Genital self-mutilation in an attempt of suicide by a patient with a borderline personality

Rachid Aalouane; Ismail Rammouz; Hicham Hafidi; Saïd Boujraf

doi:10.4103/0976-3147.112769

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Case Report

4 (

); 199-203

doi:

10.4103/0976-3147.112769

Genital self-mutilation in an attempt of suicide by a patient with a borderline personality

Rachid Aalouane^1,2, Ismail Rammouz^1,2, Hicham Hafidi¹, Saïd Boujraf^2,3

1Department of Psychiatry, Ibn‑Alhassan Hospital, University Hospital of Fez, Morocco

2Department of Psychiatry, Clinical Neurosciences Laboratory, Fez, Morocco

3Department of Biophysics and Clinical MRI Methods, Faculty of Medicine of Fez, Fez, Morocco

Address for correspondence: Dr. Saïd Boujraf Department of Biophysics and Clinical MRI Methods, Faculty of Medicine and Pharmacy, University of Fez BP. 1893, Km 2.200, Sidi Hrazem Road, Fez Morocco sboujraf@hotmail.com

Journal of Neurosciences in Rural Practice

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Abstract

ABSTRACT

Self‑mutilation acts are known to characterize the borderline personality disorders. However, voluntary cutting of the male genital organ remains extremely rare. The present paper reports a case of a 25‑years‑old young male with a borderline personality. The patient committed a genital self‑mutilation (GSM) targeting suicide during incarceration stage in jail. In addition, a discussion of the epidemiological and psychopathological aspects of the self‑mutilation of borderline patients was been conducted. A particular interest is attributed to the genital self‑mutilation and a review of the literature is presented.

Keywords

Borderline

genital self‑mutilation

personality disorders

Show Related Articles from PubMed

Conflict of Interest

None declared

References

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Satanly B, Gameroff M. J., Michalsen V, Mann J. J., . Are suicide attempters who self-mutilate a unique population? Am J Psychiatry. 2001;158:427-32.
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Moufid K, Joual A, Debbagh A, Bennani S, Elmrini M, . Genital self mutilation. Prog Urol. 2004;14:540-3.
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Joyce P. R., Muder R. T., Luty S. E., McKenzie J. M., Sullivan P. F., Cloninger R. C., . Borderline personality disorder in major depression: Symptomatology, temperament, character, differential drug response, and 6 month outcome. Compr Psychiatry. 2003;44:35-43.
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[Google Scholar]
Nakaya M, . On background factors of male self mutilation. Psychopathology. 1996;29:242-8.
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Mackmann S, Garlipp P, Krampfl K, Haltentiof H, . Genital self mutilation and erotomania. J Psychiatry. 2005;8:38-41.
[Google Scholar]
Mareko G. M., Othieno C. J., Kuria M. W., Kiarie J. N., Ndetei D. M., . Body dysmorphic disorder, case report. East Afr Med J. 2007;84:450-2.
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Ferkuhara S, Kawamura N, Kabuta Y, Imazu T, Hara T, Yamaguchi S, . Case of self mutilation of urethra in a Munchausen’s syndrome patient. Hinyokika Kiyo. 2007;53:829-31.
[Google Scholar]
Tomita M, Maeda S, Kimura T, Ikemoto I, Oishi Y, . A case of complete self-mutilation of penis. Hinyokika kiyo. 2002;48:247-9.
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Ishibiki Y, Matsumura T, . Traumatic luxation of the testis due to self- mutilation: A casa report. Nippon Hinyokika Gakkai Zasshi. 2006;97:57-9.
[Google Scholar]
Tharoor H, . A case of genital self-mutilation in an elderly man. J Clin Psychiatry. 2007;9:396-7.
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Fayad S, Srom V, Delotte J, Belghi A, Sorci K, Bougain A, . Psychological factors of genital automutilation and medico-ethical interest of vulvoplasty in emergency. Gynecol Obstet Fertil. 2006;34:134-6.
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Karila L, Ferreri M, Coscas S, Cottencin O, Benyamina A, Reynaud M, . Self mutilation induced by cocaine abuse: the pleasure of bleeding. Presse Med. 2007;36:235-7.
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Schmahl C, Geffrath W, Baumgärtner U, Schlereth T, Mageri W, Philipsen A, et al . Differential nociceptive deficis in patients with borderline personality disorder and self injurious behaviour: Laser evoked potentiels, spatial discrimination of noxious stimul, and pain ratings. Pain. 2004;110:470-9.
[Google Scholar]
Charan S. H., Reddy C. M., . Genital self mutilation in alcohol withdrawal state complicated with delirium. Indian J Psychol Med. 2011;33:188-90.
[Google Scholar]
Simopoulos E. F., Trinidad A. C., . Two cases of male genital self-mutilation: An examination of liaison dynamics. Psychosomatics. 2012;53:178-80.
[Google Scholar]
Mago V, . Male genital self-mutilation. Indian J Psychiatry. 2011;53:168-9.
[Google Scholar]
Ajape A. A., Issa B. A., Buhari O. I., Adeoye P. O., Babata A. L., Abiola O. O., . Genital self-mutilation. Ann Afr Med. 2010;9:31-4.
[Google Scholar]

