A case report of genital self-mutilation in a patient with psychosis
Authors
Abstract:
Background: Self-mutilation is one of the most extreme types of self-harm, which is done deliberately to hurt the body, regardless of suicidal intent. In self-mutilation, the most important targets are the eyes, genital tract, and hands. So far, genital self-mutilation (GSM) has been less frequently reported around the world. According to our study, this is the first case of GSM reported in Iran. The most common cause of GSM is psychological disorder, especially psychosis. Case Presentation: The patient was an unmarried 32-year-old man, who was hospitalized in Rasul-Akram Hospital in December 2018 for severe bleeding caused by GSM. He was diagnosed with type I bipolar disorder, which was treated from the late adolescence. Also, a history of drug abuse (amphetamine, opium, cannabis, alcohol) and multiple sexual relationships with different partners was reported. He abused tramadol tablets daily nowadays. His IQ was normal. He had lots of abrasions, scars and lacerations due to suicidal attempts in the past years. Two months before GSM, his auditory hallucinations about genital self-mutilation had started. He committed GSM after having sexual intercourse and was transferred to our hospital by an ambulance with severe hemorrhage, scrotum damage, and presentation of both testes, for which he received appropriate treatments. Conclusion: It seems that a set of factors, such as patient's history of psychosis following bipolar disorder, substance abuse, mental retardation, multiple sexual relationships, and strong emotional relationship with the mother can contribute to self-injury that may lead to genital self-mutilation. It should be noted that genital self-mutilation cases are less likely to be reported in Iran, considering the cultural and religious background. Therefore, the pathology of this devastating phenomenon should be more thoroughly examined.
similar resources
A Case of Genital Self-Mutilation in a Patient With Psychosis
The following case report highlights an act of Genital Self Mutilation. This case had multiple interacting risk factors which werebeing a single unemployed male suffering from schizophrenia with religious delusions. After a review of the clinical information available the case best fits the description for Klingsor Syndrome (German J Psychiatry 2007;10: 25-28).
full textReport of Unusual Self-Mutilation in A Paranoid Schizophrenic Patient
Self-mutilation is defined as intentional damaging of the body without intent to die. This behavior is observed among groups of psychiatric patients particularly schizophrenics. In these patients, self-mutilative behavior may have unusual manifestations related to delusion and hallucination. In this article, an unusual form of self-mutilation of a paranoid schizophrenic patient is reported. ...
full textGenital Self-mutilation in Depression: a Case Report
Genital self-mutilation is a rare severe form of self-injurious behaviour usually described in psychotic disorders with delusions & hallucinations. It has been ascribed to sexual conflicts, body image distortion, internalized aggression and suicidal intent. This phenomenon has been described in schizophrenia, affective psychosis, alcohol intoxication and personality disorders. In the present ca...
full textThe unusual presentation of genital Crohn’s disease in a patient with breast cancer: A case report
Cutaneous Crohn’s disease (CCD) is a relatively rare disease. Two-thirds of the affected patients are female with a mean age of onset of 35 years. CCD is divided into a genital type and an extra-genital type, each with their own unique different clinical manifestations. The usual presentation of genital Crohn’s disease (CD) is in the form of erythema and edema of the labia and scrotum. Here, we...
full textGenital self-mutilation in a patient with frontotemporal dementia
A case of a patient with frontotemporal dementia (FTD) who mutilated his penis is presented. Brain magnetic resonance imaging, single-photon emission computed tomography abnormalities and cognitive assessment are described. Genital self-mutilation (GSM) is a disturbing though yet not described symptom in FTD. A 60-year-old patient presented with a two-year history of social withdrawal and loss ...
full textMy Resources
Journal title
volume 77 issue 9
pages 600- 604
publication date 2019-12
By following a journal you will be notified via email when a new issue of this journal is published.
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023