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Commonwealth v. ClancyInvestigation Archive • 2026
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Source: Plymouth Superior Court filing • Public record

A Systematic Review of Postpartum Psychosis Resulting in Infanticide: Missed Opportunities in Screening, Diagnosis, and Treatment

Alford, A.Y., Riggins, A.D., Chopak-Foss, J., Cowan, L.T., Nwaonumah, E.C., Oloyede, T.F., Sejoro, S.T., & Kutten, W.S. (2024). A systematic review of postpartum psychosis resulting in infanticide: missed opportunities in screening, diagnosis, and treatment. *Archives of Women's Mental Health*, 28(2

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A Systematic Review of Postpartum Psychosis Resulting in Infanticide: Missed Opportunities in Screening, Diagnosis, and Treatment

Citation

Alford, A.Y., Riggins, A.D., Chopak-Foss, J., Cowan, L.T., Nwaonumah, E.C., Oloyede, T.F., Sejoro, S.T., & Kutten, W.S. (2024). A systematic review of postpartum psychosis resulting in infanticide: missed opportunities in screening, diagnosis, and treatment. Archives of Women's Mental Health, 28(2), 297-308. https://doi.org/10.1007/s00737-024-01508-3

Published

September 2, 2024 (Volume 28, pages 297-308, 2025)

Journal

Archives of Women's Mental Health (Springer Nature)

Authors & Affiliations

  • Alexandria Y. Alford - Department of Biostatistics, Epidemiology and Environmental Health Sciences, Georgia Southern University
  • Alisha D. Riggins - Department of Health Policy and Community Health, Georgia Southern University
  • Joanne Chopak-Foss - Department of Health Policy and Community Health, Georgia Southern University
  • Logan T. Cowan - Department of Biostatistics, Epidemiology and Environmental Health Sciences, Georgia Southern University
  • Emmanuela C. Nwaonumah - Department of Biostatistics, Epidemiology and Environmental Health Sciences, Georgia Southern University
  • Tobi F. Oloyede - Department of Health Policy and Community Health, Georgia Southern University
  • Sarah T. Sejoro - Department of Biostatistics, Epidemiology and Environmental Health Sciences, Georgia Southern University
  • Wendy S. Kutten - Department of Biostatistics, Epidemiology and Environmental Health Sciences, Georgia Southern University
  • Purpose

    Impacting 1 in 1000 women, untreated postpartum psychosis is associated with a 4% infanticide rate. This systematic review aims to identify factors that are associated with infanticide resulting from psychosis in the puerperal period and pinpoint areas of missed opportunity for intervention.

    Methods

    A systematic literature review was conducted in accordance with PRISMA guidelines to identify and synthesize cases of maternal infanticide among perinatal females with evidence of postpartum psychosis. Four independent reviewers screened 231 articles identified in searches of three databases (PsycInfo, PubMed, and Web of Science) for studies conducted from 2013 to 2023.

    Results

    Twelve studies were included in the final review. Findings indicate that those experiencing puerperal psychosis have increased incidence of infanticide suggesting missed opportunities for intervention and treatment. Common factors in mothers who committed infanticide as a result of delusions and/or hallucinations associated with PMADs were identified, including:

  • Lack of standardized screening tools
  • Preference for traditional and/or cultural healing practices
  • Access to care barriers
  • Conclusion

    The current body of evidence supports developing and evaluating clinical interventions aimed at improving maternal mental health outcomes and infant outcomes in perinatal women experiencing puerperal psychosis.

    Keywords

    Perinatal mood and anxiety disorders, Psychotic disorders, Infanticide, Women's health

    Metrics

  • 2969 Accesses (as of publication search)
  • 13 Citations
  • 75 Altmetric score
  • Funding

    The authors received no funding related to the completion of this article.

    Relevance to Clancy Case

    This study directly addresses the intersection of postpartum psychosis and infanticide, identifying systemic failures in screening, diagnosis, and treatment that may contribute to tragic outcomes. The finding that untreated PP carries a 4% infanticide rate underscores the clinical significance of this condition.