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Infanticide by a mother with untreated schizophrenia
Rahul Saha1, Shubh Mohan Singh2, Anil Nischal1
1Department of Psychiatry, Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Shanghai Archives of Psychiatry
|March 16, 2016
Summary
Untreated psychosis in a rural Indian mother led to infanticide. Early intervention with antipsychotic medication is crucial for managing severe mental illness and improving psychosocial functioning in underserved communities.
Area of Science:
- Psychiatry
- Global Mental Health
- Public Health
Background:
- This case report highlights severe, untreated psychosis in a 30-year-old mother from rural India.
- A 6-year history of paranoia and psychosis preceded a tragic infanticide event.
Observation:
- The patient experienced command hallucinations leading to the death of her infant.
- Family's lack of mental illness knowledge, limited access to care, and cost barriers delayed treatment.
Findings:
- Antipsychotic medication effectively controlled psychotic symptoms post-infanticide.
- Significant improvement in psychosocial functioning was observed with treatment.
Implications:
- This case underscores the critical need for mental health awareness and accessible care in low- and middle-income countries.
- Addressing stigma, improving education, and reducing costs are vital to prevent such tragedies.