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23-04-2024 | Infanticide | Original Article

The criminalization of women with postpartum psychosis: “a call for action” for judicial change

Authors: Susan Benjamin Feingold, Barry M. Lewis

Published in: Archives of Women's Mental Health

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Abstract

Purpose

To prevent the incarceration and influence outcomes when criminal culpability is linked to postpartum psychosis.

Methods

Infanticide, neonaticide and filicide are most often linked with postpartum psychosis, which affects 1–2 women per 1,000 births or 4,000 women each year in the United States. Multiple genetic, hormonal and psychosocial factors surrounding childbirth result in a 1 to 4% risk of infanticide in women with postpartum psychosis. The authors seek to increase awareness of postpartum psychosis and postpartum depression in state legislatures. Others are working to have it recognized in the Diagnostic and Statistical Manual of Mental Disorders (DSM) as a specific illness. Specific postpartum legislation for those charged with crimes related to maternal mental illness is necessary.

Results

In Illinois, the very first criminal law in the nation recognizing the pernicious effects of this illness went into effect in 2018. The authors and others are attempting to cause similar or broader legislation to be brought in other states. Several women have been released from extended incarceration utilizing this law.

Conclusions

This temporary mental illness can lead to tragic outcomes when hospitalization and crisis intervention is delayed or the illness is misdiagnosed. The legal/judicial system has not utilized the growing body of scientific developments that medical researchers have discovered in recent decades. The lack of a unique diagnostic classification in the DSM and the lack of postpartum criminal laws, lead to mentally ill mothers in the U.S. receiving excessively harsh sentences when prosecuted, evidenced both in trial and sentencing.
Footnotes
1
The Clemency Project of the Women’s Bar Foundation, in partnership with Families for Justice as Healing, “Representing Women with Postpartum Mental Illness” June 2022 and October 2022.
 
2
MMHLA Fact Sheet: Maternal Mental Health: Black Women and Birthing People November 2021.
 
3
Cohen, L Director of Ammon-Pinizzotto Center for Women’s Mental Health; Perinatal and Reproductive Psychiatry Clinical Research Program and Professor of Psychiatry at Harvard Medical School (personal communication, October 2023).
 
5
“A Review of Postpartum Psychosis,” Massachusetts General Hospital Postpartum Psychosis Project MGHP3, 2021.
 
6
MMHLA Fact Sheet: Maternal Mental Health: Postpartum Psychosis and Infanticide, 2023.
 
7
The story of how the Illinois law came to be is discussed in, Advocating for Women with Postpartum Mental Illness: A Guide to Changing the Law and the National Climate (2020).
 
8
“Judge gives troubled mother a new shot at life” Chicago Tribune, Annie Sweeney, March 2021.
 
9
Not Carol” Documentary and 5−Part Podcast Series, Planet Grande Pictures, Veronica Brady.
 
11
As checked by the authors October 12, 2023.
 
Literature
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Metadata
Title
The criminalization of women with postpartum psychosis: “a call for action” for judicial change
Authors
Susan Benjamin Feingold
Barry M. Lewis
Publication date
23-04-2024
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-024-01461-1