2020年12月，世界卫生组织（WHO）宣布SARS-CoV2为全球大流行。居家隔离、社交减少以及对病毒传播的恐惧在随后的时期对自杀构成了重要的风险因素。特别是自杀包约显示出了不同的模式。本文介绍了同一家庭核心成员之间的三人自杀包罕见案例。遇害者是一位年迈、病重的女性以及她的成年子女（一名儿子和一名女儿），他们之间存在着病态的关系。他们最后一次活着被见到是在发现尸体之前的40天。所有尸体都呈现了腐败性变化。经过全面尸检，确定死因是母亲服用了致命剂量的吗啡，而兄妹二人则因自刺颈部导致急性失血而死亡。年轻女性体内有大量的肝素。毒物学分析显示兄妹二人体内存在阿片类药物和酒精。在COVID-19大流行期间，很少有关于自杀包的报道。在报道的极少数案例中，遇害者更常是亲属而非情侣。涉及到三个人的参与是不寻常的，受害者使用不同的自杀方法也是罕见的。在本案中，年迈母亲患有晚期癌症，担心在非家庭环境中死去，而兄妹二人则害怕独自一人，这可能导致了自杀包的构想。社交隔离和经济困难也起到了促进作用。©2023美国法医科学院。

In December 2020, the World Health Organization (WHO) declared SARS-CoV2 a global pandemic. Home confinement, low social contacts, and fear of virus transmission played a major role as risk factors for suicides during the following period. Suicide pacts, in particular, showed a different pattern. A rare case of a triple suicide pact among members of the same family nucleus is presented. The victims were an elderly, severely ill woman and her adult children (a son and daughter), linked by a morbid relationship. The last time the family was seen alive was 40 days before the discovery. All corpses presented decompositional changes. After a full autopsy, the cause of death was determined to be a lethal intake of morphine for the mother and acute blood loss due to self-stabbing at the neck for the siblings. The younger woman was under the effects of a large amount of heparin. Toxicological analysis was positive for opioids and alcohol in both siblings. Suicide pacts have rarely been described during the COVID-19 pandemic. In the few cases reported, the victims were more often relatives than people in a romantic relationship. The involvement of three people is unusual, as is the use of different suicide methods among the victims. In the presented case, the elderly mother's imminent death from terminal cancer, her concern over dying in a nondomestic environment, and the siblings' fear of being alone likely led to the conception of the suicide pact. Social isolation and economic difficulties also played a contributing role.© 2023 American Academy of Forensic Sciences.