Citation

Mota-da-Silva D, Estalagem AP, Teles C, Bastos H. Prim. Care Companion CNS Disord. 2022; 24(5): 21cr03114.

Copyright

(Copyright © 2022, Physicians Postgraduate Press)

DOI

10.4088/PCC.21cr03114

PMID

36067500

Abstract

Violent suicide is generally defined by method. Strangulation, firearm or deep blade wounds, fall from significant heights, or vehicle collision are examples of violent suicidal behavior, as opposed to medication or substance poisoning, which are usually regarded as nonviolent.1 The multitude of comorbid conditions, personality traits, and psychosocial factors motivating suicide may pose diagnostic and management challenges. We present the case of a middle aged African-Portuguese man admitted to the inpatient psychiatry unit after attempting suicide by repeatedly stabbing himself in the neck and abdomen.
Case Report

A 50-year-old man presented to the emergency department (ED) displaying multiple self-inflicted penetrating wounds in his neck and abdomen and a kitchen knife lodged within cervical muscular tissues and tendons. Radiologic study identified an internal jugular vein lesion (Figure 1), prompting urgent intervention by vascular and plastic reconstructive surgery. After stabilization, a psychiatric evaluation was conducted...

Language: en