FILICIDE IN DEPRESSIVE PSYCHOSIS: CASE REPORT OF AN EMOTIONALLY UNSTABLE WOMAN SLAUGHTERING HER TWO CHILDREN

Authors

  • Usama Bin Zubair PIMS
  • Rizwan Taj PIMS
  • Syed Azhar Ali PMC
  • Asma Kayani PIMS
  • Asima Mehboob Khan PIMS

Abstract

Filicide is the murder of a child by the parent. It is associated with various psychiatric and non-psychiatric conditions. We herein present a case report of a filicide by an emotionally unstable mother suffering from depressive psychosis. A thirty years old woman previously treated for depression with psychotic features, having undergone electro-convulsive therapy and on oral medication three years ago was brought by the police for psychiatric assessment. She had slaughtered her two sons of 4 and 7 years of age three days ago without any guilt or remorse. She had low mood, irritability, crying spells, hopelessness and loss of sleep, appetite and sexual desires for the past six months along with the delusions of poverty and infidelity for the past two months. She was a chain smoker. Multiple deliberate self-harm and suicidal attempts were reported in the past two months. She had disturbed family life and multiple conflicts with the husband. Psychometrics revealed BDI score of 32, BPRS score of 39 and PCL-R score of 28. She was diagnosed as a case of depressive psychosis with emotionally unstable personality traits leading to impaired judgment and poor comprehension of the consequences of her actions.  This case report highlights the importance of accurately and timely diagnosing and managing a mental health disorder in order to avoid the harm towards self and others.Keywords: filicide; depressive psychosis; forensic psychiatry

References

Bourget D, Grace J, Whitehurst L. A Review of Maternal and Paternal Filicide. Am Acad Psychiatry Law 2007;35(1):74–82.

Flynn SM, Shaw JJ, Abel KM. Filicide: Mental Illness in Those Who Kill Their Children. PLoS One 2013;8(4):e58981.

Oberman M. Understanding Infanticide in Context: Mothers Who Kill, 1870-1930 and Today. J Crim Law Criminol 2002;92(3/4):707–38.

Dil LM, Doreleijers TA, Schoevers RA. Filicide; psychiatric disorders in parents who murder their children--a literature review. Tijdschr Psychiatr 2008;50(5):263–72.

Hatters Firedman S, Resnick PJ. Child murder by mothers: patterns and prevention. World Psychiatry 2007;6(3):137–41.

Côté G, Hodgins S. The prevalence of major mental disorders among homicide offenders. Int J Law Psychiatry 1992;15(1):89–99.

Gao Q, Fan H, Di F, Xia X, Long H, Zhu H. Suicide Behaviors in Adult Inpatients with Mental Disorders in Beijing, China. Int J Environ Res Public Health 2017;14(3):E259.

Behera C, Rautji R, Sikary AK, Kumar R, Vidua RK, Millo T, et al. Triple hanging in filicide-suicide: an unusual case report. Med Sci Law 2015;55(1):50–3.

Scolan V, Nahmani I, Fiechter-Boulvard F, Bougerol T, Paysant F. Filicide-Suicide Non Altruistic: A Brief Report. Austin J Forensic Sci Criminol 2015;2(1):1015.

Published

2020-03-28

Issue

Vol. 32 No. 2 (2020): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

CASE REPORT

License

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