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[1] Ball J. S., Links P. S., . Borderline personality disorder and childhood trauma: Evidence for a causal relationship. Curr Psychiatry Rep. 2009;11:63-8.
[Google Scholar]

[2] Bohus M, Limberger M, Ebner U, Glocker F. X., Schwartz B, Wernz M, Lieb K, . Pain perception during self reported distress and calmness in patients with borderline personality disorder and self mutiling behavior. Psychiatry Res. 2000;95:251-60.
[Google Scholar]

[3] Paris J, . Understanding self mutilation in borderline personality disorder. Harv Rev Psychiatry. 2005;13:179-85.
[Google Scholar]

[4] Satanly B, Gameroff M. J., Michalsen V, Mann J. J., . Are suicide attempters who self-mutilate a unique population? Am J Psychiatry. 2001;158:427-32.
[Google Scholar]

[5] Moufid K, Joual A, Debbagh A, Bennani S, Elmrini M, . Genital self mutilation. Prog Urol. 2004;14:540-3.
[Google Scholar]

[6] Joyce P. R., Muder R. T., Luty S. E., McKenzie J. M., Sullivan P. F., Cloninger R. C., . Borderline personality disorder in major depression: Symptomatology, temperament, character, differential drug response, and 6 month outcome. Compr Psychiatry. 2003;44:35-43.
[Google Scholar]

[7] Zanarini M. C., Frankenburg F. R., Reinch D. B., Fitzmaurice G, Weinberg I, Gunderson J. G., . The 10 year course of physcically self destructive acts reported by borderline patients and axis II comparison. Acta Psychiatr Scand. 2008;117:177-84.
[Google Scholar]

[8] Oumaya M, Friedman S, Pham A, Abouabdellah T, Guelfi J. D., Rouillam F, . Borderline personality disorder, self mutilation and suicide: Literature review. Encephale. 2008;34:452-8.
[Google Scholar]

[9] Nakaya M, . On background factors of male self mutilation. Psychopathology. 1996;29:242-8.
[Google Scholar]

[10] Mackmann S, Garlipp P, Krampfl K, Haltentiof H, . Genital self mutilation and erotomania. J Psychiatry. 2005;8:38-41.
[Google Scholar]

[11] Mareko G. M., Othieno C. J., Kuria M. W., Kiarie J. N., Ndetei D. M., . Body dysmorphic disorder, case report. East Afr Med J. 2007;84:450-2.
[Google Scholar]

[12] Ferkuhara S, Kawamura N, Kabuta Y, Imazu T, Hara T, Yamaguchi S, . Case of self mutilation of urethra in a Munchausen’s syndrome patient. Hinyokika Kiyo. 2007;53:829-31.
[Google Scholar]

[13] Tomita M, Maeda S, Kimura T, Ikemoto I, Oishi Y, . A case of complete self-mutilation of penis. Hinyokika kiyo. 2002;48:247-9.
[Google Scholar]

[14] Ishibiki Y, Matsumura T, . Traumatic luxation of the testis due to self- mutilation: A casa report. Nippon Hinyokika Gakkai Zasshi. 2006;97:57-9.
[Google Scholar]

[15] Tharoor H, . A case of genital self-mutilation in an elderly man. J Clin Psychiatry. 2007;9:396-7.
[Google Scholar]

[16] Fayad S, Srom V, Delotte J, Belghi A, Sorci K, Bougain A, . Psychological factors of genital automutilation and medico-ethical interest of vulvoplasty in emergency. Gynecol Obstet Fertil. 2006;34:134-6.
[Google Scholar]

[17] Karila L, Ferreri M, Coscas S, Cottencin O, Benyamina A, Reynaud M, . Self mutilation induced by cocaine abuse: the pleasure of bleeding. Presse Med. 2007;36:235-7.
[Google Scholar]

[18] Schmahl C, Geffrath W, Baumgärtner U, Schlereth T, Mageri W, Philipsen A, et al . Differential nociceptive deficis in patients with borderline personality disorder and self injurious behaviour: Laser evoked potentiels, spatial discrimination of noxious stimul, and pain ratings. Pain. 2004;110:470-9.
[Google Scholar]

[19] Charan S. H., Reddy C. M., . Genital self mutilation in alcohol withdrawal state complicated with delirium. Indian J Psychol Med. 2011;33:188-90.
[Google Scholar]

[20] Simopoulos E. F., Trinidad A. C., . Two cases of male genital self-mutilation: An examination of liaison dynamics. Psychosomatics. 2012;53:178-80.
[Google Scholar]

[21] Mago V, . Male genital self-mutilation. Indian J Psychiatry. 2011;53:168-9.
[Google Scholar]

[22] Ajape A. A., Issa B. A., Buhari O. I., Adeoye P. O., Babata A. L., Abiola O. O., . Genital self-mutilation. Ann Afr Med. 2010;9:31-4.
[Google Scholar]

Genital self-mutilation in an attempt of suicide by a patient with a borderline personality

Abstract

ABSTRACT

Keywords

Borderline

genital self‑mutilation

personality disorders

Conflict of Interest

References

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