Complete genital self-mutilation (GSM), mostly a non-suicidal behavior, is a rare occurrence among patients with psychotic and non-psychotic disorders. This case report is on a patient who, in the shadow of severe bizarre psychotic manifestations with overwhelming socio-cultural contents, completely self-mutilated his external genitals with a sharp blade. Emergency surgical and psychiatric management improved his condition over 4 weeks. In the light of this case, the psychodynamic, biological and socio-cultural meanings and etiologies of GSM are explained and discussed with relevant international literature on male genital self-mutilation.
Naseem Akhtar Qureshi, MD, PhD
National Center for Complementary and Alternative Medicine, Ministry of Health, Riyadh, 11662, Saudi Arabia.
Abdulhameed Abdullah Alhabeeb MD
National Center for Promotion of Mental Health, Riyadh, Saudi Arabia.