Multiple self-inserted pins and nails in pericardium in a patient of schizophrenia: Case report and review

Autor: S Soren, Surjit, S Chaudhury, A K Bakhla
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Industrial Psychiatry Journal, Vol 24, Iss 1, Pp 82-87 (2015)
Druh dokumentu: article
ISSN: 0972-6748
DOI: 10.4103/0972-6748.160959
Popis: This report is the case of multiple self-inserted pins and nails in chest and pericardial cavity in a young male suffering from schizophrenia. This act of self-mutilation was done to get relief from burning sensation in chest and palpitations. Review of the relevant literature revealed that self-inflicted intra-cardiac needle injuries occur mainly in young and middle-aged adults suffering from psychiatric disorders, commonly depression, schizophrenia, and substance use disorders. In one-fourth of the patients, it is due to deliberate self-harm. About 70% use a single needle but 30% may use multiple needles. Second attempts are rare. Majority of the patients (85%) are managed by surgery and recover from the injury. The condition has a low mortality rate of 5%.
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