Health care Serial killers - exam 2

Who was a former critical care nurse, who murdered 40 patients in 10 hospitals maybe closer to 400

Charles Cullen

how did Charles Cullen kill

lethal overdoses

what did Cullen's case shed light on

vulnerabilities of the health care system regarding monitoring medications

why did Charles Cullen claimed he killed for

to put patients out of mercy

Claimed compassion to end suffering of sick patients, alleviating "undue pain". Many victims not terminally ill, about to be discharged before he poisoned them

The "Mercy Killer" Fallacy

Graeber's psychological assessments personal life entirely chaotic, history of severe depression, multiple suicide attempts, a messy divorce, and bankruptcy. Secretly play God; deciding who lived and died gave power when he felt otherwise powerless.

Power and Control

Deep-seated resentment toward authority and the healthcare system, rooted in how hospital treated his mother after she died in a car crash during his youth. "They didn't stop me," shifting blame.

Institutional Spite

who is ranked highest in public trust

healthcare workers

-A licensed doctor convicted of murdering at least 14 people; used poison to kill for insurance money.

William Palmer

why was it believed that William Palmer killed

to collect insurance payouts to cleat massive gambling debts

what act came out of the fact that Palmers trial was moved to London because of intense publicity

Palmer act

how did Palmer die

he was hung

How did palmer kill

used antimony and strychnine put in food and drinks

what was Palmers motive

financial gain

Nurse-turned-baby-farmer who murdered dozens of infants. Killed for 30 years possibly 200 - 400

Amelia Dyer

how did amelia kill the children

strangulation

how did amelia get away with the murders for so long

her victims were basically invisible as she adopted them with no documentation

why did Amelia adopt and kill babies

for money

how did amelia allow the children to die

starvation and neglect

what was Godfreys cordial

a syrup laced with opium and laudanum

how did amelia discard the babies

wrapped them in parcels, weighed them down with bricks, and threw them into the River thames

what did amelia's crimes lead to

stricter adoption and child protection laws in the UK

how many HSK were recorded between 1900-2020

33

what percent of HSK were nurses

85%

what percent of HSK were doctors

15%

what percent of US nurses are males

11.7%

what percent of HSK are male

52%

what leads men to have a greater access to drugs and tools

more full time, high tech positions

what type of roles did males lean toward

technical, leadership roles

what type of roles did females lean toward

emotional and caregiving

what percent of HSK are white

91%

what year do male HSK peak

25-29

what years do female HSK peak

30-34

what age range are there no male HSK

40-44

what age range are there no female HSK

20-24

both genders begin as early as what age range

15-19

what is the average length of killings for HSK

5.24 years

what is the average killings for male HSK

5.65

what is the average killings for female HSK

4.81

what percent of HSK killed for less than one year

21%

what is the average number of victims per HSK

6.48

for males what is the average of victims for HSK

7.76

for females what is the average victims for HSK

5,12

what percent of HSK committed 2-4 murders

42%

perceived authority limits what

oversight

access+ trust+ authority =

opportunity

what do HSK have access to

vulnerable patients and drugs with equipment

why do HSK often fo unnoticed

emergency and critical care units are a high distraction and it can be hard to detect deliberate harm

Who do HSK target

elderly or terminally ill

young or comatose

socially isolated or cognitively impaired

why do HSK kill these types of people

death is less likely to raise suspicion and resistance is unlikely

why do HSK often go unnoticed

it is fast paced, chaotic environment and hard to detect harm

Gwen Graham and Cathy Wood initially chose victims whose last names spelled what

Murder

when one targeted resisted what did HSK adjust their victim type to

elderly females

what percent of male HSK kill for enjoyment q

75%

what percent of female HSK kill for enjoyment

54%

what is the second type of motive for female HSK

financial gain

what are many HSK not fueled by

compassion

what do mercy HSK believe that they are doing

ending suffering

what do hero HSK do

they create life threatening emergencies to later save the patients

what do hero HSK seek

admiration and praise from peers

what do medical HSK kill for

power

dominance

sadistic pleasure

what type of HSK was Harold Shipman

medical HSK

what type of execution do medical HSK have

methodological and deliberate

what do treatment HSK do

prescribe dangerous medications or treatments knowingly

what type of HSK was Lisa Tseng

treatment killer

what was Harold Shipman convicted of

murdering 15 of his patients

what was the actual approximate victim count of Harold Shipman

250

what was Harold Shipman driven by

deep need for control, a god complex and clinical arrogance

how did Harold Shipman kill

lethal injections of diamorphine

what trap did Harold Simpson have

the home visit trap

what was the home visit trap

he visited elderly patients alone in their homes under the guise of routine wellness checks or minor treatments. he did this to ensure there were no witnesses

how did Harold Shipman manipulate medical records

he logged fake symptoms to make the death look natural and unexpected

what did Harold Shipman try to convince the families to do

cremate instead of burial

what critical mistake did Harold Shipman do

forging Grundy's will

how did Harold Shipman get caught

Grundy was found with lethal levels of medical heroin after her daughter got her death looked into

what was lisa tseng found guilty of

three counts of second degree murder

what was Lisa Tseng sentenced to

30 years to life in state prison

what did Lisa Tseng operate

an illicit pill mill called Advance care AAA medical clinic

what was the original demographic of Lisa Tseng

local insurance paying residents

what did Lisa's demographic change to

young our of state cash paying drug seekers

how many prescriptions did lisa prescribe

27,000 over a three year period

what was one thing that lisa made

Dangerous cocktail

what type of killers kill under the guise of state or ideological authority

political/ ideological killers

what type of killer was joseph mengele

political/ ideological killer

what is the driver of control and power HSK

they develop a god complex, enjoying the ability to decide life and death

for HSK what is the driver of narcissism

patients are seen as tools, not people; killers feel superior and entitled

what is sadistic gratification

enjoyment in causing suffering

what is attention seeking and hero complex

manipulate patient crises for attention linked to MSBP behavior

what is burnout and resentment

especially among nurses- some kill out of frustration, boredom, or emotional overload

what is blurring roles

Some enter healthcare with malicious intent; others evolve into killers over time

what is the percent of poisoning in HSK

40%

what is the percent of injections of HSK

52%

what is the most common type of injections in HSK

insulin

what is the percent of suffocation of HSK

15%

who is most likely to use suffocation

males

what is the percent of multiple methods of HSK

31%