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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

Abstract


Objective:
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.

Results:
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

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