Şizofrenide genital self mutilasyon: Bir olgu


Sancak B., Özer Ağırbaş Ü., Metin H., Özgen Hergül G., Özen Ş.

KLINIK PSIKIYATRI DERGISI, cilt.17, ss.134-137, 2014 (Hakemli Dergi)

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 17
  • Basım Tarihi: 2014
  • Dergi Adı: KLINIK PSIKIYATRI DERGISI
  • Sayfa Sayıları: ss.134-137
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Self-mutilation is described as someone's self harm without conscious suicidal intention. Self-mutilation prevalence in schizophrenia stated as 15-20%. Significant amount of body tissueharmingactsarenamed as major self-mutilation. There are many examples of major selfmutilation like self-inoculation, self-castration, self-limb amputation and self-major surgery. Apsychotic illness was documented in 75.6% of major self-mutilation cases, and 83.2% were diagnosed with one of schizophrenia spectrum and other psychotic disorders. Herein, we would like to reporta 26 year old male patient who was diagnosed with schizophrenia 7 years ago, and amputated one of his testicles and put cherryseeds in his scrotum according to his somatic delusions 3 years ago. Patient was operated after this incident, and hospitalized in our psychiatry clinic three times in last 3 years. In thislast time, patient was referredtous by urology department because of his beliefs about his testicles were meltingandhe wanted togetthemen larged. Patient was hospitalized and observed for almost 2 months and treated with clozapine 600 mg/day and amisupride 800 mg/day. He was discharged from our clinic as his psychotic symptoms declined. Major self-mutilation can be seen as a symptom in psychotic patients and cause irreversible injuries. With proper intervention, the harm can be minimized. Therefore we should examine and inspect self-mutilation closely in psychotic patients, especially in cases with somatic and mystic delusions.