A Case of Genital Self-Mutilation in an Elderly Man

Tharoor, Hema

doi:10.4088/pcc.v09n0511e

Cited by 8 publications

(9 citation statements)

References 3 publications

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“…There were several cases of men from Asian backgrounds who believed that penile amputation would result in death and who were regarded by the authors to be suicidal but not necessarily psychotic. 12 There were 2 cases of upper limb self-amputation in patients who were not diagnosed with a psychotic illness but there were no case histories of nonpsychotic patients who had performed an enucleation or a lower limb amputation. A total of 42 publications were excluded on this basis.…”

Section: Results Of the Searches And Case Selectionmentioning

confidence: 99%

Major Self-mutilation in the First Episode of Psychosis

Babidge

Andrews

Storey

et al. 2008

Schizophrenia Bulletin

115

125

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Major self-mutilation (MSM) is a rare but catastrophic complication of severe mental illness. Most people who inflict MSM have a psychotic disorder, usually a schizophrenia spectrum psychosis. It is not known when in the course of psychotic illness, MSM is most likely to occur. In this study, the proportion of patients in first episode of psychosis (FEP) was assessed using the results of a systematic review of published case reports. Histories of patients who had removed an eye or a testicle, severed their penis, or amputated a portion of a limb and were diagnosed with a schizophrenia spectrum psychosis were included. A psychotic illness was documented in 143 of 189 cases (75.6%) of MSM, of whom 119 of 143 (83.2%) were diagnosed with a schizophrenia spectrum psychosis. The treatment status of a schizophrenia spectrum psychosis could be ascertained in 101 of the case reports, of which 54 were in the FEP (53.5%, 95% confidence interval 43.7%-63.2%). Patients who inflict MSM in FEP exhibited similar symptoms to those who inflict MSM later in their illness. Acute psychosis, in particular first-episode schizophrenia, appears to be the major cause of MSM. Although MSM is extremely uncommon, earlier treatment of psychotic illness may reduce the incidence of MSM.

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Section: Results Of the Searches And Case Selectionmentioning

confidence: 99%

Major Self-mutilation in the First Episode of Psychosis

Babidge

Andrews

Storey

et al. 2008

Schizophrenia Bulletin

115

125

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“…[8] The literature reported many isolated cases of psychotic patients that are rarely associated to ‘axis II diagnostic criteria’ of borderline personality. However, Tharoor et al .,[15] reported a 72 years old patient that committed GSM secondary to familial conflicts without any remarkable psychiatric disorder history.…”

Section: Discussionmentioning

confidence: 99%

“…Jason et al .,[8] presented three Chinese patients followed for psychotic disorder while they committed GSM for suicidal purposes. Recently, Tharoor et al .,[15] reported a 72 years old married patient without major medical or psychiatric history who tried to suicide using GSM. The cultural aspect motivating the GSM for suicidal purposes was underlined.…”

Section: Discussionmentioning

confidence: 99%

Genital self-mutilation in an attempt of suicide by a patient with a borderline personality

Aalouane¹,

Rammouz²,

Hafidi³

et al. 2013

Journal of Neurosciences in Rural Practice

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Self-mutilation acts are known to characterize the borderline personality disorders. However, voluntary cutting of the male genital organ remains extremely rare. The present paper reports a case of a 25-years-old young male with a borderline personality. The patient committed a genital self-mutilation (GSM) targeting suicide during incarceration stage in jail. In addition, a discussion of the epidemiological and psychopathological aspects of the self-mutilation of borderline patients was been conducted. A particular interest is attributed to the genital self-mutilation and a review of the literature is presented.

