title: Self-administered electroconvulsive treatment with a homemade device.
abstract: Two patients with personality disorder and depression attempted to self-administer electroconvulsive therapy with a homemade device. The patients showed no proper psychopathological improvement after these attempts. Both of the patients' temples were seriously burned, and one of them required skin grafting. Both patients rejected to have reasonable psychosocial support, and followed a cult mental health manual in attempting to self-administer electroconvulsive therapy. To our knowledge, this is only the second report of its kind. The intractable psychopathology, poor interpersonal skills, and misleading information seemed to lead to the self-harm behaviors of our 2 patients.
authors.affiliation: Department of Psychiatry, Juntendo University Hospital, Tokyo, Japan. adachi_iin@hotmail.com
authors.forename: Takuya
authors.initials: T
authors.lastname: Adachi
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Masumura
authors.forename: Minoru
authors.initials: M
authors.lastname: Arai
authors.forename: Naoto
authors.initials: N
authors.lastname: Adachi
authors.forename: Shigeru
authors.initials: S
authors.lastname: Akazawa
authors.forename: Heii
authors.initials: H
authors.lastname: Arai
mesh_terms: D000328:Adult; D003866:Depressive Disorder / Q000628:therapy; D004565:Electroconvulsive Therapy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D008297:Male; D010554:Personality Disorders / Q000628:therapy; D012309:Risk-Taking; D012648:Self Care; D016728:Self-Injurious Behavior