自罪妄想，又称罪恶妄想，指患者毫无根据地坚信自己犯了严重错误 、不可宽恕的罪恶，应受严厉的惩罚，认为自己罪大恶极死有余辜，以致坐以待毙或拒食自杀 ；患者要求劳动改造以赎罪。主要见于抑郁症，也可见于精神分裂症。
妄想内容以自责自罪，疑病妄想多见。
The delusive contents were commonly self-accusation and self-guilty, hypochondriasis.
结果显示，妄想性抑郁症的精神病家族史、幻觉、自责自罪、绝望、自杀行为等出现率显著高于非妄想性抑郁症；
The results found that the frequencies of psychotic family history, hallucination, despair and suicidal behavior in patients with delusional depression were higher than those of non-delusional group;
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