Matricídio e transtorno bipolar

Abstract

ResumoContexto: Matricídio é o assassinato de uma mãe pelo filho ou filha, uma forma de homicídio raramente vista na prática psiquiátrica. Estudos de casos de matricídio têm revelado a presença de transtornos mentais, tais como esquizofrenia, transtorno bipolar, transtornos de personalidade e alcoolismo, assim como casos em que não há evidência de transtorno mental. Objetivo: Tem-se como objetivo relatar o caso de uma mulher com transtorno bipolar que assassinou a sua genitora e que foi avaliada em perícia psiquiátrica para avaliação da responsabilidade penal. Métodos: Foi realizada entrevista psiquiátrica, sendo o diagnóstico psiquiátrico estabelecido com base na entrevista e observação dos registros periciais e hospitalares, utilizando-se os critérios diagnósticos DSM-IV-TR. Resultados: A examinanda foi considerada inimputável, em virtude da presença de doença mental que afetou inteiramente o seu entendimento e determinação em relação ao delito praticado. Ela cumpre medida de segurança em Hospital de Custódia e Tratamento Psiquiátrico há dois anos. Conclusão: É importante que psiquiatras e outros profissionais da saúde mental estejam atentos para risco de comportamento violento em pacientes que apresentam história de doença mental de longa duração, com episódios de violência durante a fase aguda, ameaças contra familiares ou amigos e falta de tratamento psiquiátrico regular.Valença AM, et al. / Rev Psiq Clín. 2009;36(4):170-4 Palavras-chave: Violência, homicídio, transtorno mental, transtorno do humor. AbstractBackground: Matricide is the killing of one's own mother, and a type of homicide rarely seen on psychiatric practice. Matricide cases studies have shown the presence of mental disorders, such as schizophrenia, bipolar disorder, personality disorders and alcoholism, and have also found cases where there is no evidence of mental disorders. Objective: We aim to report a case of a woman with bipolar disorder that murdered her own mother and had a psychiatric forensic evaluation to ascertain her penal imputability. Methods: Psychiatric interview was carried out and the psychiatric diagnosis was established based on the interview and analysis of forensic and hospitalar records, using the DSM-IV-TR criteria. Results: The examinee was considered not guilty by reason of insanity, due to the presence of a mental disorder that affected her entire understanding and determination of the practiced delict. She has been under inpatient forensic psychiatric care for two years. Discussion: It is important that psychiatrists and other mental health professionals be alert to the risk of violent behavior in patients that present a long history of mental disorder and present episodes of violence during the acute phase, or threats against relatives and friends, or the lack of regular psychiatric treatment.

Violent behavior by involuntarily committed female offenders with mental disorders: A population‐based case series

“…We published a case report on the patient with bipolar disorder who killed her mother [58]. It should be noted that many cases of matricide are not associated with mental disorders [59].…”

Homicide by a Forensic Female Sample in Brazil: A Preliminary Study

“…There was one case of matricide and another of severe bodily injury. The first patient presented symptoms of bipolar disorder and the second of schizophrenia. Regarding filicide, five patients (35.7%) of our sample were found to have committed this type of offense.…”

Violent behavior by women involuntarily committed to a forensic psychiatric hospital in Rio de Janeiro, Brazil

“…The first patient had bipolar disorder and the second schizophrenia. We published a case report on the patient with bipolar disorder who killed her mother 57 . It should be noted that many cases of matricide are not associated with mental disorders 58 .…”