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Golenkov A.V.
Psychiatric Aspects of Murders in Chuvashia (2011–2020)
Keywords: mental disorders, insanity, murders, alcohol intoxication, Chuvashia (Russia)
Murders are one of the most important causes of mortality in Russia, and most aggressors suffer from mental disorders. The purpose of the research is to study the structure of mental disorders of murderers and its features in Chuvashia in 2011–2020. Materials and methods. The forensic psychiatric examination examined 507 murderers (409 men and 98 women) aged 15 to 83 years (average age – 40.65±13.82 years). Mental disorders, medical, social and criminal indicators of murderers, as well as 507 victims were taken into account. Results. 474 murders were committed single-handedly, 14 – in a group of 2-4 people; ordinary murders accounted for 96.5%, those with two or more victims – 3.5%. Post-homicidal suicides in aggressors were observed in 2.5%. Mental disorders were qualified in forensic psychiatric examinations in 72.6% of the subjects, most often they were alcohol dependence (20.1%), especially among women (27.6%). Among other mental disorders, personality disorders (13.8%), organic mental disorders (12.8%), schizophrenia (6.3%), mental retardation (2.8%) and comorbid mental disorders (16.8%) were noted. 10.5%, most often patients with schizophrenia and organic mental disorders, are recognized as insane during forensic psychiatric examinations. The instruments (method) of murder in 94% of cases were piercing and cutting objects, "blunt weapons" and strangulation. Women were significantly more likely to use "bladed weapons", and men – to "blunt weapons". More than 40% of the victims were family members, more than 50% were acquaintances, friends, and only 6.3% were strangers. Women were significantly more likely to kill their spouses (unmarried cohabitants etc.) and children, and men – acquaintances. 84.0% of criminals were intoxicated at the time of the murder. Both the aggressor and the victim drank together in 59% of cases. Insane murderers (with pronounced mental disorders) were significantly older, had a lower level of education, family status, hereditary burden of mental disorders, various organic harms, they killed two or more victims more often and committed post-homicidal suicides (7.5%). Conclusions. Almost three–quarters of all murderers had mental disorders, and one in five had mental disorders due to alcohol abuse. The leading cause of the murders was conflicts arising between familiar people and/or family members against the background of alcohol intoxication. A certain role was played by the criminal experience of the participants in the incident, long-term hostile relations, readiness to inflict bodily harm to the victim and murder another person.
References
- Golenkov A.V. Postgomitsidnye samoubiistva [Post-homicidal suicide]. Suitsidologiya, 2018, vol. 9, no. 3(32), pp. 3–15. DOI: 10.32878/suiciderus.18-09-03(32)-3-15.
- Kandrychyn S.V. Smertnost’ ot vneshnikh prichin i sotsiokul’turnaya differentsiatsiya rossiiskikh regionov [Mortality from external causes and socio-cultural differentiation of Russian regions]. Problemy razvitiya territorii, 2017, no. 3(89), pp. 78–91.
- Kashepov A.V. Sotsial’no-ekonomicheskie faktory smertnosti v period s 2000 po 2020 gg. [Socio-economic factors of mortality in the period from 2000 to 2020]. Sotsial’no-trudovye issledovaniya, 2020, no 3 (40), pp. 18-30. DOI: 10.34022/2658-3712-2020-40-3-18-30.
- Mal’tseva M.M. Psikhopatologicheskie mekhanizmy obshchestvenno opasnykh deistvii bol’nykh s psikhicheskimi rasstroistvami [Psychopathological mechanisms of socially dangerous actions of patients with mental disorders]. Tkachenko A.A., ed. Rukovodstvo po sudebnoi psikhiatrii v 2 t.: prakt. posobie. 4-e izd., pererab. i dop. [Guide to forensic psychiatry. 2 vols. 4th]. Moscow, Yurait Publ., 2023, vol. 2, gl. 27, pp. 213-226.
- Poteri rossiiskogo naseleniya ot vneshnikh prichin i spetsifika ikh ucheta [Losses of the Russian population from external causes and the specifics of their accounting]. Semenova V.G., Ivanova A.E., Sabgaida T.P. i dr. Sotsial’nye aspekty zdorov’ya naseleniya [Social aspects of public health], 2021, vol. 67, no. 2, pp. 7. DOI: 10.21045/2071-5021-2021-67-2-7.
- Shmatova Yu.E. Pozitivnye i negativnye tendentsii v sfere obshchestvennogo psikhicheskogo zdorov’ya naseleniya Rossii v 2005-2018 godakh [Positive and negative trends in the field of public mental health of the Russian population in 2005-2018]. Society and Security Insights, 2020, vol.3, no. 4, pp. 202–214. DOI: 10.14258/ssi(2020)4-16.
- Almomen Z.A., Alqahtani A.H., Alafghani L.A. et al. Homicide in Relation to Mental Illness: Stigma Versus Reality. , 2022, vol. 14(12), e32924. DOI: 10.7759/cureus.32924.
