可避免的杀害子女:呼吁在印度采取行动进行早期干预和精神卫生支持。

IF 3.2 3区 医学 Q2 PSYCHIATRY
Simran Arora, Satish Suhas, Guru S Gowda, Venkata Senthil Kumar Reddi, John P John
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引用次数: 0

摘要

目的:孕产妇杀害子女是一种令人深感痛苦和有可能预防的现象,需要优先关注。本研究旨在揭示导致母亲杀子的心理、社会和系统因素。它要求强有力的早期干预策略和建立全面的心理健康支持系统,以减轻和预防此类悲剧的发生。方法:对一位杀害子女的母亲进行了详细的评估,评估包括深入的精神病学评估、与家庭成员的访谈、对个人病史、先前的社会环境和现有法律记录的回顾。这种综合方法可以识别潜在的警告信号和干预中的差距。此外,还审查了与产妇心理健康有关的现有文献和国家框架,以便将调查结果置于印度更广泛的社会文化和保健环境中。结果:该病例突出了未经治疗的精神健康障碍、社会耻辱、缺乏可获得的精神卫生服务以及家庭成员和专业人员未能识别警告信号的复杂相互作用。分析显示,错过了干预的机会,本可以阻止杀子行为。主要影响因素包括产后心理健康问题、社会经济压力因素以及对母亲的社会和法律支持不足。这一案例强调需要进行系统性改革,包括改善围产期的心理健康检查和建立危机干预服务。结论:孕产妇杀害子女不仅是一个法律问题,而且是一个多方面的公共卫生和社会问题,需要采取多学科对策。研究结果强调,需要采取一种包括医疗保健专业人员、社会工作者和执法机构在内的综合办法,以解决陷入困境的母亲所面临的心理健康挑战。及早发现有风险的个人,消除对精神卫生保健的污名化,并及时提供干预措施,对于预防此类悲剧至关重要。这项研究强调了实施精神卫生政策的紧迫性,这些政策应优先考虑产妇的精神卫生,提高公众意识,并确保为高危家庭提供可获得的、具有文化敏感性的支持系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Avertible filicide: a call to action for early intervention and mental health support in India.

Purpose: Maternal filicide is a deeply distressing and potentially preventable phenomenon that demands priority attention. This study aims toshed light on the psychological, social and systemic factors contributing to maternal filicide. It calls for robust early intervention strategies and the establishment of comprehensive mental health support systems to mitigate the risk and prevent the occurence of such tragedies..

Methods: A detailed evaluation of a mother who committed filicide was undertaken The assessments included in-depth psychiatric evaluations, interviews with family members, review of the individual's medical history, prior social circumstances, and existing legal records. This comprehensive approach allowed for the identification of potential warning signs and gaps in intervention. Additionally, a review of existing literature and national frameworks related to maternal mental health was undertaken to contextualize the findings within the broader socio-cultural and healthcare landscape of India.

Results: The case highlights a complex interplay of untreated mental health disorders, social stigma, lack of accessible mental health services, and a failure to recognize warning signs by family members and professionals. The analysis reveals missed opportunities for intervention that might have prevented the act of filicide. Key contributing factors included postpartum mental health issues, socio-economic stressors, and inadequate social and legal support for the mother. This case underscores the need for systemic changes, including improved mental health screening during the perinatal period and the establishment of crisis intervention services.

Conclusion: Maternal filicide is not solely a legal issue but also a multifaceted public health and social problem that warrants a multidisciplinary response. The findings emphasize the need for an integrated approach involving healthcare professionals, social workers, and law enforcement agencies to address the mental health challenges faced by mothers in distress. Early identification of at-risk individuals, destigmatization of mental health care, and the provision of timely interventions are pivotal in preventing such tragedies. This study underscores the urgency of implementing mental health policies that prioritize maternal mental health, enhance public awareness, and ensure the availability of accessible, culturally sensitive support systems for at-risk families.

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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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