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Editorial
In This Issue
Quentin Rae-Grant
(PDF)


Original Research
Quality of Life in OCD: Differential Impact of Obsessions, Compulsions, and Depression Comorbidity

Mario Masellis, Neil A Rector, Margaret A Richter

(PDF)

A Pilot Study of a Parent-Education Group for Families Affected by Depression
Mark Sanford, Carolyn Byrne, Susan Williams, Sandy Atley, Ted Ridley, Jennifer Miller, Heather Allin

(PDF)

Differentiating Symptoms of Complicated Grief and Depression Among Psychiatric Outpatients
John S Ogrodniczuk, William E Piper, Anthony S Joyce, Rene Weideman, Mary McCallum, Hassan F Azim, John S Rosie

(PDF)

Filicidal Women: Jail or Psychiatric Ward?
Line Laporte, Bernard Poulin, Jacques Marleau, Renée Roy, Thierry Webanck

(PDF)

Phenomenology and Comorbidity of Dysthymic Disorder in 100 Consecutively Referred Children and Adolescents: Beyond DSM-IV
Gabriele Masi, Stefania Millepiedi, Maria Mucci, Rosa Rita Pascale, Giulio Perugi, Hagop S Akiskal

(PDF)

A Multicentre Prospective Controlled Study to Determine the Safety of Trazodone and Nefazodone Use During Pregnancy
Adrienne Einarson, Lori Bonari, Sharon Voyer-Lavigne, Antonio Addis, Doreen Matsui, Yvette Johnson, Gideon Koren

(PDF)


Brief Communication
Clozapine Treatment in Patients With Prior Substance Abuse

Deanna L Kelly, Elizabeth A Gale, Robert R Conley

(PDF)

The Effect of Peer Support on Postpartum Depression: A Pilot Randomized Controlled Trial
Cindy-Lee Dennis

(PDF)


Book Reviews
(PDF)

Psychological Aspects of Women’s Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology. 2nd Edition.
Reviewed by
Vera Lantos, MD, FRCPC

Introduction to Functional Magnetic Resonance Imaging: Principles and Techniques.
Reviewed by
Jimmy Jensen, PhD,
Shitij Kapur, MD, FRCPC, PhD

Planification et évaluation des besoins en santé mentale.
Revue par
Raymond Tempier, MD

Clinical Interaction and the Analysis of Meaning: A New Psychoanalytic Theory.
Reviewed by
Paul Ian Steinberg, MD, FRCPC

Evidence and Experience in Psychiatry. Volume 2: Schizophrenia.
Reviewed by
Mary V Seeman, MD

Schizophrenia Revealed: From Neurons to Social Interactions.
Reviewed by
Emmanuel Stip, MD

How’s Your Marriage? A Book for Men and Women.
Reviewed by
Karl M Tomm, MD FRCPC,
Cynthia A Beck, MD MASc FRCPC

L’extermination des malades mentaux dans l’allemagne nazie.
Revue par
Frédéric Grunberg, MD

Physicalism and Its Discontents.
Reviewed by
Dorian Deshauer, MD FRCP


Letters to the Editor
(PDF)

Zenker’s Diverticulum and Psychosis in the Elderly

Anorgasmia and Withdrawal Syndrome in a Woman Taking Gabapentin

Stage-Oriented Trauma Treatment Using Dialectical Behaviour Therapy

Sexual Sadism With Lust-Murder Proclivities in a Female?

Topiramate-Induced Suicidality

Bright-Light Therapy in Somatization Disorder

Venlafaxine-Induced Delirium

New Dosage-Reduction Regime to Avoid Paroxetine Discontinuation Syndrome

Risperidone-Induced Galactorrhoea: A Case Series

Gamma Hydroxybutyrate Withdrawal in an Orthopedic Trauma Patient

Version française de la Wender Utah Rating Scale (WURS)

Original Research

Filicidal Women: Jail or Psychiatric Ward?

Line Laporte, MSc1, Bernard Poulin, MPs2, Jacques Marleau, PhD3, Renée Roy, MD4, Thierry Webanck, MSc5

 

Objective: This study aims to examine the legal procedure that women who are charged with killing their children experience and to compare the variables that discriminate between those found guilty and those who received a medical disposition.

Method: The sample comprises 32 adult women who killed their biological children in the province of Quebec over an 11-year period (1981 to 1991).

Results: Of the sample, 18 women were found guilty, and 14 received a medical disposition. Of those who were the object of a penal disposition, most received a sentence that exceeded 2 years. Women who were sentenced to prison had a lower socioeconomic status and, compared with those who received a medical disposition, were more likely to have had a criminal and substance abuse history. Further, this latter subgroup of women were more likely to have a psychiatric history, to suffer from psychotic symptoms, and to become oriented to the mental health system immediately after their offence.

Conclusions: These comparative results suggest that women’s profiles differ according to some descriptive variables. From a clinical point of view, however, these results do not suggest that a different approach with respect to treatment of filicidal women or prevention of filicide would be more appropriate.

(Can J Psychiatry 2003;48:94–98)

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Clinical Implications

  • The sample included most of the population; thus, generalization is possible.

  • Two different subgroups one judicially oriented and the other medically oriented, were compared to verify whether the generally assumed bias about the medically oriented samples is important.

  • These results do not suggest that a different approach with respect to preventing filicide would be more appropriate.

