Family homicide associated with the absence of psychiatric treatment during the COVID-10 pandemic: a case report

Detalhes bibliográficos
Autor(a) principal: Campanha, Lucas Francisco
Data de Publicação: 2023
Outros Autores: Telles, Lisieux Elaine de Borba
Tipo de documento: Artigo
Idioma: por
Título da fonte: Debates em Psiquiatria (Online)
Texto Completo: https://revistardp.org.br/revista/article/view/466
Resumo: Introduction: In 2020, due to the COVID-19 pandemic, several countries issued stay-at-home orders to prevent the spread of the virus. Soon after, a considerable increase in the rates of domestic violence could be observed, due to the confinement of aggressors and victims and greater coexistence between them. Case report: This is a case of familicide committed by a 27-year-old young man who, during a psychotic break, killed his father and a cousin. The aggressor had Paranoid Schizophrenia and, during the period of the COVID-19 pandemic, was without psychiatric care or use of psychotropic drugs, showing exacerbation of psychotic symptoms and criminal behavior. Discussion: It is noteworthy that the pandemic reduced access to mental health care and forced the mentally ill to live more with their family. This increased the vulnerability of this group and the risk of violence for themselves and others. The family of the seriously mentally ill person is usually the group most affected by violence in times of exacerbation of symptoms in the absence of treatment. Conclusion: In public health emergencies, it is important to have a strategy to prioritize psychiatric care for the seriously mentally ill, so that they are not left without support and at risk for themselves and others.
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spelling Family homicide associated with the absence of psychiatric treatment during the COVID-10 pandemic: a case reportHomicidio familiar asociado a ausencia de tratamiento psiquiátrico durante la pandemia de Covid-19: reporte de un casoHomicídio familiar associado com ausência de tratamento psiquiátrico durante a pandemia de Covid-19: um relato de casohomicídioCOVID-19transtornos psicóticosquarentenaviolência domésticahomicideCOVID-19psychotic disordersdomestic violencequarantinehomicidioCOVID-19cuarentenaviolencia domésticatrastornos psicóticosIntroduction: In 2020, due to the COVID-19 pandemic, several countries issued stay-at-home orders to prevent the spread of the virus. Soon after, a considerable increase in the rates of domestic violence could be observed, due to the confinement of aggressors and victims and greater coexistence between them. Case report: This is a case of familicide committed by a 27-year-old young man who, during a psychotic break, killed his father and a cousin. The aggressor had Paranoid Schizophrenia and, during the period of the COVID-19 pandemic, was without psychiatric care or use of psychotropic drugs, showing exacerbation of psychotic symptoms and criminal behavior. Discussion: It is noteworthy that the pandemic reduced access to mental health care and forced the mentally ill to live more with their family. This increased the vulnerability of this group and the risk of violence for themselves and others. The family of the seriously mentally ill person is usually the group most affected by violence in times of exacerbation of symptoms in the absence of treatment. Conclusion: In public health emergencies, it is important to have a strategy to prioritize psychiatric care for the seriously mentally ill, so that they are not left without support and at risk for themselves and others.Introducción: En 2020, debido a la pandemia de COVID-19, varios países emitieron órdenes de quedarse en casa para evitar la propagación del virus. Poco después se pudo observar un aumento considerable en los índices de violencia doméstica, debido al encierro de agresores y víctimas y una mayor convivencia entre ellos. Caso clínico: Se trata de un caso de familicidio cometido por un joven de 27 años que, durante un brote psicótico, mató a su padre y a un primo. El agresor padecía Esquizofrenia Paranoide y, durante el período de la pandemia por COVID-19, estuvo sin atención psiquiátrica ni uso de psicofármacos, presentando exacerbación de síntomas psicóticos y conducta delictiva. Discusión: Se destaca que la pandemia redujo el acceso a la atención en salud mental y obligó a los enfermos mentales a convivir más con su familia. Esto aumentó la vulnerabilidad de este grupo y el riesgo de violencia para ellos mismos y para otros. La familia del enfermo mental grave suele ser el grupo más afectado por la violencia en los momentos de exacerbación de los síntomas en ausencia de tratamiento. Conclusión: En emergencias de salud pública es importante contar con una estrategia para priorizar la atención psiquiátrica a los enfermos mentales graves, para que no queden sin apoyo y en riesgo para sí mismos y para los demás.Introdução: Em 2020, devido à pandemia de COVID-19, vários países emitiram ordens de permanência em casa para evitar a propagação do vírus. Logo em seguida, pôde-se observar um aumento considerável nos índices de violência doméstica, em decorrência do confinamento de agressores e vítimas e maior convivência entre eles. Relato de caso: Trata-se de um caso de familicídio cometido por um jovem de 27 anos, que durante um surto psicótico matou o pai e um primo. O agressor era portador de Esquizofrenia Paranoide e, durante o período da pandemia de COVID-19, ficou sem atendimento psiquiátrico ou uso de psicofármacos apresentando exacerbação da sintomatologia psicótica e conduta delitiva. Discussão: Ressalta-se que a pandemia reduziu o acesso aos cuidados de saúde mental e obrigou o doente mental a conviver mais com a família. Isso aumentou a vulnerabilidade desse grupo e o risco de violência para si e para terceiros. A família do doente mental grave costuma ser o grupo mais