Examination In Psychiatry Research Articles

Evaluating the Role of Objective Structured Clinical Examination as a Summative Assessment Tool in Undergraduate and Postgraduate Psychiatry Residents.

The Objective Structured Clinical Examination (OSCE) is the gold standard and universal format to assess medical students' clinical competence in a comprehensive, reliable, and valid manner. OSCE is gaining global popularity for assessing medical students in various specialties. Our country uses it in multiple disciplines, but its application in psychiatry remains limited. OSCE is a resource-demanding assessment method that can face numerous challenges. A comprehensive assessment of perceptions regarding OSCE can help identify areas that need improvement. Therefore, this study was conducted to assess the perceptions of students and examiners toward OSCE in psychiatry. This study aims to evaluate the role of Objective Structured Clinical Examination as a summative assessment tool in assessing competency in undergraduate (as part of their ward leaving examinations in psychiatry) and postgraduate psychiatry residents (as part of their six-monthly assessments) and analyze the perceptions of students as well as of the faculty members regarding OSCE. Six MD students and 49 MBBS students took the OSCE as part of their ward-level exams in psychiatry. In the presence of four faculty members of the psychiatry department, students completed their six-month summative exams. The OSCE was held at separate times for UG and PG students. UG and PG students utilized different stations (PG students had a harder level). A 10-item questionnaire was given to examiners and students at the end of the OSCE to get their opinions regarding the OSCE. Furthermore, data gathered from the faculty through an open-ended questionnaire was compiled and displayed thematically. Since the Likert scale survey generated ordinal data, the statistical analysis was conducted using the median, interquartile range (IQR), and chi-square test. The chi-square test was used to compare the variables. A P-value of less than 0.05 was deemed statistically noteworthy. Four faculty members and fifty-five students in all answered the questionnaire. Regarding the OSCE's characteristics, validity, reliability, and transparency, the majority of students expressed positive opinions. In a similar vein, most examiners had positive perceptions pertaining to OSCE's administration, structure, and procedures. Certain areas, such as "improved confidence in teaching clinical skills" and "improved confidence in giving students structured feedback," were also emphasized by thematic analysis of faculty members. In general, both students and examiners had extremely favorable perceptions of and embraced the OSCE. Improved faculty orientation and student preparation for the OSCE may help allay anxiety and overcome hesitation related to the exam.

A level playing field? Evaluation of the virtual Objective Structured Clinical Examination in Psychiatry and Addiction Medicine: A mixed methods study.

The Objective Structured Clinical Examination (OSCE) has been used for clinical assessment of a broad range of medical student competencies in Psychiatry and Addiction Medicine. However, there has been little research into online assessments. We investigated the virtual OSCE (v-OSCE) from the user perspective to better understand its acceptability, usefulness, benefits, challenges and potential improvements. At the conclusion of the v-OSCE, all participants (medical students, examiners and simulated patients) were invited to participate in a brief online survey, based on the Technology and Acceptance Model. Freeform qualitative feedback was also obtained to explore participants' experiences and attitudes. Participants reported the v-OSCE was acceptable, efficient, convenient and easy to use. It was perceived as useful for demonstrating students' interviewing skills and interacting with the simulated patient. Benefits included greater convenience, reduced stress and travel time. Challenges were similar to those experienced in 'real world' telepsychiatry, primarily related to assessment of non-verbal cues and emotional prosody. Our findings inform recommendations for improving online examinations. These include increased preparation, practice and professionalism, to better simulate the in-person experience. Study credibility was strengthened by the triangulation of qualitative, quantitative and psychometric data.

The Performance of ChatGPT on Short-answer Questions in a Psychiatry Examination: A Pilot Study

Abstract Objectives: We compared ChatGPT’s performance to medical students’ on psychiatry examinations and investigated whether raters could distinguish answers between them. Methods: We used a copy of short-answer questions from a psychiatry examination to compare the performance of three randomized groups – ChatGPT, student, and hybrid (student-modified ChatGPT responses). Furthermore, we investigated raters’ ability to identify response origins. Results: ChatGPT-assisted answers, both ChatGPT alone (p < 0.001) and hybrid (p < 0.001), had significantly better examination performance than did independent students work. Raters showed high accuracy in identifying the origin of the responses, correctly identifying 92% of both students’ and ChatGPT-assisted responses. But raters were only 61% accurate in making the distinction between ChatGPT and hybrid answers. Conclusion: ChatGPT showed superior performance in a psychiatry examination compared to students’ work, but raters showed high accuracy in distinguishing them. Further investigation is warranted to optimize the advantages and mitigate the drawbacks of incorporating such technology into psychiatric education and health care.

