Self-Enucleation and Severe Ocular Injury in the Psychiatric Setting

Clinebell, Kimberly; Valpey, Robin; Walker, Teresa; Gopalan, Priya; Azzam, Pierre N.

doi:10.1016/j.psym.2015.10.010

Cited by 14 publications

(11 citation statements)

References 26 publications

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“…Commonly known to occur in untreated psychosis, predominantly schizophrenia or the result of substance intoxication, the theme in such cases includes sin, atonement, guilt, delusions, and hallucinations with sexual or religious themes (2)(3)(4)14,(16)(17)(18). Drugs implicated in cases of self-enucleation include cannabis, hallucinogens like lysergic acid diethylamide and phencyclidine, and stimulants including amphetamine and cocaine (19)(20)(21)(22).…”

Section: Discussionmentioning

confidence: 99%

“…KEYWORDS: forensic science, forensic psychiatry, auto-enucleation, self-enucleation, oedipism, self-harm Self-enucleation is an extreme form of ocular self-injurious behavior, classed alongside castration or amputations of genitals or limbs as a major self-injury (1,2). Most cases are linked to untreated psychosis, predominantly schizophrenia, or substance induced (3,4). Self-enucleation may also occur with other psychiatric conditions such as depression, PTSD, OCD, bipolar disorder, and borderline personality disorder (4).…”

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confidence: 99%

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A Case of Self‐Enucleation in an Incarcerated Patient: Case Report and Review of Literature

Davis

Tripathi

2018

Journal of Forensic Sciences

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Self-enucleation is a severe form of self-injurious behavior which presents as an ophthalmologic and psychiatric emergency. It is usually known to occur with untreated psychosis, however, there have been reports of self-enucleation across various psychopathologies. We review a case documenting self-enucleation in the forensic setting in a patient with an unusual presentation and cluster of psychotic symptoms. Literature was reviewed using PubMed/Medline databases with key terms: "forensic science," "forensic psychiatry," "auto-enucleation," "self-enucleation," "Oedipism," "self-harm." This case is unique as it offers an alternative presentation to those most commonly depicted in current literature, helps highlight the sparsity of literature depicting self-enucleation in the forensic setting, and stimulates discussion around various potential differential diagnoses, management strategies and complications of self-enucleation within the forensic setting. It is prudent to emphasize need for aggressive and collaborative treatment for the forensic population regardless of psychopathology, presentation, or propensity for secondary gain.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

A Case of Self‐Enucleation in an Incarcerated Patient: Case Report and Review of Literature

Davis

Tripathi

2018

Journal of Forensic Sciences

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“…[3] (4) Complete enucleation. [4][5][6] These are all forms of injury based on amount and extent of ocular tissue loss.…”

Section: Discussionmentioning

confidence: 99%

“…Today with the growing literature on many aspects of human psychology, one of the major psychiatric illness such as schizophrenia, depression, obsessivecompulsive disorder or drug abuse is the predisposing factor but among this schizophrenia is the major illness in signifi cant number of cases. [1][2][3][4][5][6] …”

confidence: 99%

Ocular mutilation: A case of bilateral self-evisceration in a patient with acute psychosis

Pujari

Pushker

Changole

et al. 2017

World Journal of Emergency Medicine

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“…Existen publicaciones de enucleaciones como forma de automutilación (10). Estas han sido asociadas sobre todo a pacientes con síntomas psicóticos, delirios o alucinaciones de contenido sexual o religioso y al abuso de drogas (11,12).…”

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et al. 2016

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Self-mutilation is a (notorious) manifestation within the spectrum of self-injuries behaviours and is a rare expression of mental disease. The high risck population include people with mental retardation, psicosis, antisocial personality disorder and borderline personality disorder. We should also named drug abuse as a participating factor in many cases of self-mutilation. Proper management in emergencie room is essential, including psychiatrists and surgeons participation. Nevertheless, control of these patients is difficult with a high rate of morbidity. The aim of this article is to describe a case of toe self-mutilation treated in our department as well as highlighting the key aspects associated with this entity.

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Self-Enucleation and Severe Ocular Injury in the Psychiatric Setting

Cited by 14 publications

References 26 publications

A Case of Self‐Enucleation in an Incarcerated Patient: Case Report and Review of Literature

A Case of Self‐Enucleation in an Incarcerated Patient: Case Report and Review of Literature

Ocular mutilation: A case of bilateral self-evisceration in a patient with acute psychosis

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