COVID-19 and the risk of homicide-suicide among older adults

Ghossoub, Elias; Wakim, Mary-Lee T.; Khoury, Rita

doi:10.12788/cp.0090

Cited by 3 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Michelle Carter, who was 17 at the time of Roy’s death, was charged with involuntary manslaughter after text messages were found that appeared to show her encouraging Roy to kill himself. During the subsequent bench trial, the defense called upon both a forensic electronics expert and a psychiatrist 48 . The digital material admitted as evidence in this case included hundreds of text messages between the defendant and the decedent, multiple social media posts, and also text messages sent by Carter to individuals other than Roy.…”

Section: Privacy and Ethical Considerationsmentioning

confidence: 99%

“…The defense argued that Carter and Roy each suffered from mental illness and that Carter was not the cause of Roy’s actions, in support of which they also cited various digital materials that Carter and Roy had both created. The psychiatrist who testified as expert in the case opined that Carter suffered from a mental illness at the time of Roy’s death and that this illness had substantially impaired her judgment 48 . The judge did not agree with that opinion and found Carter guilty of involuntary manslaughter.…”

Section: Privacy and Ethical Considerationsmentioning

confidence: 99%

See 1 more Smart Citation

Acquisition and Interpretation of Digital Information in Forensic Assessments

Burton

Drogin

2021

Harv Rev Psychiatry

View full text Add to dashboard Cite

Despite the now ubiquitous presence of technology in everyday life, there is little written on the subject of personal digital data as it pertains to forensic mental health evaluations. Ethical concerns and limited consensus guidance on this issue have previously made it challenging to use this information in a responsible way. This Perspectives article elaborates on the different types of personal data that exist and the practical aspects of acquiring such information, including data location and legal considerations. Incorporation of personal digital information into the forensic assessment as a form of collateral information is discussed, along with the current state of the literature on technology use and its relationship to psychopathology and risk. Given the important role of technology in the life of the modern individual, deeper research into this topic will be necessary in the immediate future to establish practice standards for the safe and ethical use of digital information in both forensic and non-forensic mental health assessments.

show abstract

Section: Privacy and Ethical Considerationsmentioning

confidence: 99%

Section: Privacy and Ethical Considerationsmentioning

confidence: 99%

Acquisition and Interpretation of Digital Information in Forensic Assessments

Burton

Drogin

2021

Harv Rev Psychiatry

View full text Add to dashboard Cite

show abstract

Reduced erythrocyte membrane polyunsaturated fatty acid levels indicate diminished treatment response in patients with multi- versus first-episode schizophrenia

Yang

Tang

et al. 2022

Schizophr

View full text Add to dashboard Cite

Antipsychotic effects seem to decrease in relapsed schizophrenia patients and the underlying mechanisms remain to be elucidated. Based on the essential role of polyunsaturated fatty acids in brain function and the treatment of schizophrenia, we hypothesize that disordered fatty acid metabolism may contribute to treatment resistance in multi-episode patients. We analyzed the erythrocyte membrane fatty acids in 327 schizophrenia patients under various episodes (numbers of patients: first-episode drug naïve 89; 2–3 episodes 110; 4–6 episodes 80; over 6 episodes 48) and 159 age- and gender-matched healthy controls. Membrane fatty acid levels and PANSS scales were assessed at baseline of antipsychotic-free period and one-month of follow-up after treatment. Totally, both saturated and unsaturated fatty acids were reduced at baseline when compared to healthy controls. Subgroup analyses among different episodes indicated that in response to atypical antipsychotic treatment, the membrane fatty acids were only increased in patients within 3 episodes, and this therapeutic effects on omega-3 index were merely present in the first episode. Results of fatty acid ratios suggested that dysregulations of enzymes such as D6 desaturase, D5 desaturase, and elongases for polyunsaturated fatty acids in patients with multi-episode schizophrenia could account for the differences. Additionally, certain fatty acid level/ratio changes were positively correlated with symptom improvement. The alterations of C22:5n3 and omega-3 index, gender, and the number of episodes were significant risk factors correlated with treatment responsiveness. Using targeted metabolomic approach, we revealed the potential mechanisms underlying abnormal fatty acid metabolism responsible for reduced treatment response in patients with multi-episode schizophrenia.

show abstract

Prevalence of Homicide-Suicide Incidents in Greece over 13 Years

Alexandri¹,

Tsellou

Antoniou

et al. 2022

IJERPH

View full text Add to dashboard Cite

Prevalence of homicide-suicides is difficult to determine in Greece due to the lack of a national tracking system. The aim of this study was to estimate the prevalence of the homicide-suicide incidents in Greece over the past 13 years, and to determine the circumstances under which they occurred, as well as the characteristics of perpetrators and victims. Two Internet search engines (google and yahoo), as well as the search engine of the major national news websites, were surveyed to identify the number of homicide-suicide cases that occurred in Greece from January 2008 to December 2020. Over the study period, 36 homicide-suicide incidents occurred in Greece, resulting in 36 suicides and 41 homicides. The above incidents reflect an annual homicide-suicide rate of 0.02 cases per 100,000 inhabitants. Most perpetrators were male (88.9%), whereas most victims were female (80.6%). Spousal-consortial cases accounted for 52.7% and familial cases for 41.7% of the total number of incidents. The use of firearms (mostly shotgun) was the most common method of homicide and suicide (58.3% and 63.9%, respectively). Women killed only their children, while men committed homicide and suicide mainly in the context of a former or current intimate partnership with the victim. Our results are in line with international homicide-suicide data. The establishment of a national surveillance system for homicides-suicides would be of paramount importance as it would facilitate accurate recording, identification of risk factors and characteristics of potential victims and perpetrators and it could ultimately be an aid to the prevention of such tragic events.

show abstract

COVID-19 and the risk of homicide-suicide among older adults

Abstract: Identify patients who are at risk, and implement measures to protect them.

Cited by 3 publications

References 18 publications

Acquisition and Interpretation of Digital Information in Forensic Assessments

Acquisition and Interpretation of Digital Information in Forensic Assessments

Reduced erythrocyte membrane polyunsaturated fatty acid levels indicate diminished treatment response in patients with multi- versus first-episode schizophrenia

Prevalence of Homicide-Suicide Incidents in Greece over 13 Years

Contact Info

Product

Resources

About