Extrapyramidal examinations in psychiatry

Extrapyramidal examinations in psychiatry

Sociodemographic and social barriers to early detection of autism.

The increasing incidence of autism spectrum disorder (ASD) is a common finding of many studies. Early diagnosis and appropriate treatment approaches for ASD can provide favourable clinical outcomes. This study aimed to determine the factors affecting the age at diagnosis, in children with ASD. Two hundred and two cases diagnosed with ASD were included in the study, according to the DSM-5 diagnostic criteria, at the Mersin City Training and Research Hospital Child and Adolescent Psychiatry outpatient clinics, between April 2021 and August 2022. Clinical features and sociodemographic data that may be related to early diagnosis were investigated. The mean age at diagnosis was 36.76 ± 15.30 months. In 71.3% of cases parents were the first to suspect that children were developmentally different. In 38.1% of the cases, at least one of the parents denied the symptoms and evaluated their child`s development as age-appropriate. It was found that 32.7% of the cases evaluated by pediatricians and 32.5% of cases evaluated by family physicians, were referred to child psychiatry examination. The present study revealed that higher educational level of the father and the middlehigh socioeconomic status, were associated with early diagnosis. There was also a positive correlation between paternal age and age at diagnosis. The age at diagnosis is below the target level for early diagnosis. Studies should focus on increasing awareness of health professionals and parents about ASD.

Development and Implementation of a Virtual Clinical Skills Examination in General Psychiatry.

ObjectiveDuring the COVID-19 pandemic, psychiatry programs have administered the Clinical Skills Evaluation (CSE) through videoconferencing. The authors evaluated the feasibility and appropriateness of administering virtual CSEs.MethodsVirtual CSEs were administered to 11 general psychiatry residents on March 16, 2021. Teleconference software was used to connect faculty at work sites, residents at a simulation center, and volunteer patients at home. Before and after the CSE, residents and faculty were surveyed with Likert scale questions to evaluate their perceptions and experience.ResultsAll virtual CSEs were completed successfully. Nine residents (82%) and 12 faculty (92%) responded to both surveys. Most participants (range, 67–83%) indicated that the virtual CSE was appropriate for assessing patient health and resident skills. Most participants (range, 56–100%) reported that the opening and closing of the interview, informational and affective cues, and rapport were adequately assessed. All participants agreed that suicidal and homicidal risks could be adequately assessed. Most faculty and residents (76%) believed that unique skills were required for telehealth interviews. Before the CSE, more faculty than residents believed that they received adequate training for the virtual CSE (P=.02); afterward, most participants thought that training was adequate (P=.46). More faculty than residents reported increased convenience with virtual assessments (both surveys, P<.01).ConclusionVirtual CSEs were deemed feasible and appropriate. Further research is needed to identify the specific skills required to perform a virtual CSE and to clarify the potential limitations and benefits of this format.

Comparison between Screening Cognitive Impairment in Psychiatry (SCIP-S) and Minimental State Examination (MMSE) in Forensic Psychiatry. Pilot study

ObjectivesThe objective is to compare 2 brief cognitive screening tests, MMSE and SCIP-S, and determine their usefulness in assessing the cognitive status of subjects diagnosed with psychiatric pathology. Material and methodsPilot study of a series of 33 cases from the Institutes of Legal Medicine of Catalonia and Andorra, whose inclusion criterion was the existence of a psychiatric pathology categorised in ICD-10. In all cases, in addition to the forensic medical interview, MMSE was administered followed by SCIP-S. ResultsIn MMSE, 31 of the 33 interviewees obtained a total direct score ≥ 24 (normal cognitive performance). In SCIP-S, only 5 of the 33 participants were in a percentile ≥15 (normal cognitive performance). The difference between the results of both tests was statistically significant (P < 0.05). ConclusionsThis study suggests a greater usefulness of SCIP-S compared to MMSE in detecting cognitive deficits in psychiatric patients. Therefore, the use of the former is recommended in forensic medical practice.

