title: [Self-induced injuries--surgical aspects].
abstract: So far, psychiatric-psychoanalytic theories have been able to explain the phenomenon "self-injury" only unsatisfactorily. Moreover, the patients do not turn to a psychiatrist in the first place, but to surgeons, dermatologists, gynecologists or general practitioners. This is therefore an interdisciplinary problem. Since general medical knowledge is relatively unhelpful in diagnosing self-inflicted disease and its treatment, these patients often do not receive adequate psychiatric co-management or further care or indeed often get the chance to delegate the act of self-injury to the physician. In view of the sustained tendency for the disorder to chronify, this frequently results in severe, partly irreversible and sometimes iatrogenically co-induced physical impairments. In the final analysis, it also leads to enormous financial burdens for the agencies which bear the costs.
authors.affiliation: Abteilung für Unfall- und Wiederherstellungschirurgie, Universitätskrankenhaus Hamburg-Eppendorf.
authors.forename: A
authors.initials: A
authors.lastname: Katzer
authors.forename: S R
authors.initials: SR
authors.lastname: Schaaf
authors.forename: J V
authors.initials: JV
authors.lastname: Wening
authors.forename: H C
authors.initials: HC
authors.lastname: Möller
authors.forename: K
authors.initials: K
authors.lastname: Püschel
authors.forename: K H
authors.initials: KH
authors.lastname: Jungbluth
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005162:Factitious Disorders / Q000523:psychology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D009110:Munchausen Syndrome / Q000523:psychology / Q000601:surgery; D010348:Patient Care Team; D010817:Physician-Patient Relations; D011574:Psychoanalytic Theory; D012652:Self Mutilation / Q000523:psychology / Q000601:surgery*