scholarly journals Repeated Enterocutaneous Fistula in a Munchausen Syndrome Patient

2019 ◽  
Vol 13 (1) ◽  
pp. 173-177
Author(s):  
Toshiaki Hagiwara ◽  
Shinya Munakata ◽  
Shun Ishiyama ◽  
Goto Michitoshi ◽  
Rina Takahashi ◽  
...  
Keyword(s):  
Enterocutaneous Fistula ◽  
The Self ◽  
Munchausen Syndrome ◽  
Rare Type ◽  
Wound Site ◽  
Fistula Surgery ◽  
Self Mutilation ◽  
Japanese Male ◽  
Old Japanese ◽  
Self Harm

Munchausen syndrome is a rare type of mental disorder in which the patient fakes illness to gain attention and sympathy. Patients may lie about symptoms, make themselves appear sick, or make themselves purposely unwell. We describe a case of repeated enterocutaneous fistula in Munchausen syndrome. A 53-year-old Japanese male was admitted to our hospital for the treatment of a high-flow enterocutaneous fistula. Surgery was performed two times, but the fistula recurred each time. Chopsticks with blood on them were coincidentally detected in the trash in the patient’s room. It was revealed that the enterocutaneous fistula was caused by self-mutilation. A psychiatrist was consulted, and the patient was diagnosed with Munchausen syndrome. The psychiatrist initiated treatment and the patient admitted the self-harm. His prolonged wound site was closed and he was able to be discharged. There has been no recurrence of the self-harm as of this writing, 3 years later. The treatment of Munchausen syndrome is difficult and early detection is important.

scholarly journals A Comprehensive View of Self-Concept and Its Effect With Respect To Self-Mutilation among the Institutionalized and Non-Institutionalized Adolescents

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Dr. Joshy V. Anthony ◽  
Dr. S. John Michael Raj
Keyword(s):  
The Self ◽  
Self Concept ◽  
Correlation Technique ◽  
Factorial Anova ◽  
Adolescent Students ◽  
Self Mutilation ◽  
Self Worth ◽  
Self Harm ◽  
Institutionalized Adolescents ◽  
Healthy Personality

The objective of this study is to synthesize information from existing literatures on measures of the self-concept among institutionalized and non-institutionalized adolescents with respect to self-mutilation. As for an adolescent is concerned, it is important to develop a positive self-concept and high self-esteem in order to enhance a healthier personality. So the main objectives and focus of this study is to monitor the self-worth of adolescent students and help improve one’s self-concept and thus to develop a sense of healthy personality as an autonomous individual. 985 adolescent students, Kerala, India formed the sample for the study. The Self-Concept Questionnaire ((Kagen, Moore, & Bredekamp, 1995)) and Self-Harm Inventory (Randy A. Sansone, and Lori A. Sansone1998), were used. 2x2x2 factorial ANOVA, Regression Analysis and Correlation technique were used to analyse the data. The findings showed that the levels of self-concept seem to influence the levels of self-mutilating behaviour among the adolescent students.

Adolescents’ self-mutilation - Relationship with dependent behaviour

2003 ◽  
Vol 62 (4) ◽  
pp. 241-249 ◽  
Author(s):  
M. Bolognini ◽  
B. Plancherel ◽  
J. Laget ◽  
P. Stéphan ◽  
O. Halfon
Keyword(s):  
Suicide Attempts ◽  
Clinical Sample ◽  
Control Sample ◽  
Clinical Population ◽  
Control Group ◽  
Clinical Group ◽  
Self Mutilation ◽  
Self Harm ◽  
Partial Overlap ◽  
The Relationship

The aim of this study, which was carried out in the French-speacking part of Switzerland, was to examine the relationship between suicide attempts and self-mutilation by adolescents and young adults. The population, aged 14-25 years (N = 308), included a clinical sample of dependent subjects (drug abuse and eating disorders) compared to a control sample. On the basis of the Mini Neuropsychiatric Interview ( Sheehan et al., 1998 ), DSM-IV criteria were used for the inclusion of the clinical population. The results concerning the occurrence of suicide attempts as well as on self-mutilation confirm most of the hypotheses postulated: suicidal attempts and self-mutilation were more common in the clinical group compared to the control group, and there was a correlation between suicide attempts and self-mutilation. However, there was only a partial overlap, attesting that suicide and self-harm might correspond to two different types of behaviour.

