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Psychiatric Risks for Healthcare Workers: Fire-Maniac Syndrome & Patient Violence

by Dr. Jennifer Chen

Dr. Frédéric Péchier ​is an anesthesiologist described as a “serial killer” who turned his clinic “into a playground.” He allegedly used “his ‍medical skills” to commit “30 acts of poisoning resulting in the tragic death of 12 victims, and ⁢causing⁤ irreversible consequences⁢ for the ⁣other 18.” These are the reasons published by the Besançon ⁣court after the former anesthesiologist was sentenced⁢ to life imprisonment.

The doctor from Besançon, who confessed to nothing during his trial, promptly appealed the decision. “Crimes that have never been seen in France,” ‌according to Dr. Zagury, the psychiatrist who examined the anesthesiologist.

If‌ the verdict is confirmed on‍ appeal, Frédéric Péchier would then ⁣be considered the 3rd ⁣ most prolific‍ serial killer in France. In this macabre pantheon, he would⁢ take his place just after another⁣ of his colleagues: Dr. Marcel Petiot, who operated⁤ during the German occupation.

Medical ‍Serial killer

“Medicine has produced more serial ​killers than all other professions⁢ combined, with nurses a close‍ second,” writes the British Medical Journal(1). Several examples ‌support this.‍ dr. Harold Shipman, an English doctor convicted of murdering 250 of his‍ patients, “is the most prolific⁢ serial killer in the United Kingdom, and ⁣probably the world,” according to the Journal of‌ Forensic Sciences(2). This‍ general practitioner killed his patients with an ​opioid injection‍ during home visits.

In Germany, the most prolific⁣ serial ⁤killer‍ is a ‍nurse,⁤ Niels Högel,⁤ convicted in 2025 of 85 murders. In Switzerland, too, it is a nurse, Roger ‌Andermatt, with 22 victims. In the United States, among other more well-known​ serial killers like ⁤Ted Bundy, there is Dr. Michael Swango, suspected of killing more than 60 ‌patients, and Charles Cullen, a nurse. The latter is suspected of killing more than 400 patients, and his macabre journey inspired a Netflix film, “Prescription​ for ⁢Death.”

86% Nurses and 12% Doctors

In a thorough‍ study, the Journal ⁣of⁣ Forensic…

German nurse confessed to Poisoning Patients to Experience ⁢the “Rush”⁤ of Resuscitation

Niels Högel, a‌ German nurse⁤ dubbed “the Rambo of resuscitation,” deliberately poisoned⁣ patients to experience the satisfaction of bringing them back to life, according to German prosecutors. His motivations stemmed from a desire to impress colleagues and⁣ quickly gain acceptance within his team.

Psychiatrists described the act of resuscitation as a “drug-like”​ experience ‍for Högel, who also exhibited severe narcissistic tendencies and‍ a pathological ⁣need for self-promotion. This behavior⁣ has been linked ‍to a professional version of Munchausen⁤ syndrome ⁢by proxy, a⁢ psychiatric disorder ​where a caregiver induces illness in a dependent to gain medical attention.

According to authors ⁣in the Journal of Forensic Sciences2, this secondary benefit or excitement is characterized as a professional manifestation of Munchausen syndrome by ⁣proxy.

Similar patterns of‌ behavior were observed in the case of richard…

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