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Second Opinion On Insanity Plea In A Murder And Attempted Suicide Case: A Case Report

Najwa Hanim Md Rosli, Badi'ah Yahya, Abdul Kadir Abu Bakar


This paper aims to discuss the issue related to the application of temporary insanity plea through a case report of a man who was earlier certified as mentally sound following a murder and suicide attempt. Methods: We report a man who committed murder and attempted suicide 7 years ago, had a psychiatric certification of not having mental illness and recently requested for a second psychiatric assessment. The factors taken into consideration in arriving at the final diagnosis are discussed.

The man was found to have brief psychotic disorder precipitated by psychological blow and sleep deprivation with underlying undiagnosed borderline mental retardation.Conclusion: In assessing patient with temporary insanity plea, various areas in the history need to be explored deeply with thorough investigations to be done in order to arrive at a fair conclusion for the patient’s and victim’s sake. ASEAN Journal of Psychiatry, Vol.12(1): Jan – June 2011: XX XX