有助于识别潜在的警示信号和干预方面的差距。此外,还对与孕产妇心理健康相关的现有文献和国家框架进行了审查,以便将研究结果置于印度更广泛的社会文化和医疗保健背景中。
该案例凸显了未治疗的精神健康障碍、社会污名、缺乏可获得的心理健康服务以及家庭成员和专业人员未能识别警示信号之间的复杂相互作用。分析揭示了可能预防杀婴行为的干预机会的错失。关键促成因素包括产后心理健康问题、社会经济压力源以及对母亲的社会和法律支持不足。该案例强调了系统性变革的必要性,包括在围产期改善心理健康筛查以及建立危机干预服务。
母亲杀婴不仅是一个法律问题,也是一个多方面的公共卫生和社会问题,需要多学科应对。研究结果强调需要采取综合方法,让医疗保健专业人员、社会工作者和执法机构参与进来,以解决处于困境的母亲所面临的心理健康挑战。早期识别高危个体、消除心理健康护理的污名化以及提供及时干预对于预防此类悲剧至关重要。本研究强调了实施优先考虑孕产妇心理健康、提高公众意识并确保为高危家庭提供可获得的、具有文化敏感性的支持系统的心理健康政策的紧迫性。