The Inpatient Evaluation and Treatment of a Self-Professed Budding Serial Killer

The authors present the case of a man who was hospitalized after claiming that he was about to become a serial killer. The patient presented with extensive written homicidal fantasies and homicidal intentions without evidence of actual homicidal acts. In addition to routine assessments, hospital sta...

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Bibliographic Details
Published in:International journal of offender therapy and comparative criminology
Main Author: Reisner, Andrew D.
Contributors: McGee, Mark (Author); Noffsinger, Stephen G. (Author)
Format: Electronic/Print Article
Language:Undetermined language
Published: 2003
In:International journal of offender therapy and comparative criminology
Year: 2003, Volume: 47, Issue: 1, Pages: 58-70
Online Access: doi
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Summary:The authors present the case of a man who was hospitalized after claiming that he was about to become a serial killer. The patient presented with extensive written homicidal fantasies and homicidal intentions without evidence of actual homicidal acts. In addition to routine assessments, hospital staff members used case conferences, psychological testing, outside forensic consultation, and a forensic review process to make decisions regarding diagnosis, treatment planning, and discharge. The patient was discharged after 8 months of inpatient treatment and was apparently free of homicidal impulses or symptoms of severe mental illness. A 2-year court commitment allowed for the enactment and potential enforcement of a discharge plan that was endorsed by the patient, the hospital, and community care providers. The authors review diagnostic and risk management issues. Comparisons with known features of typical serial killers are made
ISSN:0306-624X