title: Complicated alcohol withdrawal presenting as self mutilation.
abstract: Self-mutilation has been defined as deliberate self injury to body tissue without the intent to die. There has been an association between substance abuse and self mutilation. Alcoholic hallucinosis is usually in auditory modality and regarded as harmless. But patients can indulge in self harm behavior when the hallucinosis is commanding type. We are presenting a case in which the patient inflicted multiple stab injury to his own abdomen in response to alcoholic hallucinosis. This has clinical implication to enquire about substance abuse in patients presenting to emergency setting.
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India. Electronic address: patrab.aiims@gmail.com.
authors.forename: Bichitra Nanda
authors.initials: BN
authors.lastname: Patra
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
authors.forename: Akhilesh
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
authors.forename: Aseem
authors.initials: A
authors.lastname: Mehra
authors.affiliation: Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
authors.forename: Shubhmohan
authors.initials: S
authors.lastname: Singh
mesh_terms: D000007:Abdominal Injuries / Q000523:psychology* / Q000601:surgery; D000430:Alcohol Withdrawal Delirium / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016728:Self-Injurious Behavior / Q000523:psychology*; D014951:Wounds, Stab / Q000523:psychology* / Q000601:surgery
keywords: Alcoholic hallucinosis; Complicated alcohol withdrawal; Self mutilation; Substance abuse