A Systematic Approach to Effectively Treat Chronic Wounds Caused by Self-Harm: Two Case Reports

Non-suicidal self-injury (NSSI) refers to the intentional act of causing physical injury without a clear suicidal intent. Patients in dissociative state attempt fulfill an underlying psychological need by inflicting cutaneous wounds on themselves. The mechanisms NSSI can vary from mild severe depending degree soft tissue destruction. Self-destructive behavior triggered psychosis, different classification self-injury, may have variety drivers, such as hallucination and delusion. Repetitive self-harm often results chronic associated infections. As conventional approach is inadequate for managing wounds, treating patients who self-injure presents many challenges physicians. In presence hard-to-treat primary disorders, systematic with custom procedures that deviate traditional wound management principles should be carried out within interdisciplinary framework considers psychiatric condition. authors provide several recommendations appropriate caused self-mutilation. Here, we report cases 47-year-old female patient presented 67-year-old male self-injurious respectively.