Limitations

  • This study was based on a small sample.

  • There were no measures of variables relative to judicial process. These variables could play a role with respect to the outcome of the judicial process.

  • Several psychiatrists carried out the psychiatric assessment. Hence, their personal bias may have affected the outcome of the judicial process.


Key Words
: infanticide, filicide, charge, verdict, sentence, women

Résumé : Femmes filicides : prison ou aile psychiatrique?

Filicide, the murder of a child by a parent (1), is a rare phenomenon, one which many authors have studied (2–10). In Canada, maternal filicide represented nearly 4% of all solved homicides in the year 1998. From 1991 to 1997, the mean percentage of maternal filicide was 3.5% (11).

Some studies reveal that mothers commit this type of offence more often than do fathers (1–4,12–14). Other results, however, have shown that paternal filicides often exceed or equal the number of maternal filicides (15–22). One Canadian study indicates that, from 1980 to 1989, 542 children under age 12 years were victims of murder, manslaughter, or infanticide. Each one-third of the homicide victims were killed by mothers, fathers, or other family members; by acquaintances; or by strangers (22).

Data related to sentencing are sometimes available in articles about filicide. Unfortunately, some studies on filicidal fathers and mothers do not separate the statistics of these 2 groups (23–25). Even so, some authors have compared men with women (19,21,26); for example, Wilczynski reported that filicidal women were less likely than were filicidal men to be prosecuted or convicted for murder (26). They also received bail and shorter and more treatment-oriented sentences more often than did men. In the field of maternal filicide, data about legal dispositions and court procedures (charge and verdict) are considered more of an issue and therefore more documented (1,3,4,27–29). Filicidal mothers who are tried in court either receive a sentence, are found unfit for trial, or are found not guilty by reason of insanity (NGRI) (Note 1), with the latter generally favoured by courts and juries (1).

To our knowledge, only Holden, Burland, and Lemmen (30) have tried to determine which variables discriminate between filicidal women declared as NGRI and women declared as criminally responsible. Their results indicate that some variables differed between these 2 subgroups. Most often, NGRI women had a psychiatric and a substance abuse history and were more likely to have experienced psychotic symptoms at the time of the offence and to have attempted suicide after the offence.

The purpose of this study is to present data about the legal process in a sample of 32 filicidal women in the province of Quebec and to find out whether some variables differed significantly between those who were found guilty and those who received a medical disposition.

Methods

The initial sample included 42  women (age 18 years and over) who had killed their biological children in the province of Quebec (50 victims) over an 11-year period (1981 to 1991) (31). During that same period, data from Statistics Canada indicated that there were a total of 54 victims of maternal filicides in Quebec. However, it was impossible to obtain information about 4 homicides. Most women killed 1 child (36/42). Of the remainder, 5 killed 2 children, and another killed 4 children.

The final sample comprised 32 of the 42 women; 9 women committed suicide after the offence and before their trial, and another was reported missing. The sample was divided into 2 subgroups: women who were found guilty and women who received a medical disposition.

We identified all the filicidal mothers by examining a judicially oriented newspaper for the selected period (Allo Police). We completed an exhaustive search of the police reports, the tribunal files, and those from the prison for women (Maison Tanguay), the forensic psychiatric institution (Institut Philippe Pinel de Montréal), and the Coroner’s office.

Table 1  List of variables

Variables

Categorical or continuous

Education (n = 20)

Continuous variable

Suicide attempt history
(n = 25)

2 categories (yes or no)

Drug or alcohol history
(n = 28)

2 categories (yes or no)

Employed at time of offence
(n = 29)

2 categories (yes or no)

Socioeconomic status (n = 30)

2 categories (low or other)

Recent move (n = 31)

2 categories (yes or no)

Criminal history (n = 31)

2 categories (yes or no)

Lived with her spouse (n = 32)

2 categories (yes or no)

Age of the mother (n = 32)

2 categories (£ 28 years, and
³ 29 years), cut-off, median

Drug or alcohol at the time of offence (n = 32)

2 categories (yes or no)

Suicide attempt at the time of offence (n = 32)

2 categories (yes or no)

Involvement of Youth Protection Services and placement of the child

2 categories (yes or no)

Depression at the time of the offence (n = 28)

2 categories (yes or no)

Marital instability (n = 29)

2 categories (yes or no)

Recent separation (n = 29)

2 categories (yes or no)

Psychosis at the time of the offence (n = 29)

2 categories (yes or no)

Motive (n = 30)

2 categories (altruism or others)

Psychiatric history (n = 30)

2 categories (yes or no)

First orientation after homicide (n = 32)

2 categories (hospital or prison)

Method of killing (n = 32)

2 categories (softer methods or brutal methods)

Sex of the victims (n = 32)

2 categories (girl or boy)

Age of the victims (n = 32)

2 categories (age £ 3 years or
³ 4 years)

Total number of victims
(n = 32)

2 categories (1 or 2 and more)

Other children not victims
(n = 32)

2 categories (none or at least 1)

Table 1 shows that most variables are categorical, except for the age and education level, which are continuous. Data concerning the legal process are presented: charges, verdicts, and sentences. Next, variables were compared between the 2 subgroups of women. Chi-square and Mann–Whitney were used to determine whether differences are statistically significant. The alpha probability for this study is P < 0.05.


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