Major Self-mutilation in the First Episode of Psychosis

Babidge, Nick; Andrews, Doug; Storey, Philip; Nielssen, Olav

doi:10.1093/schbul/sbn040

Cited by 122 publications

(150 citation statements)

References 84 publications

(25 reference statements)

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“…We also found that previous suicide attempts were associated with violence risk. Although high levels of self-harm and suicide attempts are reported in individuals with psychosis [56], less research has focused on the relationship between suicide risk and violence in psychosis. Commonly used violence risk assessment instruments, however, do not routinely include assessment of suicide risk and may need revision in the light of this review.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Violence in Psychosis: Systematic Review and Meta-Regression Analysis of 110 Studies

Witt¹,

Dorn²,

Fazel³

2013

PsycEXTRA Dataset

149

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Violence in Psychosis: Systematic Review and Meta-Regression Analysis of 110 Studies

Witt¹,

Dorn²,

Fazel³

2013

PsycEXTRA Dataset

149

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“…Most people who perform MSM have a psychotic disorder. 11 Similarly, self-castration usually occurs in transsexualism, serious personality disorders and psychosis. 12 Aboseif et al reported 14 patients with 19 self-inflicted genital injuries, 65% were psychotic while 35% were not.…”

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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“…They often result in permanent loss of an organ or its function. [5,6] Self-mutilation resulting in an amputated extremity is rare. They lead to a difficult decision for the treating doctors as evidence shows that favourable functional outcomes post replantation requires good postoperative rehabilitation with a motivated patient.…”

Section: Introductionmentioning

confidence: 99%

Major self-mutilation leading to complete amputation of the hand during an acute psychotic episode

Davies

Doyle

2016

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Traumatic amputations involving the upper limb can be a catastrophic injury with significant short and longterm consequences for patients. Upper limb injuries can have a profound impact of patient's quality of life and have a large impact in the patient's ability to perform activities of daily living (ADLs). A rare cause of traumatic amputations is major self-mutilation. Major self-mutilation is usually a devastating complication of severe mental health issues, with most people who inflict major self-mutilation having a psychotic disorder. We present a case of a self-inflicted traumatic hand amputation associated with an acute psychotic episode. The case shows the difficult decision that has to be made whether to perform a replantation or not. It also discusses gaining consent in a psychotic patient. The case highlights how timely communication between different medical specialists and sites can lead to good outcomes for patients. ABSTRACTTraumatic amputations involving the upper limb can be a catastrophic injury with significant short and long-term consequences for patients. Upper limb injuries can have a profound impact of patient's quality of life and have a large impact in the patient's ability to perform activities of daily living (ADLs). A rare cause of traumatic amputations is major self-mutilation. Major self-mutilation is usually a devastating complication of severe mental health issues, with most people who inflict major self-mutilation having a psychotic disorder. We present a case of a self-inflicted traumatic hand amputation associated with an acute psychotic episode.The case shows the difficult decision that has to be made whether to perform a replantation or not. It also discusses gaining consent in a psychotic patient. The case highlights how timely communication between different medical specialists and sites can lead to good outcomes for patients.

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Major Self-mutilation in the First Episode of Psychosis

Cited by 122 publications

References 84 publications

Risk Factors for Violence in Psychosis: Systematic Review and Meta-Regression Analysis of 110 Studies

Risk Factors for Violence in Psychosis: Systematic Review and Meta-Regression Analysis of 110 Studies

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

Major self-mutilation leading to complete amputation of the hand during an acute psychotic episode

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