atingido pela violência em momentos de agudização dos sintomas na ausência de tratamento. Conclusão: Nas emergências de saúde pública, é importante ter uma estratégia para priorizar o atendimento psiquiátrico ao doente mental grave, para que ele não fique sem apoio e em risco para si e para os outros.Associação Brasileira de Psiquiatria2023-02-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://revistardp.org.br/revista/article/view/46610.25118/2763-9037.2023.v13.466Debates in Psychiatry; Vol. 13 (2023); 1-8Debates em Psiquiatria; Vol. 13 (2023); 1-8Debates em Psiquiatria; v. 13 (2023); 1-82763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporhttps://revistardp.org.br/revista/article/view/466/392Copyright (c) 2023 Lucas Francisco Campanha, Lisieux Elaine de Borba Telleshttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessCampanha, Lucas FranciscoTelles, Lisieux Elaine de Borba2024-01-21T09:29:07Zoai:ojs.emnuvens.com.br:article/466Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2024-01-21T09:29:07Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Family homicide associated with the absence of psychiatric treatment during the COVID-10 pandemic: a case report
Homicidio familiar asociado a ausencia de tratamiento psiquiátrico durante la pandemia de Covid-19: reporte de un caso
Homicídio familiar associado com ausência de tratamento psiquiátrico durante a pandemia de Covid-19: um relato de caso
title Family homicide associated with the absence of psychiatric treatment during the COVID-10 pandemic: a case report
spellingShingle Family homicide associated with the absence of psychiatric treatment during the COVID-10 pandemic: a case report
Campanha, Lucas Francisco
homicídio
COVID-19
transtornos psicóticos
quarentena
violência doméstica
homicide
COVID-19
psychotic disorders
domestic violence
quarantine
homicidio
COVID-19
cuarentena
violencia doméstica
trastornos psicóticos
title_short Family homicide associated with the absence of psychiatric treatment during the COVID-10 pandemic: a case report
title_full Family homicide associated with the absence of psychiatric treatment during the COVID-10 pandemic: a case report
title_fullStr Family homicide associated with the absence of psychiatric treatment during the COVID-10 pandemic: a case report
title_full_unstemmed Family homicide associated with the absence of psychiatric treatment during the COVID-10 pandemic: a case report
title_sort Family homicide associated with the absence of psychiatric treatment during the COVID-10 pandemic: a case report
author Campanha, Lucas Francisco
author_facet Campanha, Lucas Francisco
Telles, Lisieux Elaine de Borba
author_role author
author2 Telles, Lisieux Elaine de Borba
author2_role author
dc.contributor.author.fl_str_mv Campanha, Lucas Francisco
Telles, Lisieux Elaine de Borba
dc.subject.por.fl_str_mv homicídio
COVID-19
transtornos psicóticos
quarentena
violência doméstica
homicide
COVID-19
psychotic disorders
domestic violence
quarantine
homicidio
COVID-19
cuarentena
violencia doméstica
trastornos psicóticos
topic homicídio
COVID-19
transtornos psicóticos
quarentena
violência doméstica
homicide
COVID-19
psychotic disorders
domestic violence
quarantine
homicidio
COVID-19
cuarentena
violencia doméstica
trastornos psicóticos
description Introduction: In 2020, due to the COVID-19 pandemic, several countries issued stay-at-home orders to prevent the spread of the virus. Soon after, a considerable increase in the rates of domestic violence could be observed, due to the confinement of aggressors and victims and greater coexistence between them. Case report: This is a case of familicide committed by a 27-year-old young man who, during a psychotic break, killed his father and a cousin. The aggressor had Paranoid Schizophrenia and, during the period of the COVID-19 pandemic, was without psychiatric care or use of psychotropic drugs, showing exacerbation of psychotic symptoms and criminal behavior. Discussion: It is noteworthy that the pandemic reduced access to mental health care and forced the mentally ill to live more with their family. This increased the vulnerability of this group and the risk of violence for themselves and others. The family of the seriously mentally ill person is usually the group most affected by violence in times of exacerbation of symptoms in the absence of treatment. Conclusion: In public health emergencies, it is important to have a strategy to prioritize psychiatric care for the seriously mentally ill, so that they are not left without support and at risk for themselves and others.
publishDate 2023
dc.date.none.fl_str_mv 2023-02-11
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado pelos pares
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistardp.org.br/revista/article/view/466
10.25118/2763-9037.2023.v13.466
url https://revistardp.org.br/revista/article/view/466
identifier_str_mv 10.25118/2763-9037.2023.v13.466
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistardp.org.br/revista/article/view/466/392
dc.rights.driver.fl_str_mv Copyright (c) 2023 Lucas Francisco Campanha, Lisieux Elaine de Borba Telles
https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Lucas Francisco Campanha, Lisieux Elaine de Borba Telles
https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Debates in Psychiatry; Vol. 13 (2023); 1-8
Debates em Psiquiatria; Vol. 13 (2023); 1-8
Debates em Psiquiatria; v. 13 (2023); 1-8
2763-9037
2236-918X
reponame:Debates em Psiquiatria (Online)
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instname_str Associação Brasileira de Psiquiatria (ABP)
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institution ABP
reponame_str Debates em Psiquiatria (Online)
collection Debates em Psiquiatria (Online)
repository.name.fl_str_mv Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv rdp@abp.org.br
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