Lucia Pecoraro strangled her daughter, Giuseppina Milone, who was severely disabled, at their home and then hanged herself from an upper‑floor railing while neighbors alerted the Carabinieri and emergency medical services that found both women.Investigators and a medical examiner have not established certainty about the sequence of events as they examine a note attributed to Pecoraro and other evidence, and the bodies have been returned to the families.The husband, Salvatore Milone, a retired nurse from the Ospedale dei Bianchi, died eight months earlier leaving Pecoraro to care for Giuseppina Milone, and Federica Badami of CISL Palermo-Trapani said the case highlights limits in home care and urged stronger support while authorities reminded the public of resources including Telefono Amico Italia and Samaritans.