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Published Online:https://doi.org/10.1176/ajp.127.11.1498

Five cases are presented in which a homicidal adolescent`s abrupt loss of control was associated with a change in his interpersonal relationship with the victim, together with a sequence of events progressively more unbearable and less amenable to his control. The authors suggest criteria for assessing the adolescent's potential for homicidal behavior within the family. A history of parental brutality is a significant consideration.

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