scholarly journals Protein C Gene Mutation in an Older Adult Patient with Clostridium perfringens Septicemia-Related Visceral Vein Thrombosis

TH Open ◽  
2021 ◽  
Vol 05 (02) ◽  
pp. e171-e173
Author(s):  
Kiyoko Kanosue ◽  
Satomi Nagaya ◽  
Eriko Morishita ◽  
Masayoshi Yamanishi ◽  
Shinsaku Imashuku
Keyword(s):  
Gene Mutation ◽  
Clostridium Perfringens ◽  
Protein C ◽  
Later Life ◽  
Heterozygous Mutation ◽  
Protein C Deficiency ◽  
Vein Thrombosis ◽  
Thrombosis Risk ◽  
Japanese Male ◽  
Old Japanese

AbstractA 78-year-old Japanese male with Clostridium perfringens septicemia and cholecystitis was found to have thrombosis in the left branch of intrahepatic portal vein as well as superior mesenteric vein. Visceral vein thrombosis (VVT) in this case was associated with protein C deficiency, due to a heterozygous mutation, p. Arg185Met. Our experience emphasizes that VVT, or other thromboembolic events, may occur in later life, triggered by environmental thrombosis risk factors, together with underlying hereditary protein C gene mutation.

Suicide and the self-harm continuum: phenomenological and biochemical evidence

1992 ◽  
Vol 4 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Barbara Stanley ◽  
Ronald Winchel ◽  
Avraham Molcho ◽  
Daphne Simeon ◽  
Michael Stanley
Keyword(s):  
The Self ◽  
Biochemical Evidence ◽  
Self Harm

scholarly journals A rare benign genitourinary tumor in a Japanese male: urinary retention owing to aggressive angiomyxoma of the prostate

Rare Tumors ◽  
2010 ◽  
Vol 2 (1) ◽  
pp. 43-45 ◽  
Author(s):  
Yugo Sawada ◽  
Fumio Ito ◽  
Hayakazu Nakazawa ◽  
Nobuhiko Tsushima ◽  
Hikaru Tomoe ◽  
...  
Keyword(s):  
Renal Dysfunction ◽  
Urinary Retention ◽  
Bladder Neck ◽  
English Literature ◽  
Pathological Examination ◽  
Aggressive Angiomyxoma ◽  
Urethral Meatus ◽  
First Case ◽  
Japanese Male ◽  
Old Japanese

Close examination of a 67-year-old Japanese man, who complained of persistent nocturia, revealed that a semitransparent polypoid tumor had developed from the bladder neck to the prostatic urethra obstructing the internal urethral meatus, which resulted in excessive urinary retention and post-renal dysfunction. The tumor was resected by a transurethral procedure and a pathological examination of specimens revealed aggressive angiomyxoma (AAM) of the prostate. AAM usually develops in the intrapelvic and perineal organs of females. So far as we know, this is the second case of primary prostatic AAM reported in the English literature, and is the first case where the patient encountered urethral obstruction.

Investigating the “Self” in Deliberate Self-Harm

2005 ◽  
Vol 15 (10) ◽  
pp. 1293-1309 ◽  
Author(s):  
Joanna Adams ◽  
Karen Rodham ◽  
Jeff Gavin
Keyword(s):  
The Self ◽  
Deliberate Self Harm ◽  
Self Harm

scholarly journals Differences between medically treated and untreated non-fatal self-harm reported by hotline callers in China

