“…Existing reports on self-inflicted testicular injuries reveal an association between self-damaging behavior and the presence of personality disorder, schizophrenia, or transsexuality (Money and De Priest, 1976;Greilsheimer and Groves, 1979;Siddiquee and Dashpande, 2007). In a small number of cases, the use of illicit drugs such as cocaine (Karila et al, 2007), amphetamine (Kratofil et al, 1996;Israel and Lee, 2002) and cannabis (Ahsaini et al, 2011) was associated with genital self-mutilation (for review, see Gahr et al, 2012).…”