Perspectives of trainees and examiners on communication skills assessment during online postgraduate psychiatry examination in Ireland

IntroductionCovid-19 pandemic caused a pivot to online clinical education and assessment across the globe.ObjectivesTo explore the views of psychiatric trainees and examiners on assessment of communication skills during online high stakes postgraduate examination.MethodsThis study was designed as interpretive descriptive qualitative research. All candidates and examiners of the online Irish Basic Specialist Training exam in September and November 2020 were included. The respondents were interviewed by Zoom which were transcribed verbatim. Data was coded using NVivo20 pro and Braun and Clarke thematic analysis was used to draw various themes and subthemes.ResultsA total of seven candidates and seven examiners from different training deaneries and specialties were interviewed with average duration of 29m 45s and 24m 20s respectively. The participants were largely satisfied with the online examination but did not consider it equal to face-to-face for picking nonverbal cues. The candidates were very conscious of eye contact while examiners placed more emphasis on overall professional behavior and patient engagement. All candidates preferred to continue online format post pandemic for practical reasons e.g., avoiding travel and overnight stay, while all examiners preferred to go back to in-person Objective Structured Clinical Examination due to some limitations in assessing physical and cognitive examination. However, continuation of online Clinical Formulation and Management Examination was agreed by both groups.ConclusionsThe results of the study have shown different insights of two important stakeholders in a professional postgraduate psychiatry examination which can be useful to improve same exam and design similar assessments in other settings.DisclosureNo significant relationships.

Association of early maladaptive schemas and psychiatric disorders between sex offenders

IntroductionSchema-therapy (ST) - one of the promising integrative models of psychotherapy, which shows its efficacy in many mental disorders. ST has main theoretical concepts: early maladaptive schemas (EMS), coping styles, modes and basic needs. EMS are self-defeating emotional and cognitive patterns established from childhood and repeated throughout life. Existing literature shows the connection between EMS and behavioral problems, which could be more significant for patients with personality disorders. The prevalence of personality disorders is relatively low in the general population, but it’s highly overrepresented in the forensic population, especially in groups of sex offenders.ObjectivesThe aim of this study is to examine if there is a prevalence of some EMS between sex offenders and their association with a diagnosed psychiatric disorder.MethodsMedical records and criminal case materials of 27 patients were reviewed, all of them were blamed for committing sex crimes and had to stay at the department for one month for forensic psychiatry examination. During their stay patients were examined several times and questioned with YSQ S3R.ResultsMost of the patients had psychiatric disorder: specific personality disorders (14), pedophilia (3), dependence syndrome (4), organic personality disorder (3). Some of them had several psychiatric diagnoses. The most prevalent EMS were abandonment, emotional deprivation, insufficient self-control and defectiveness.ConclusionsThese findings show the prevalence of personality disorder and several EMS in sex offenders, which could be useful for the full understanding of the concept of PD and improve the organization of medical care for these individuals.DisclosureNo significant relationships.

Ethical Models in the Double Relationship Physician-Patient when Establishing Child Custody in Parental Divorce and Separation with Intense Conflictuality: Different Concepts for Physician and for Psychologist?

"Introduction. Child custody judicial course usually are intense conflictual raising a lot of pressure both on adult parents as on children. Always require a forensic psychiatry set-up at the court request and a professional team, legal doctors, psychiatrists, psychologists of adult and children from the legal medicine institution and from the hospital. Children are carefully looked upon separately by psychologists in a special setu-up diregarding intruding and manipulation. Objective of this presentation is to identify ethical aspects of the relationship physician-patient (the adult parent and separate the child) and psychologist-patient (i.e. similar) in custody litigation. Material and methods. We have casuistry with a high diversity of parental alienation in child custody cases. Discussions: Does physicians (psychiatrist or legal doctor) and psychologists uses different ethical models and concepts to approache the adult parent or the child? Forensic psichiatry examinations are completed with psychiatry examination and psychology examination as much as documents examinations which are presented in the dossier. Social inquiry is very important. Conclusions: similar to physician-patient relationship in pediatry, psychologist-minor patient relationship is based on the same moral values and ethical principles: beneficence, nonmaleficence, justice, loialty, trust, mostly in a paternalistic model to sustain always the best interest of the child/children. Lack of autonomy of the minor child creates correlativity obligations to protect his rights and to sustain the best interests of the child as a primary consideration. Beneficence in forensic psychiatry may take into consideration maintaining also beneficial emotional relationships with both parents after the separation. "