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e7868 ◽  
Author(s):  
Yongsheng Tong ◽  
Yi Yin ◽  
Nancy H. Liu
Keyword(s):  
Medical Treatment ◽  
Romantic Relationship ◽  
Psychological Services ◽  
The Self ◽  
Post Intervention ◽  
Relationship Problems ◽  
Wish To Die ◽  
Self Harm ◽  
Routine Assessment ◽  
Improve Access

Background Many self-harmers do not present in hospitals due to the self-harm. It is still unclear on the differences between medically treated and untreated self-harm in China. This study described the differences of the two groups of self-harmers using the largest psychological aid hotline data. Methods The present observational study recruited 3,403 hotline callers who reported episodes of self-harm before the call. In routine assessment, information about the most recent episode of self-harm was collected, including the method of self-harm, the wish to die, goals of the self-harm, and any medical treatment (irrespective of psychological services) in the hospital. The callers were divided into two groups: those who received hospital-based medical treatment due to the most recent self-harm (treated self-harm callers) and those who did not (untreated self-harm callers). Results In the most recent episode of self-harm, 65% (n = 2,217) of callers were untreated and 55% (1,226/2,217) of the untreated self-harm callers reported a wish to die. A total of 67% of the callers reported that their main goal of self-harm was to relieve suffering. The most common self-harm methods were using instruments (knife or rope) and overdosing on medicines. Compared with treated self-harm callers, the untreated self-harm callers were less likely to have a wish to die (OR = 0.57), engage in self-harm outside the home (OR = 0.71 and 0.78), and attribute their self-harm to romantic relationship problems (OR = 0.76); however, they were more likely to use instruments, to jump, or to choose other methods (OR = 3.73, 3.83, and 7.71, respectively). Conclusions Among hotline callers, many episodes of self-harm did not receive medical treatment, despite over half reporting a wish to die. Characteristics of self-harm behaviors were different between treated and untreated self-harm callers. Our findings suggest that more strategies should improve access to hospital-based medical treatment and coverage for post-intervention for self-harmers who are not presented in hospitals.

Testing the psychometric properties of the self-harm and suicide disclosure scale

2018 ◽  
Vol 270 ◽  
pp. 134-142 ◽  
Author(s):  
Laura M. Frey ◽  
George E. Higgins ◽  
Anthony Fulginiti
Keyword(s):  
Psychometric Properties ◽  
The Self ◽  
Self Harm

Psychiatry

2011 ◽  
Author(s):  
Pawan Gupta
Keyword(s):  
Mental Health ◽  
Mental Health Patient ◽  
Self Mutilation ◽  
Cry For Help ◽  
Mental Health Patients ◽  
Health Expert ◽  
Self Harm ◽  
Mental Health Expert ◽  
The Uk ◽  
Suicidal Patients

It is estimated that 1 in 4 people in a year will have some kind of mental health problem, and that mixed anxiety and depression is the most common disorder in the UK. There is an increasing number of mental health patients attending the ED, and a new FY doctor in the ED will encounter such patients from their first shift onwards. The approach to a mental health patient is only marginally different from the approach to those presenting under other specialties. The assessment largely depends on careful history taking and attentively listening to the patient’s narrative. There are only a few situations in psychiatry in which a physical examination and investigations are required in the ED to make a diagnosis. As it would not be possible to cover all the areas of psychiatry which come through the doors of the ED in one chapter, only a few questions have been included here to provide a flavour of the common psychiatric situations that FY1/2s may come across in their early training period. The UK has the highest rate of self-harm in Europe and so one of the most important points is to recognize suicidal patients who can harm themselves seriously and manage them appropriately. If such patients are discharged following an inadequate assessment, they may go on to commit suicide and the attending doctors would have missed the opportunity to support and save them. In this category of patients, when they present to the ED, no matter how minimal is the level of their self-mutilation, it is a serious ‘cry’ for help. Our job is to listen to the patient and support them with the maximum help we can provide. As it may be difficult to occasionally get to the bottom of the problem, particularly within the time constraints in the ED, a low level of suspicion should be kept to ask for the assistance of the mental health expert. Self-harm and depression go almost hand in hand. The suicidal rate is higher in depressed patients than in the general population.

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