A case of auto-erotic asphyxia in a long-term psychiatric setting.
The syndrome of auto-erotic asphyxia (AEA) involves the deliberate induction of cerebral hypoxia to produce or enhance sexual excitement. This sexual practice is normally only discovered when death results from the act because these individuals rarely seek professional advice. The practice of AEA in the living case presented here was initially misinterpreted as parasuicidal behaviour. This type of sexual behaviour should always be considered a differential for parasuicidal activity involving asphyxia. Aetiology, treatment and the need for health professionals to be aware of this syndrome are discussed.
Quinn
J
J
St. Brendan's Hospital, Dublin, Republic of Ireland.
Twomey
P
P
D000328:Adult; D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000009:adverse effects; D001237:Asphyxia / Q000523:psychology*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D006778:Hospitals, Psychiatric; D006801:Humans; D002534:Hypoxia, Brain / Q000523:psychology*; D008134:Long-Term Care; D008297:Male; D008418:Masturbation / Q000523:psychology*; D012559:Schizophrenia / Q000175:diagnosis / Q000188:drug therapy; D012565:Schizophrenic Psychology; D013375:Substance Withdrawal Syndrome / Q000175:diagnosis / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology; D013577:Syndrome
D014150:Antipsychotic Agents