Modena Car Attack: Suspect with History of Mental Health Issues Under Investigation

by Grace Chen

A quiet Saturday afternoon in the heart of Modena turned into a scene of chaos and trauma when a driver accelerated into a crowd of pedestrians, leaving a trail of severe injuries and a city searching for answers. The incident, which occurred around 4:30 p.m. In the Porta Bologna district, has left eight people injured, several of whom are fighting for their lives in local hospitals.

Authorities have identified the suspect as Salim El Koudri, a 31-year-old Italian citizen of Moroccan origin. El Koudri, an economics graduate and resident of Ravarino, was apprehended by police after he allegedly used a Citroen C3 to strike multiple people between Largo Garibaldi and via Emilia. The violence of the impact was catastrophic; while eight people were injured in total, four remain in critical condition, and two victims have suffered life-altering injuries requiring the amputation of their legs.

The event has triggered a massive response from both local law enforcement and national security agencies. While the immediate aftermath focused on emergency medical triage, the investigation has since pivoted to determine whether the attack was a random act of violence, a mental health crisis, or a premeditated strike.

A Complex Psychological Profile

As a physician, I find the details regarding the suspect’s medical history particularly telling. According to Modena Prefect Fabrizia Triolo, El Koudri had been under the care of a mental health center starting in 2022 for schizoid disorders. These conditions often involve significant deficits in emotional expression and social withdrawal, which, if left untreated or exacerbated by external stressors, can lead to profound instability.

From Instagram — related to Complex Psychological Profile, Modena Prefect Fabrizia Triolo

Records indicate that El Koudri received treatment at a facility in Castelfranco Emilia until 2024, at which point the care was interrupted. In the realm of public health, the cessation of psychiatric treatment—especially for chronic personality or mood disorders—is a critical red flag. The gap in care between 2024 and the current incident may have contributed to a deterioration in his psychological state, a theory supported by evidence of “strong psychological instability” discovered during a recent search of his home in Ravarino.

The intersection of unemployment and mental health struggles often creates a volatile environment. Investigators are currently reconstructing El Koudri’s social and professional life, noting that the 31-year-old was unemployed and actively seeking work at the time of the attack.

The Investigation: Terror vs. Tragedy

Given the nature of the attack—using a vehicle as a weapon in a crowded urban center—the District Anti-Terrorism Directorate (DDA) of Bologna was immediately brought in. This is standard protocol for events that mirror “emulative” attacks seen in other global capitals.

The Investigation: Terror vs. Tragedy
Mental Health Issues Under Investigation Bologna

However, early findings have not pointed toward a political or religious motive. Police reports indicate that El Koudri has no prior criminal record and no known links to extremist environments or signs of religious radicalization. Despite this, investigators are scrutinizing specific ideas and statements expressed by the man to ensure that no subversive intent was overlooked.

The violence reportedly extended beyond the vehicle. Witnesses claim that after the car stopped, El Koudri attempted to attack a bystander with a knife. He was only subdued after the intervention of courageous passersby and arriving officers. Subsequent toxicology tests confirmed that he was not under the influence of alcohol or narcotics at the time of the incident.

Detail Status/Finding
Suspect Salim El Koudri, 31
Casualties 8 injured (4 critical, 2 amputations)
Tox Screen Negative for alcohol and drugs
Medical History Schizoid disorders (treated 2022-2024)
Legal Status Under interrogation; house searched

The Path Forward for the Victims

For the victims, the road to recovery will be grueling. The surgical amputations reported by medical staff indicate a high-energy impact that caused irreversible vascular or crush injuries. Beyond the physical trauma, the psychological impact of such a sudden, violent event often leads to acute stress disorder or long-term PTSD for both the victims and the witnesses who intervened to stop the suspect.

Eight Injured in Northern Italy Car Ramming as Police Arrest Suspect in Modena | APT

The Modena Prosecutor’s Office has opened a formal investigation, and the focus now shifts to the results of the forensic analysis of El Koudri’s personal electronics and the detailed findings from the search of his residence. These elements will be crucial in determining whether the act was a result of a psychotic break or a calculated decision.

Disclaimer: This article contains information regarding mental health disorders. For more information on psychiatric care and support, please visit the Italian Ministry of Health.

If you or a loved one has been affected by violence or is experiencing a mental health crisis, please contact local emergency services or a verified crisis hotline immediately.

The next legal checkpoint will be the conclusion of the initial interrogation phase and the formal filing of charges by the Prosecutor’s Office, which is expected to clarify the specific criminal classifications for the attack.

We invite our readers to share their thoughts and experiences in the comments below and share this report to keep the community informed.

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