Case Report Genital and Nipple Self-Mutilation in a Female Schizophrenic Patient

A case of nipple and genital self-mutilation (GSM) is described in a female patient of first episode of schizophrenia and compared with the only three cases reported so far in the literature. The act of nipple and GSM in the case reported here was in response to a psychotic phenomenon to “protect” her family from some outside harm, in the absence of any sexual connotation, religious delusion, personality disorder, dysmorphophobia of genitalia, eating disorder, substance abuse and sexual abuse. The act of self-mutilation became symptomatic in an interesting clinical setting (German J Psychiatry 2010; 13: 91-93).