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“…The patient had no depression or psychosis and his only reason for committing that act was a genuine wish to die. 16 Similarly, Yang and Bullard presented three Chinese male cases with isolated penile amputation, where each patient's expectation had been death. Because they believed that in severing the penis, death was inevitable.…”

Section: Discussionmentioning

confidence: 99%

“…[16][17][18][19] However, Tharoor et al presented a 72-year-old male case, admitted with a history of genital selfmutilation at home in an attempt to bleed and die. He firmly believed that amputation of his penis would result in his death.…”

Section: Discussionmentioning

confidence: 99%

Subtotal Self-Amputation of the Penis and Bilateral Self-Orchiectomy Followed by Suicide by Hanging: Case Report

Erkol¹,

Şirin²,

Erkol³

et al. 2012

Turkiye Klinikleri J Med Sci

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n rare occasions, males attempt orchiectomy, removal of one or both testicles. A small number of males resort to self-surgery in an attempt to control their sexual urges or due to gender identity disorder.1-3 Self-surgery cases are seen rarely. 4,5 However, some self-surgery / self-mutilation cases were reported in the literature. [1][2][3][4][5][6][7][8][9] Turkiye Klinikleri J Med Sci 2012;32(3) 869 Subtotal Self-Amputation of the Penis and Bilateral Self-Orchiectomy Followed by Suicide by Hanging: Case Report A AB BS ST TR RA AC CT T We presented a case that had self-amputated his penis partly, performed bilateral selforchiectomy and then committed suicide. The case was a-80-year-old male with a urinary catheter for the last year for an urologic problem, who was using alprazolam for a psychiatric disorder. He had history of attempted suicide, one year ago. The victim was found by his wife hanged to the balcony railing. Distal ½ part of his penis was amputated and the penis amputate was found beside the body, as well as both of his testicles. In the autopsy examination, macroscopic examination of the amputated items revealed penile ecchymosis around the cut side of the skin and benign prostate hypertrophy and chronic prostatitis was diagnosed with microscopic examination of the prostate gland. The paper discussed the characteristics of the victim and the manner of the presented case; a genital self-amputation case followed by suicide or a failed suicide case completed by hanging method (a complex suicide case).K Ke ey y W Wo or rd ds s: : Self mutilation; amputation; orchiectomy Ö ÖZ ZE ET T Makalede, penisini subtotal olarak ampute edip her iki testisini çıkardıktan sonra ası yöntemi ile intihar eden bir olgu sunuldu. Olgu son bir yıldır ürolojik problemi nedeni ile idrar sondası taşıyan ve psikiyatrik rahatsızlığı nedeniyle alprazolam kullanan, bir yıl önce intihar girişimi öyküsü bulunan, 80 yaşında bir erkekti. Eşi tarafından balkon demirlerine asılı durumda bulunan olgunun olay yeri incelemesinde, penisinin distal ½ kısmının ampute olduğu ve ampute olan penis kısmının her iki testis ile birlikte cesedin yanında olduğu görüldü. Otopside, makroskobik olarak kesilen penis cildinin ve ampute edilen penis ve testislerin kenarında ekimoz, prostata ait histopatolojik incelemede ise benign prostat hipertrofisi ile kronik prostatit tespit edildi. Yazıda, olgunun nitelikleri ile olayın kökeni tartışıldı. Olgunun, intiharın takip ettiği bir kendi kendine genital amputasyon mu, yoksa kendi kendine genital amputasyon yöntemi ile gerçekleştirilen, ancak başarısız olması nedeniyle daha sonra ası yöntemi ile tamamlanan bir intihar girişimi (kompleks intihar olgusu) mi olduğu konusu irdelendi.A An na ah ht ta ar r K Ke el li im me el le er r: : Kendini sakatlama; amputasyon; orşiektomi T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J M Me ed d S Sc ci i 2 20 01 12 2; ;3 32 2(

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A Case of Genital Self-Mutilation in an Elderly Man

Cited by 8 publications

References 3 publications

Major Self-mutilation in the First Episode of Psychosis

Major Self-mutilation in the First Episode of Psychosis

Genital self-mutilation in an attempt of suicide by a patient with a borderline personality

Subtotal Self-Amputation of the Penis and Bilateral Self-Orchiectomy Followed by Suicide by Hanging: Case Report

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