Penile self-amputation for suicidal attempt in an elderly depressed case

Mattoo, Surendra Kumar; Niraula, Abhash; Somani, Aditya

doi:10.1016/j.ajp.2018.01.005

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…reported that common psychiatric disorders associated with penile self‐mutilation included schizophrenia spectrum (49.0%), substance use (18.5%), and personality (15.9%) and gender dysphoric (15.3%) disorders. Depression and bipolar disorder are rare predisposing factors for penile self‐mutilation, with only one reported case of depression 8 and two cases of bipolar disorder 9,10 . This is the second case in the literature with respect to penile self‐mutilation caused by depression.…”

Section: Discussionmentioning

confidence: 86%

“…Penile self‐mutilation is designated as “phallicide” when executed during suicide attempts by non‐psychotic men 8,10 and “Klingsor syndrome” when carried out under the influence of religious delusions without any intent to commit suicide 11 . Our case of penile self‐mutilation seems to be phallicide, given the preexisting depression, the suicidal intent, absence of religious delusion, and gender identity disorder.…”

Section: Discussionmentioning

confidence: 91%

“…Depression and bipolar disorder are rare predisposing factors for penile selfmutilation, with only one reported case of depression 8 and two cases of bipolar disorder. 9,10 This is the second case in the literature with respect to penile self-mutilation caused by depression. Patients with personality or gender identity disorders are at a high risk of remutilation or further self-injury.…”

Section: Discussionmentioning

confidence: 92%

“…In contrast, psychiatric disorders such as schizophrenia and depression are fortunately controllable and may be indicated for reanastomosis, suggesting the importance of psychiatric management. 3 Penile self-mutilation is designated as "phallicide" when executed during suicide attempts by non-psychotic men 8,10 and "Klingsor syndrome" when carried out under the influence of religious delusions without any intent to commit suicide. 11 Our case of penile self-mutilation seems to be phallicide, given the preexisting depression, the suicidal intent, absence of religious delusion, and gender identity disorder.…”

Section: Discussionmentioning

confidence: 99%

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A case of penile self‐mutilation during a suicidal attempt successfully treated using a multidisciplinary approach

et al. 2022

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Penile self-mutilation is predominantly associated with psychiatric disorders and rarely occurs during suicide attempts by men with depressive mood disorders. Herein, we have reported a case of penile self-mutilation by a patient with depression. Case presentation: A 63-year-old man with a 20-year treatment history of depression presented to our hospital an hour after cutting his penile shaft during a suicide attempt. Hemostasis was achieved by urologists, and his psychiatric condition was evaluated by psychiatrists. The patient and his family hoped for penile replantation. His mood disorders were controllable, and microscopic replantation was performed by plastic surgeons after multidisciplinary discussion. The patient recovered, urinated without any signs of urinary stricture, showed no progression of depression, and did not repeat the mutilation. Conclusion: Penile self-mutilation during suicide attempts is a rare urological emergency that requires multidisciplinary management involving urologists, psychiatrists, and plastic surgeons.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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A case of penile self‐mutilation during a suicidal attempt successfully treated using a multidisciplinary approach

et al. 2022

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“…The large majority of individuals performing GSM are males in the third and fourth decades of life [1,39], with the oldest victims being aged 62, 66, and 72 [35,[40][41][42].…”

Section: Analysis Of the Injury Patternsmentioning

confidence: 99%

A fatal and unusual genital mutilation in an elderly man as a result of sharp force injuries and domestic dog predation

Simonit

Moreschi

Desinan

2022

Forensic Sci Med Pathol

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Cases of genital amputation require a careful investigation, since they may be the result of self-inflicted injuries, assaults, animal predation, or post-mortem body mutilation. In the present case, an 81-year-old man affected by liver cirrhosis and dementia and suffering from sexual disinhibition was found lying half-naked and unconscious in his courtyard; profuse bleeding in the perineal area and the absence of the external genitalia were observed. The victim was transferred to hospital and underwent surgical emergency treatment, but he died 2 days later. No sharp tools were found on the scene. Moreover, the autopsy did not reveal any defense or tentative wound on the body and no blood stains on the hands of the victim. Several linear scratches were detected close to the edges of the wound; according to the surgical report, these scratches were clean-cut in the lower part and crenated and infiltrated by blood in the cranial part. Although the medical history of the man could be consistent with self-mutilation, it was not possible to rule out the involvement of other people, including the possibility of an attempt by his relatives to cover up what may have been a self-amputation. Furthermore, the victim’s dog vomited parts of the man’s genitalia while being transported to a dog shelter. Similar cases have rarely been published in the current forensic literature.

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Self-Induced Trauma to the Genitalia: a Review of the Literature and Management Schemes

et al. 2021

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Penile self-amputation for suicidal attempt in an elderly depressed case

Cited by 4 publications

References 7 publications

A case of penile self‐mutilation during a suicidal attempt successfully treated using a multidisciplinary approach

A case of penile self‐mutilation during a suicidal attempt successfully treated using a multidisciplinary approach

A fatal and unusual genital mutilation in an elderly man as a result of sharp force injuries and domestic dog predation

Self-Induced Trauma to the Genitalia: a Review of the Literature and Management Schemes

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