法医学杂志

法医学杂志 ›› 2014, Vol. 30 ›› Issue (6): 456-459.DOI: 10.3969/j.issn.1004-5619.2014.06.013

• 案例分析 • 上一篇    下一篇

105例生前精神异常的水中尸体回顾性分析

赵  海1，董利民2，孙连杰1，邓德元1，贺  盟3   

  1. （1. 上海市公安局水上公安局，上海 200002； 2. 上海市公安局闵行分局，上海 201199； 3. 复旦大学基础医学院法医学系，上海 200032）
  • 发布日期:2014-12-25 出版日期:2014-12-28
  • 通讯作者: 贺盟，男，主检法医师，主要从事法医病理学和法医精神病学教学、检案和研究；E-mail：042101055@fudan.edu.cn
  • 作者简介:赵海（1967—），男，浙江宁波人，副主任法医师，主要从事法医病理学检案和研究；E-mail：dthai7307@163.com

A Retrospective Analysis of 105 Drowning Victims with Psychiatric Disorders

ZHAO HAI1, DONG LI-MIN2, SUN LIAN-JIE1, DENG DE-YUAN1, HE MENG3   

  1. （1. Harbor Public Security Subbureau, Shanghai Public Security Bureau, Shanghai 200002, China; 2. Minhang Branch of Shanghai Public Security Bureau, Shanghai 201199, China; 3. Department of Forensic Medicine, School of Basic Medical Sciences, Fudan University, Shanghai 200032, China）
  • Online:2014-12-25 Published:2014-12-28

摘要： 目的 分析生前精神异常的水中尸体的特点，为此类案件鉴定和分析提供参考。 方法 调查2010年1月至2014年6月上海市公安局水上公安局检验的所有生前精神异常的水中尸体档案105例，对死者一般情况、尸检情况、案情调查情况和疾病史进行统计分析。 结果 自杀104例，死者受教育程度较低，天气较暖时案件较多，尸体多在2 d内被发现。多数死者没有自杀史，没有遗书，但在临死前出现行为、心理的异常变化。抑郁症、抑郁状态和精神分裂症是主要的精神障碍类型，仅有9名死者曾坚持进行正规治疗。 结论 精神异常是投水自杀的高危因素，监护人员应该警惕患者的异常行为，特别是气温转暖时。

关键词: 法医病理学, 尸体, 自杀, 精神异常

Abstract: Objective To analyze the features of drowning victims with psychiatric disorders to support further investigation on such cases. Methods One hundred and five archives of drowning victims with psychiatric disorders from January 2010 to June 2014 in Harbor Public Security Subbureau, Shanghai Public Security Bureau were reviewed. The decedents’ general information, autopsy findings, case investigation data and disease histories were statistically analyzed. Results Of the 105 cases, 104 were suicides. Most decedents were poorly educated. Most suicides occurred in warm climate, and the corpses were usually found within 2 days. Most decedents had no suicide history and notes, but had abnormal mental or behavior changes before suicide. Depression, depression status and schizophrenia were the main types of psychiatric disorders, and only 9 decedents had received regular therapies before their deaths. Conclusion Mental disorder is a high risk factor in the drowning victims. Guardians should be aware of psychotic abnormal behaviors, especially during warm climate seasons.

Key words: forensic pathology, cadaver, suicide, psychiatric disorders

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