title: Penile self-mutilation presenting as rational attempted suicide.
abstract: Genital self-multilation is rare, and reports suggest that it is usually associated with psychotic illness. We report a case in which penile self-multilation was an attempt to commit suicide and justified as a rational action. The literature on genital self-mutilation is reviewed. It is argued that the strong association between genital self-mutilation and psychosis may be the result of selective reporting.
authors.affiliation: Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: G N
authors.initials: GN
authors.lastname: Conacher
authors.forename: D
authors.initials: D
authors.lastname: Villeneuve
authors.forename: G
authors.initials: G
authors.lastname: Kane
mesh_terms: D000987:Antisocial Personality Disorder / Q000523:psychology*; D016241:Child of Impaired Parents / Q000523:psychology; D005783:Gender Identity; D006708:Homicide / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000293:injuries*; D010553:Personality Development; D011329:Prisoners / Q000523:psychology*; D012652:Self Mutilation / Q000523:psychology*; D013406:Suicide, Attempted / Q000523:psychology*