Zusammenfassung
Einleitung Es wurde der Frage nachgegangen,
ob Tötungsdelikte von psychotischen Patienten bei umfassender
psychiatrischer Behandlung hätten verhindert werden können.
Methode Es erfolgte eine Analyse von 39
Psychoseerkrankten, welche ein Tötungsdelikt begangen hatten.
Ergebnisse Bei 10,2 % zeigten sich
eindeutige Fehler, bei weiteren 15,4 % war eine fehlende
Kommunikation zwischen Angehörigen des Patienten und Therapeuten für
die Tat mitverantwortlich. Schlussfolgerungen Die
gesamte Familie des Patienten sollte im Rahmen der Sozialpsychiatrie in die
Therapie mit einbezogen werden.
Abstract
Objective Even though homicides of psychotic
patients are relatively rare, they have a great impact on the public opinion
about the mentally ill. Current literature indicates that psychotic patients
are at an increased risk to commit violent offences. The risk of this group to
commit a homicide is even more increased. The question of our study was to find
out whether past homicides of schizophrenic patients could have been avoided if
treatment had been administered properly. Methods Review
of 39 homicide cases, committed by patients who had been psychotic during the
offence. Results 10.2 % of the homicides
could have been prevented in the absence of mistakes of therapists or legal
authorities. Another 15.4 % of the homicides could have probably
been avoided in case of communication between the treating therapists and
family of the patient previously to the offence. Conclusions The whole family of the patient should be
involved in the therapy. Possibilities are home visits on the basis of
community care. Furthermore, threats of psychotic patients should be taken
seriously.
Schlüsselwörter
Schizophrenie - Psychose - Tötungsdelikte - Gewalt
Keywords
schizophrenia - psychosis - homicide - violence
Literatur
dr.joachim.nitschke@bezirkskliniken-mfr.de
