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Nonsuicidal self-injury in mentally ill patients: a clinical case

https://doi.org/10.14412/2074-2711-2019-3-83-88

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Abstract

Nonsuicidal self-injuries (autotomy, self-inflicted destruction, self-mutilation) is a variant of autoaggression in a patient without the intent to take his/her own life. Patients with the consequences of self-injuries receive help from physicians of various specialties, who often cannot determine their motivation for autoaggressive actions, since it is associated with mental disorders.
The paper presents data on phenomenology, some classifications and motivation of nonsuicidal self-injuries. Various mental disorders are noted to be the most common cause of autoaggressive behavior. The paper describes a clinical case of a female patient who has mutilated her face for a long time, hiding the cause of her autoaggressive action. A detailed clinical and psychopathological analysis of her medical history and mental status allowed for classifying hypochondriacal delirium within schizophrenia as a cause of self-mutilating actions. The motivation for this behavior was to fight against a pseudotumor, for which the patient suffered pain and prolonged suppurative processes on the skin of the face, without visiting physicians.

About the Authors

V. V. Balabanova
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Psychiatry and Addiction Medicine

11, Rossolimo St., Build. 9, Moscow 119021



N. A. Tyuvina
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Psychiatry and Addiction Medicine

11, Rossolimo St., Build. 9, Moscow 119021



E. O. Voronina
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Psychiatry and Addiction Medicine

11, Rossolimo St., Build. 9, Moscow 119021



E. M. Goncharova
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Psychiatry and Addiction Medicine

11, Rossolimo St., Build. 9, Moscow 119021



A. A. Dmitrieva
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Psychiatry and Addiction Medicine

11, Rossolimo St., Build. 9, Moscow 119021



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For citation:


Balabanova V.V., Tyuvina N.A., Voronina E.O., Goncharova E.M., Dmitrieva A.A. Nonsuicidal self-injury in mentally ill patients: a clinical case. Neurology, Neuropsychiatry, Psychosomatics. 2019;11(3):83-88. (In Russ.) https://doi.org/10.14412/2074-2711-2019-3-83-88

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)