n African Journal of Psychiatry - Self-inflicted bilateral orchidectomy precipitated by erotic bizarredelusions : a case report : scientific letters




Deliberate Self-harm (DSH) is defined as the intentional, direct injuring of the body tissue without suicidal intent.The degree of harm or injury, be it isolated or repetitive,may vary from mild to very severe. Deliberate self-harm is a behavior which may arise in a variety of psychiatric illnesses such as depression, schizophrenia, alcohol use disorders, and personality disorders. DSH patients with psychiatric illness have a high risk of committing repeated acts of DSH. The following is a report of a patient with schizophrenia, substance misuse and persistent ambivalence towards sexual activity who serially removed his testes, an act largely prompted by bizarre erotic delusions during psychotic relapses.


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