Suicide by unusual methods: a rare case of complex suicide

Genital Self-Mutilation (GSM) is usually associated with mental illness. It is considered as the most brutal form of self-harm. Many cases of such self-harm have been described by various authors in different times. However, its existence in absence of any mental illness and using it as a method of suicide is a matter of question. Although, some cases are reported; its incidence is very low. Its association with complex suicide is even much lower. Usually, in complex suicide, the victim chooses some methods which are less painful. Such a complicated case of complex suicide was brought to the tertiary care center of Dibrugarh, Assam for post mortem examination. The deceased, a 36 years old male was brought with history of cutting his external genitalia followed by hanging. The case has been described in this paper with relevant review literature.

Generalized aptheria and automutilization of members in budgegarigar (Melopsittacus undulatus SHAW, 1805) presenting circovirosis in the Northeast of Brazil

The budgegarigar (Melosittacus undulatus Shaw, 1805) is a bird of the order Psittaciformes and family Psittaculidae. This species is considered the third most popular pet in the world and is frequently seen in veterinary clinics. Among the diseases that can affect these animals, the Psittacidae beak and feather disease (PBFD), or circovirosis, is an infectious disease commonly reported in some regions. This paper aims to describe the case of a budgegarigar presenting generalized aptheria and self-mutilation of limbs due to PBFD and feather-picking disorder in Northeastern Brazil. A budgegarigar was admitted to the Veterinary Hospital of the Federal Rural University of the Semiarid (HOVET-UFERSA) with generalized aptheria. Subsequently, feces were collected and a molecular polymerase chain reaction (PCR) analysis for PsCV Circovirus was requested. The result was positive, and upon the animal's return to the clinic, it presented right carpometacarpal and tarsometatarsal self-mutilated. Considering that reports of these disorders for psittacidae are scarce in the Northeast, we report the first occurrence of circovirosis and consequent feather-pulling disorder with clinical manifestation of generalized aptheria and self-mutilation of limbs in a budgegarigar in the state of Rio Grande do Norte, which represents a risk for the conservation of wild Psittacidae in this region.

Eating disorders as a repercussion of sexual assault, a consequence to consider

Purpose This study aims at clarifying the links between sexual violence and eating disorders (EDs). Methods In a sample of 12638 victims of sexual violence, we analyzed the situation of 546 victims that declared having developed ED. We assessed the characteristics of the assault (age, type of aggression) and the medical consequences (PTSD, depression, suicide attempts, anxiety disorders …). Results ED prevalence was 4.3% in the victim sample. The age of the first assault in ED victims was significantly lower than that of the whole population (12y vs 16 y for median; p<0.001). A much higher prevalence of sexual assault consequences was present in victims developing ED with odd ratios (OR) for: self-mutilation (OR = 11.5 [8.29-15.95], p<0.001); depression (OR=5.7 [4.81-6.86], p<0.001); self-medication (OR = 5.3 [3.86-7.19], p<0.001); suicide attempts (OR =4.5 [3.59-5.67], p<0.001); Post-traumatic stress disorder (OR = 3.8 [2.99-4.78], p<0.001) ; anxiety troubles (OR = 5.2 [4.11-6.47], p<0.001); alcoholism (OR =4.0 [2.81-5.58], p<0.001). Conclusion This study confirms the link between ED and sexual violence, especially in childhood, leading to severe psychological consequences. In this context, ED should be envisaged as a coping strategy accompanying emotional dysregulation due to traumatic events, and be treated as such.

Fatores associados ao comportamento autolesivo de adolescentes assistidos por um Centro de Atenção Psicossocial do Nordeste

Automutilação é um comportamento autolesivo contra si próprio, geralmente associado a traumas ou vivências advindas de sobrecargas afetivas e emocionais, que resultam em cortes pequenos e/ou grandes próprio no corpo. O presente estudo tem como objetivo identificar e analisar os fatores que podem estar associados a automutilação em adolescentes. Além disso, compreender os prejuízos que a automutilação pode causar no desempenho ocupacional em atividades cotidianas desses adolescentes. Estudo de caráter exploratório e abordagem qualitativa, realizado com oito (8) adolescentes em um Centro de Atenção Psicossocial Infanto-Juvenil (CAPSij) em Maceió. Utilizamos a escala de comportamento de automutilação (FunctionalAssessmentof Self-Mutilation) (FASM) e uma entrevista semiestruturada com base na Associação Americana de Terapia Ocupacional (AOTA). Para analisar os dados usamos a teoria da análise de conteúdo de Bardin. Os resultados mostraram associação entre a automutilação com o afetivo-emocional e a tentativa de suicídio pela maioria dos adolescentes. Em relação ao desempenho ocupacional observamos ruptura total ou parcial ao realizar as atividades cotidianas como, lazer, atividades de vida diária, nas relações sociais e no âmbito escolar. Diante deste cenário desolador, sugerimos que esses adolescentes pudessem ter atendimento especializado e de atenção integral para que os ajudem a empoderar a rotina e melhorem sua qualidade de vida emocional, afetiva e produtiva no seu cotidiano.