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• W2262338124 abstract "INTRODUCTIONChildren and adolescents are frequently exposed to high risks in their own families, i.e. in the environment expected to provide them with the highest level of safety and protection. Children's abuse and disparagement, and upbringing void of tenderness are by no means a rare or sporadic or occasional phenomenon in the 21st century.1,2 Murder of a child is the most serious form of abuse. According to data from the USA, 100,000 children die from abuse or neglect per year, 38% of them under one year and 78% under five years of age.3 Death occurs as a consequence of severe punishment for some minor disobedience, passive neglect and exposure to starvation, inappropriate exposure of children to poor working conditions, and abuse for financial profit or personal benefit. In a five-year study performed in New York, which analyzed 1 84 deaths of children below the age of five years, there were no physical signs of violence in 10% of cases, whereas in the rest the injuries were recorded, craniocerebral injuries being the most frequent.4 In this work we will stress the special relation between alcoholism and child abuse.CASE REPORTA female infant aged five months was transferred by ambulance to the Children's Hospital in Rijeka, showing no signs of life. The mother stated she had fed the child and administered medication for vesicoureteral reflux grade II. She said the child had had several episodes of projectile vomiting and stopped breathing some 10-15 minutes thereafter. The mother said she had started resuscitating the infant, however, the baby showed no signs of life. The mother called ambulance service only after 1-2 hours.Upon arrival, some five minutes from the phone call, the physician from the ambulance squad tried to resuscitate the child, recorded Glasgow Coma Scale score 1 1 and transferred the child to the hospital. Upon admission to the hospital, the pediatrician found the child to be in asystole, cold and livid. Post mortem x-ray of the thorax revealed pneumothorax on the left and fracture of the right humerus.As the injuries observed pointed to violent death of the infant, the mechanism of injury infliction had to be determined, which required a forensic autopsy. The mother stated she had been alone with the child at the time of death. This statement, along with the fact that she called ambulance service only 1-2 hours after the child had shown no signs of life, raised suspicion of the mother having murdered her child, and police investigation was launched.The investigation revealed that the 26-year-old mother with elementary -school education, a housewife, lived in a common-law marriage with the dead child's father, in very poor living conditions.Ten years before, at the age of 16, the suspect and her father had murdered her elderly sister, having stabbed her 82 times with a kitchen knife. Criminal charges were then brought against her and her father, and she as a minor was punished to detention in a correctional institution. At the age of 12, behavior disorder, high-grade neurotic reaction, and emotional deprivation were diagnosed by a psychologist, when she had already exhibited a well developed defense mechanism of escaping reality.During the legal procedure for suspicion that she had murdered her 5-month old child, she underwent the psychiatric expertise. She was found to suffer from profound and permanent personality disorders corresponding to borderline structure according to their nature and severity. At the time of committing infanticide, she was found to have sustained diminished responsibility, thus being unable to understand her own actions and to control herself. She was lacking the ability to recognize other people's emotions, so when the baby cried, she overfed her (which caused vomiting), thinking the baby was crying for being hungry. As the child did not stop crying, the suspect started kicking her without control, thinking the child would understand (she addressed the child as an adult). …" @default.
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• W2262338124 date "2008-01-01" @default.
• W2262338124 modified "2023-09-24" @default.
• W2262338124 title "Infanticide - Consequence of Long-Term Alcoholism" @default.
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