- Carabellese F., Felthous A.R., Mandarelli G. et al. Women and Men who Committed Murder: Male/Female Psychopathic Homicides. Forensic Sci., 2020, vol. 65(5), pp. 1619–1626. DOI: 10.1111/1556-4029.14450.
- Feola A., Ciamarra P., Mascolo P. et al. Matricide and psychiatric evaluation: An update. Med. (Tokyo), 2023, vol. 63, 102258. DOI: 10.1016/j.legalmed.2023.102258.
- Gajic Z., Milatovic J., Golubovic B. et al. Sociodemographic and psychiatric characteristics among homicide offenders in Serbia – the province of Vojvodina (1996-2005). Pregl., 2016, vol. 69(7-8), pp. 224–229. DOI: 10.2298/mpns1608224g.
- Golenkov A., Large M., Nielssen O., Tsymbalova A. Homicide and mental disorder in a region with a high homicide rate. Asian J. Psychiatr., 2016, vol. 23, pp. 87–92. DOI: 10.1016/j.ajp.2016.07.015.
- Golenkov A., Large M., Nielssen O., Tsymbalova A. Forty-year study of rates of homicide by people with schizophrenia and other homicides in the Chuvash Republic of the Russian Federation. Open, 2022, 8, no 1, pp. A406. DOI: 10.1192/bjo.2021.1048.
- Kazemian K., Raymond S., Azoulay M., Gasman I. Homicides committed by women with mental disorders: A descriptive study conducted in a French secure unit. Forensic Sci., 2023, vol. 68(2), pp.568–577. DOI: 10.1111/1556-4029.15207.
- Kidd S.H., Hughes N.S., Crichton J.H. Kitchen knives and homicide: a systematic study of people charged with murder in the Lothian and Borders region of Scotland. Sci. Law, 2014, vol. 54(3), pp. 167–173. DOI: 10.1177/0025802413496409.
- Minero V.A., Barker E., Bedford R. Method of homicide and severe mental illness: A systematic review. Violent Behav., 2017, vol. 37, pp. 52–62. DOI: 10.1016/j.avb.2017.09.007.
- Nielssen O., Lyons G., Oldfield K. et al. Rates of homicide and homicide associated with severe mental illness in NSW between 1993 and 2016. NZJ Psychiatry, 2022, vol. 56(7), pp. 836–843. DOI: 10.1177/00048674211040016.
- Palijan T.Z., Muzinić L., Radeljak S. Psychiatric comorbidity in forensic psychiatry. Danub., 2009, vol. 21(3), pp. 429–436.
- Park J., Son H. Weapon Use in Korean Homicide: Differences Between Homicides Involving Sharp and Blunt Instruments. Forensic Sci., 2018, vol. 63(4), pp. 1134–1137. DOI: 10.1111/1556-4029.13673.
- Putkonen A., Kotilainen I., Joyal C.C., Tiihonen J. Comorbid personality disorders and substance use disorders of mentally ill homicide offenders: a structured clinical study on dual and triple diagnoses. Bull., 2004, vol. 30(1), pp. 59–72. DOI: 10.1093/oxfordjournals.schbul.a007068.
- Richard-Devantoy S., Bouyer-Richard A.I., Annweiler C. et al. Major mental disorders, gender, and criminological circumstances of homicide. Forensic Leg. Med., 2016, vol. 39, pp. 117–124. DOI: 10.1016/j.jflm.2016.01.014.
- Richard-Devantoy S., Chocard A.S., Bourdel M.C. et al. Homicide and major mental disorder: what are the social, clinical, and forensic differences between murderers with a major mental disorder and murderers without any mental disorder? Encephale, 2009, vol. 35(4), pp. 304-314. DOI: 10.1016/j.encep.2008.05.006.
- Simpson A.I., Penney S.R., Jones R.M. Homicide associated with psychotic illness: What global temporal trends tell us about the association between mental illness and violence. NZJ Psychiatry, 2022, vol. 56(11), pp. 1384-1388. DOI: 10.1177/00048674211067164.
- Thomsen A.H., Leth P.M., Hougen H.P., Villesen P. Asphyxia homicides in Denmark 1992–2016. J. Legal Med., 2022, vol. 136(6), pp. 1773–1780. DOI: 10.1007/s00414-022-02787-0.
About authors
- Golenkov Andrey V.
- Doctor of Medical Sciences, Professor, Department of Psychiatry, Medical Psychology and Neurology, Chuvash State University, Russia, Cheboksary (golenkovav@inbox.ru; ORCID: https://orcid.org/0000-0002-3799-0736)
Article link
Golenkov A.V. Psychiatric Aspects of Murders in Chuvashia (2011–2020) [Electronic resource] // Acta medica Eurasica. – 2023. – №3. P. 16-23. – URL: https://acta-medica-eurasica.ru/en/single/2023/3/2/. DOI: 10.47026/2413-4864-2023-3-16-23.