Homicide in Relation to Mental Illness: Stigma Versus Reality.

Autor:	Almomen ZA; Family Medicine, Dammam Medical Complex, Ministry of Health, Dammam, SAU., Alqahtani AH; Psychiatry, Johns Hopkins Aramco Healthcare (JHAH), Dhahran, SAU., Alafghani LA; General Practice, Ministry of Health, Al-Ahsa, SAU., Alfaraj AF; Internal Medicine, King Abdulaziz University (KAU), Jeddah, SAU., Alkhalifah GS; General Practice, Dammam Medical Complex, Ministry of Health, Dammam, SAU., Bin Jalalah NH; Family Medicine, Ministry of Defense, Dhahran, SAU., Alsuwailem NA; General Practice, Dammam Medical Complex, Ministry of Health, Dammam, SAU., Hilal RM; Psychiatry, Dammam Medical Complex, Ministry of Health, Dammam, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Dec 25; Vol. 14 (12), pp. e32924. Date of Electronic Publication: 2022 Dec 25 (Print Publication: 2022).
DOI:	10.7759/cureus.32924
Abstrakt:	This narrative review examines different aspects of homicide among mentally ill individuals to compare the rates of homicide by offenders with and without mental illness and investigate the stigma of mental illness and its consequences. It also evaluates the motives of mentally ill perpetrators and their characteristics and explores weapons of choice in homicides related to different mental disorders. Studies confirmed higher homicide rates among specific categories of mentally ill individuals who experienced maltreatment, unemployment, abuse in childhood, and substance abuse resulting from stigma and discrimination. The motives were mainly revenge, argument, financial gain, sexuality, sadism, and filicide, with revenge being the top motive. Offenders were found to have close relationships with their victims in most cases. Sharp instruments were the most commonly used weapons. Our review confirms the lack of evidence linking mental illness independently with homicide, both globally and in Arab countries, and highlights the impact of discrimination toward mentally ill individuals. This discrimination and stigma lead to delayed care-seeking and self-destructive behavior, which is linked to higher homicide rates among persons with and without mental illness. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Almomen et al.)
Databáze:	MEDLINE
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