Penile Self-Mutilation Presenting as Rational Attempted Suicide

The majority of cases of genital self-mutilation reported in the literature have been in patients with psychosis. We report an unusual case of genital self-mutilation in erectile disorder. It is suggested that genital self-mutilation may be a pathway out of diverse psychological disorders and in non-psychotic cases it could be an expression of a psychotic solution to a conflict and may be influenced by cultural factors.

show abstract

“…This may be the result of selective reporting 4. This is an unusual case of genital self-mutilation in erectile disorder.…”

Section: Discussionmentioning

confidence: 92%

Genital self-mutilation in erectile disorder

Sudarshan¹,

Rao²,

Santosh

2006

Indian J Psychiatry

View full text Add to dashboard Cite

show abstract

“…19 Conacher et al reported a case in which penile self-mutilation was an attempt to commit suicide too. 20 A suicide case, realized by a 31-year-old man with multiple slashes and stab wounds including complete amputation of penis, scrotum and testicles was reported by Keil et al They stated that despite serious loss of blood, the reported survival periods were remarkable and death from bleeding seemed to be rare. 21 Therefore, the genital self-amputation act of our case may also be considered a failed suicide.…”

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

View full text Add to dashboard Cite

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(

show abstract

“…Because GSM is considered bizarre behaviour, there is a tendency to assume that the victims are psychotic [16–18]. Greilsheimer and Groves categorized genital self‐mutilators into two broad groups, those who are psychotic (87%) or not [17].…”

Section: Psychiatric Assessmentsmentioning

confidence: 99%

“…While suicide attempts may be occasionally rational [5], the bizarre nature of several cases is obvious. It is believed by many people that amputation of the male phallus is fatal [16, 32] and it has been suggested that GSM among the Chinese be considered a suicide attempt [32].…”

Section: The Motivesmentioning

confidence: 99%

Genital self‐mutilation: there is no method in this madness

Eke

2000

BJU International

View full text Add to dashboard Cite

Penile Self-Mutilation Presenting as Rational Attempted Suicide

Cited by 12 publications

References 15 publications

Genital self-mutilation in erectile disorder

Genital self-mutilation in erectile disorder

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

Genital self‐mutilation: there is no method in this madness

Contact Info

Product

Resources

About