title: An atypical suicide attempt: self-inflicted intra-cardiac injury with sewing needle.
abstract: Atypical cases of suicide are less likely to be seen in general hospitals, nonetheless require further investigation into the precipitating factors as well as proper follow-up. This paper illustrates a 61-year-old woman with major depressive disorder who experienced auditory hallucinations during delirious periods of taking low-dose benzodiazepines, who referred to the hospital with a sewing needle stuck in her chest wall. The needle was successfully removed. Psychiatric problems are often underdiagnosed, therefore undertreated in general hospitals. Thus close monitoring of the patients during the hospitalization and after discharge is crucial.
authors: Assistant Professor, Department of Psychiatry, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Nazila
authors: N
authors: Shahmansouri
authors: Assistant Professor, Department of Cardiovascular Surgery, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Mahmood
authors: M
authors: Shirzad
authors: Cardiac Surgery Fellowship, Department of Cardiovascular Surgery, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Sam
authors: S
authors: Zeraatiannejad Davani
authors: Psychologist, Tehran Heart Center, Research Branch, Tehran, Iran.
authors: Fetemeh
authors: F
authors: Heidari
keywords: Atypical Suicide; Self-Inflicted Injury; Surgery