СУДЕБНО-ПСИХИАТРИЧЕСКАЯ ЭКСПЕРТИЗА В ГРАЖДАНСКОМ ПРОЦЕССЕ В РОССИЙСКОЙ ФЕДЕРАЦИИ

In recent years there has been a clear tendency to increase the number of forensic psychiatric examinations in civil procedure, which is due to a number of factors, the main of which are associated with the changing social conditions in our society and the updated legislative base. In this article specialists from the field of medicine – psychiatry and forensic psychiatric examination examine the current legislative requirements for the production of forensic psychiatric examination in Russia in civil procedure, the basic principles for conducting expert examinations, including comprehensive ones, for various categories of cases in relation to persons with mental disorders: recognition of a person as legally incompetent, partially legally incompetent, recognition of a transaction invalid, appeal against the actions of medical workers, family disputes. Forensic psychiatric examinations differ in terms of the conduct, the composition of the specialists involved in the examination. The procedure for voluntariness and involuntary examination is described when deciding on the issue of legal capacity. The article gives a detailed classification of forensic psychiatric examinations, the procedure for their conduct, as well as the procedure for submitting and attaching documents on the examination conducted to the case. Variants of conclusions are described with answers to all questions posed to experts, as well as answers to individual questions and a message from experts about the impossibility of answering any questions.

Child and Adolescent Forensic Psychiatry Examination and Analysis of U.S. Citizen Children with Illegal Immigrant Parents Facing Deportation.

Although the citizenship clause of the fourteenth amendment guarantees citizenship to persons born in the United States, the 1996 Immigration Act does not allow illegal immigrant parents to avoid deportation unless such deportation would cause extreme and exceptional hardship to a U.S. citizen relative. This paper reviews the potential adverse effects of such deportation on a child. It presents 12 cases where child and adolescent forensic psychiatric evaluations of U.S. citizen children supported their immigrant parents' petitions for legal resident status. Parent-child attachment, as well as the child's educational status, language proficiencies, acculturation to U.S. culture, and psychiatric distress at the potential deportation, are the factors most helpful in elucidating a child's reaction to this threatened deportation. During the child and adolescent psychiatry evaluations, the parents were interviewed, school records were reviewed and, where appropriate, pediatric records were considered. All the children were examined alone and then as a family unit with their parents using standard DSM-IV-TR diagnostic criteria [1]. Firstly, considering their clinical diagnoses, a clinical prognosis was made for the possibility if the child were to be forced to go to their parents' country of origin with their deported illegal immigrant parent(s). Secondly, each case was examined and analyzed individually to determine the clinical prognosis of the U.S. citizen child if they were to stay in the United States while the illegal immigrant parent(s) was forced to leave. In all of the 12 cases, there was already pre-existing anxiety in the children secondary to the fear of a negative outcome for the parents in the immigration legal cases. In all of the 12 cases it was also determined that the prognosis for the child's adjustment to being without their parent but remaining in the US would have produced a significant exacerbation of the psychopathology already seen. Furthermore, in all of the 12 cases, were the children to be relocated to their parental culture, unfamiliar to the child's American culture, again, the prognosis was made that a significant exacerbation of psychopathology would occur. On the basis of the findings of the child and adolescent psychiatric evaluations and analyses presented to the court, all of the illegal immigrant parents were permitted to receive permanent resident status.

An independent appraisal of an electronic OSCE management software system in a Psychiatry examination

This article was migrated. The article was not marked as recommended. BackgroundThe Objective Structured Clinical Exam (OSCE) is a method of assessment in psychiatry but is high in expenditure, requiring large amounts of staff time and an extensive paper trail. The Online Management Information System (OMIS) for OSCEs is a software system that proposes to reduce these drawbacks.AimsThe aim of this study was to independently evaluate the use of OMIS through feedback from all key stakeholders involved in developing, administering and implementing an OSCE in a medical school. MethodThe independent appraisal of the system was done by an anonymous survey of four major participants in an OSCE; examiners, students, the academic team in charge of preparing and implementing the OSCE and an independent Information Technology (IT) team from the university who appraised the software. ResultsFeedback from examiners, academic team and IT experts was positive indicating a preference for OMIS over the typical paper format. Students mostly indicated a neutral response stating that OMIS had neither a positive nor negative effect on them during the exam. A few participants expressed concerns over data security, difficulty with some software features and the system not being optimised for hand-held devices. ConclusionIn general, OMIS is presents as a promising tool to enhance the implementation and delivery of an OSCE exam over the typical paper format of the exam.

