15例精神疾病凶杀后自杀案例分析

An analysis of 15 cases of mental disorders with murder followed by suicide.

作者对15例精神疾病凶杀后自杀(MFS)案例进行了分析,发现精神疾病杀人案中 MFS 发生率为15.6%,抑郁症杀人案中 MFS 为50%,精神分裂症为7.5%。14例系病理动机所致。抑郁症 MFS动机除扩大性自杀外,尚与妄想、激情发作相关;精神分裂症为幻觉、妄想、激情发作及扩大性自杀等病理动机驱使;癔症与急性心因性反应系意识障碍之结果。MFS 特点与精神疾病单纯杀人案相似。

Objective:To examine the pathological motives,frequency alld characteristics of murder followed by suicide(MFS)among patients with mental disotders.Method:Of those mental patients who were foredsically assessed in our hospital in June 1987 to Dec.1994,15 had MFS behavior.Results:The frequency of MFS in patients with mental disorders was 15.6%.The frequency of MFS in murderers with depression was 50%,and 7.5% in those with schizophrenia.14 cases had pathological motives. Motives in patients with depression were related to delusion and excitement,besides extended suicide.In schizophrenic patients,the pathological motives were hallucination,delusion,excitement and extended suicide.In patients with hysteria and acute psychological reaction,disorders of consciousness could play a role.Discussion:MFS in patients with mental disorders was usually related to psychopathological factors.The careful assessment of the pathological motives and the severity of the mental disorders in MFS is important in forensic psychiatric practice.