Self-mutilation of fingers and lips in a schizophrenic patient

Authors

  • Breno Satler de Oliveira Diniz Universidade de São Paulo; Faculdade de Medicina; Hospital das Clínicas; Instituto de Psiquiatria
  • Renata Krelling USP; FM; Hospital das Clínicas; Instituto de Psiquiatria

DOI:

https://doi.org/10.1590/S0101-60832006000500008

Keywords:

Schizophrenia, self-mutilation, amputation, fingers

Abstract

CONTEXT: Severe self-mutilation episodes are rare in psychiatric practice. Most patients are psychotic during such acts and the main diagnosis is schizophrenia. The regions most commonly self-mutilated are the penis and the eyes. CASE REPORT: A patient previously diagnosed with schizophrenia started self-mutilating his lip and phalanxes secondary to command auditory hallucinations and influenced by mystic-religious delusions. CONCLUSION: Self-mutilation episodes are rare in schizophrenic patients. In such case, it should be identified prodrome symptoms or provoking situations in order to promptly institute strategies to prevent or lessen the risk of new episodes.

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Published

2006-01-01

Issue

Vol. 33 No. 5 (2006)

Section

Case Reports

License

Once accepted for publication, the manuscript becomes permanent property of the Archives of Clinical Psychiatry. This copyright transfer subsumes exclusive and unlimited entitlement of the Archives of Clinical Psychiatry to publish and distribute the full contents of articles in whichever publishing medium, including press and electronic media, in Brazil and abroad.

Manuscripts are accepted with the understanding that the Editor and the editorial staff have the right to make revisions aimed at greater conciseness, clarity, and conformity with Journal style, of course without changing its content.

How to Cite

Self-mutilation of fingers and lips in a schizophrenic patient . (2006). Archives of Clinical Psychiatry, 33(5), 272-275. https://doi.org/10.1590/S0101-60832006000500008