Les maladies neurologiques à expression psychiatrique : importance de l’examen neurologique

In daily clinical psychiatric practice, it is necessary to be able to identify neurological disorders that can be expressed by psychiatric symptoms. The aim of this article is to briefly review neurological disorders that may have psychiatric manifestations, emphasizing the importance of neurologic examination in psychiatry. Another objective is to present an easy to follow neurologic examination to help the clinician for daily practice.

Forensic psychiatric assessment of individuals with mental and behavioral disorders due to use of alcohol, who committed homicide

IntroductionThe rate of pure alcohol consumption per capita in Lithuania is reported to be one of the highest in Europe Union. Many studies illustrate the relationship between alcohol and violent crimes. Though dual diagnosis of severe mental disorder and alcohol dependency is common.AimTo evaluate peculiarities of mental status of individuals with mental disorders due to use of alcohol, who had committed homicide.MethodsForensic psychiatry examination reports in alcohol consumption cases and homicide acts (n 110) were taken from archive of national service of forensic psychiatry in Lithuania, 2010–2014.ResultsIn total, 93% (n 91) men and 100% (n 12) women at the time of homicide act were under the influence of alcohol. A total of, 83% (n 91) of cases reported impulsiveness, emotional lability and personality degradation due to long term of alcohol consumption; 52% (n 57) of cases motives for violence remained unclear: offenders indicated they remember nothing because of alcohol intoxication, also possible malingering was evaluated. In total, 100% women (n 12) and 97% men (n 95) were criminally responsible. Only 2 individuals committed homicide as a result of psychosis due to paranoid schizophrenia and 1 individual had significant intellectual deficiency due to moderate mental retardation, which lead them to inability to appreciate the dangerous nature of their acts and to control their behavior. Compulsory medical treatment was recommended to all three of them.ConclusionImpulse control deficiency and emotional lability are prevalent amongst homicide offenders with mental disorders due to use of alcohol. Only 3 individuals were irresponsible for their criminal acts as a result of severe mental disorders.

Objective Structured Clinical Examination (OSCE) in Psychiatry Education: A Review of Its Role in Competency-Based Assessment.

Over the last two decades, Objective Structured Clinical Examination (OSCE) has become an increasingly important part of psychiatry education and assessment in the Australian context. A reappraisal of the evidence base regarding the use of OSCE in psychiatry is therefore timely. This paper reviews the literature regarding the use of OSCE as an assessment tool in both undergraduate and postgraduate psychiatry training settings. Suitable articles were identified using the search terms 'psychiatry AND OSCE' in the ERIC (educational) and PubMed (healthcare) databases and grouped according to their predominant focus: (1) the validity of OSCEs in psychiatry; (2) candidate preparation and other factors impacting on performance; and (3) special topics. The literature suggests that the OSCE has been widely adopted in psychiatry education, as a valid and reliable method of assessing psychiatric competencies that is acceptable to both learners and teachers alike. The limited evidence base regarding its validity for postgraduate psychiatry examinations suggests that more research is needed in this domain. Despite any shortcomings, OSCEs are currently ubiquitous in all areas of undergraduate and postgraduate medicine and proposing a better alternative for competency-based assessment is difficult. A critical question is whether OSCE is sufficient on its own to assess high-level consultancy skills, and aspects of professionalism and ethical practice, that are essential for effective specialist practice, or whether it needs to be supplemented by additional testing modalities.

Prevalence of Generalized Anxiety Disorder in Patients with Rheumatoid Arthritis and Its Relationship with Disease Activity

Background: rheumatoid arthritis (RA) is a lifelong disease with a progressive disabling course and individuals with RA experience higher levels of psychological distress than general population. Objective: the objective of the present study was to assess the prevalence of generalized anxiety disorder (GAD) in RA patients and determine its relationship with disease activity. Patients and Methods: the study included 200 RA cases. Psychiatry examinations of all cases were performed according to Hamilton scale. Patients who suspected to have GAD were further assessed by the most recent diagnostic criteria for GAD in diagnostic and statistical manual of mental disorders fifth edition (DSM-5) and psychiatry assessment sheet (PAS). Results: the prevalence of GAD in RA cases was 38.5% (n=77) assessed by psychiatry assessment sheet (PAS). RA patients with GAD significantly showed higher disease activity measures than those without GAD (P value 0.05) or RF positivity (r=0.058; p value >0.05). Conclusion: generalized anxiety disorder (GAD) is common to occur in RA cases. Disease activity was significantly higher in RA cases with GAD than RA cases without GAD. GAD was found to be not related to disease duration.

