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Social Psychiatry and Psychiatric Epidemiology

, Volume 51, Issue 6, pp 877–884

First Online: 16 April 2016Received: 16 September 2015Accepted: 16 March 2016

Abstract

PurposeThere is a lack of robust empirical research examining mental disorder and homicide–suicide. Primary care medical records are seldom used in homicide–suicide research. The aims of this study were to describe the characteristics of offenders and victims; determine the prevalence of mental disorder and contact with mental health services and examine adverse events prior to the offence.

MethodsThis was a mixed-methods study based on a consecutive case series of offences in England and Wales occurring between 2006 and 2008. 60 homicide–suicides were recorded. Data sources included coroner’s records, police files, General Practice GP and specialist mental health records, and newspaper articles.

ResultsThe results show that most victims were spouse-partners and-or children. Most perpetrators were male 88 % and most victims were female 77 %. The incidents were commonly preceded by relationship breakdown and separation. 62 % had mental health problems. A quarter visited a GP for emotional distress within a month of the incident. Few had been in recent contact with mental health services before the incident 12 %. Self-harm 26 % and domestic violence 39 % were common.

ConclusionIn conclusion, GPs cannot be expected to prevent homicide–suicide directly, but they can reduce risk generally, via the treatment of depression and recognising the risks associated with domestic violence.

KeywordsHomicide Suicide Homicide–suicide Family violence Mental illness Depression  Download fulltext PDF



Autor: Sandra Flynn - Linda Gask - Louis Appleby - Jenny Shaw

Fuente: https://link.springer.com/







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