Burn due to self-mutilation: Case report Self mutIlasyona bagli yanik: Olgu sunumu
Turk Plastik, Rekonstruktif ve Estetik Cerrahi Dergisi, cilt.22, sa.3, ss.121-123, 2014 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 3
- Basım Tarihi: 2014
- Dergi Adı: Turk Plastik, Rekonstruktif ve Estetik Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.121-123
- Anahtar Kelimeler: Borderline personality disorder, Cigarette burn, Self-mutilation
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: Self-injurious behavior (self-mutilation, self-injury, self-harm) is defined as a complex behaviors, is designed in a manner which is detrimental to the body tissue without suicidal intent. Self-mutilating behavior, as a symptom, is a condition seen among people with severe mental retardation, showing borderline and other personality disorders, eating disorders and factitious disorder. The purpose of this article is to overview the etiology, clinical features and treatment of self-mutilating behavior. Case report: A 20-year old male suffering from burn injury of dorsum of his right hand was admitted to emergency department. Physical examination revealed an erythematous lesion having crust in the center consistent with 2nd-3rd degree burn on the dorsum of his right hand. He declared that burn injury was caused by him using cigarette. He was evaluated in terms of neuropsychiatric aspects after the first intervention. Borderline personality disorder was found to be compatible with the condition of the patient and the appropriate medication was started. Discussion and Conclusion: Self-injurious behaviors most often observed among the age group of 19-29. Self-injurious behavior in this group is more than 1%. Self-injurious behavior is often accompanied by feeling of emptiness, worthlessness, helplessness, inadequacy, anger, numbness and unbearable tension. Moreover, feeling of being the worst, harmful, deserving pain or punishment, being not loved or desired, feeling of loneliness, having no support and feeling that no one will/can help him/her is mentally accompanied. When the data in the literature has been analyzed; the most common self-injurious behavior especially in borderline personality disorder are: cutting skin of arms, wrists and cutting various parts of the body via razor blade. Although our case presents neuropsychiatric signs conforming with the literature, cigarette was used instead of cutting tools for self-destruction. According to our best knowledge, there are a few cases of self-mutilation caused by cigarettes reported in the literature. In addition to pharmacological therapy in such patients, supportive dynamic psychotherapy is recommended.