Performance of Certification and Recertification Examinees on Multiple Choice Test Items: Does Physician Age Have an Impact?

The development of recertification programs (now referred to as Maintenance of Certification or MOC) by the members of the American Board of Medical Specialties provides the opportunity to study knowledge base across the professional lifespan of physicians. Research results to date are mixed with some studies finding negative associations between age and various measures of competency and others finding no or minimal relationships. Four groups of multiple choice test items that were independently developed for certification and MOC examinations in psychiatry and neurology were administered to certification and MOC examinees within each specialty. Percent correct scores were calculated for each examinee. Differences between certification and MOC examinees were compared using unpaired t tests, and logistic regression was used to compare MOC and certification examinee performance on the common test items. Except for the neurology certification test items that addressed basic neurology concepts, the performance of the certification and MOC examinees was similar. The differences in performance on individual test items did not consistently favor one group or the other and could not be attributed to any distinguishable content or format characteristics of those items. The findings of this study are encouraging in that physicians who had recently completed residency training possessed clinical knowledge that was comparable to that of experienced physicians, and the experienced physicians' clinical knowledge was equivalent to that of recent residency graduates. The role testing can play in enhancing expertise is described.

Peculiarities of mental status and criminal behavior in individuals under cannabinoid consumption

IntroductionSubstance-related mechanism may be capable of promoting brain changes in high-risk individuals [1,2]. Cannabis use reported to be associated in long-term cognitive effects.AimTo evaluate mental status and criminal behavior in individuals under cannabinoid consumption in forensic psychiatric assessment.MethodsA retrospective analysis was conducted of forensic psychiatry examination reports in psychoactive substance consumption cases (n = 170) in National Service of Forensic Psychiatry 2010–2014. Offenders, which were reported with cannabinoid consumption (n = 57) were assessed by socio-demographic characteristics, mental state, court order and outcome.ResultsEighty-six percent offenders with cannabinoid consumption in observed period were men. The age of offenders prevailed from 18 to 35 years with basic education; 57.9% of offenders consuming cannabinoids were single (Fig. 1).A total of 36.8% of all crimes in research group were committed against property, 31.6% – an unlawful possession of psychotropic substances, 22.8% – committed against human health, 8.8% – against public order (Fig. 2).ConclusionsImpulse control deficiency and emotion disorders were prevalent among offenders under cannabinoid consumption; 17.5% were committed irresponsible, all of them due to comorbid psychiatric disorder. More likely to offend were men, aged 18–35 years, single, who had basic or lower education.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Naujagimius nužudžiusių moterų ekspertinių tyrimų Valstybinėje teismo psichiatrijos tarnyboje prie SAM 1994 – 2014 m. duomenų analizė

Vaikžudystė yra sukrečiantis žiaurumu fenomenas, todėl visuomenėje vyrauja nuomonė, kad ją įvykdyti gali tik psichiškai nesveiki asmenys. Visoms neonaticidus (naujagimio nužudymus per 24 valandas nuo gimimo) įvykdžiusioms moterims Lietuvoje teismo sprendimu yra atliekamos teismo psichiatrijos ekspertizės Valstybinėje teismo psichiatrijos tarnyboje. 1994-2014m. laikotarpiu iš viso ištirtos 59 moterys, tik 15,3% iš jų buvo nustatyti psichikos sutrikimai, dėl kurių teismas jas pripažino nepakaltinamomis. Didžiajai daliai naujagimius nužudžiusių moterų teismo psichiatrijos ekspertizės metu buvo nustatyti asmenybės sutrikimai, nesąlygojantys būsenų, kurių metu asmuo negali suvokti savo veiksmų esmės ir jų valdyti. Tyrimo duomenys parodė, kad didesnė dalis kūdikius nužudžiusių moterų buvo netekėjusios, turėjo vaikų iki kūdikio nužudymo, nužudymą įvykdė aktyviais metodais ir dažniausiai rėmėsi „nenorimo vaiko“ motyvu. Įvertinus analizės duomenis, siūlomos prevencinės priemonės, kurios galėtų pasitarnauti ateityje mažinant neonaticidų skaičių Lietuvoje.