http://www.maccs.mq.edu.au/news/seminars/abstract.html?abstract=239
Major Self-mutilation in the First Episode of Psychosis
Speaker : Dr. Matthew Large, Mental Health Services, Prince of Wales Hospital.
Date : 25th of May 2010, 4:00PM until 5:30PM
Location : C5C 498, Macquarie University.
Major self-mutilation (MSM) is a rare but catastrophic complication of
severe mental illness. Most people who inflict MSM have a psychotic
disorder, usually a schizophrenia spectrum psychosis. It is not known
when in the course of psychotic illness, MSM is most likely to occur.
In this study, the proportion of patients in first episode of
psychosis (FEP) was assessed using the results of a systematic review
of published case reports. Histories of patients who had removed an
eye or a testicle, severed their penis, or amputated a portion of a
limb and were diagnosed with a schizophrenia spectrum psychosis were
included. A psychotic illness was documented in 143 of 189 cases
(75.6%) of MSM, of whom 119 of 143 (83.2%) were diagnosed with a
schizophrenia spectrum psychosis. The treatment status of a
schizophrenia spectrum psychosis could be ascertained in 101 of the
case reports, of which 54 were in the FEP(53.5%,95%confidence interval
43.7%?63.2%). Patients who inflict MSM in FEP exhibited similar
symptoms to those who inflict MSM later in their illness. Acute
psychosis, in particular first-episode schizophrenia, appears to be
the major cause of MSM. Although MSM is extremely uncommon, earlier
treatment of psychotic illness may reduce the incidence of MSM.
---
Emily Connaughton
Macquarie Centre for Cognitive Science
MACQUARIE UNIVERSITY NSW 2109
Phone: +61 (0)2 9850 6855
Fax: +61 (0)2 9850 6059
http://www.maccs.mq.edu.au/members/profile.html?memberID=70
--
Professor John Sutton
Macquarie Centre for Cognitive Science
Macquarie University, Sydney,
NSW 2109, Australia
Email: [email protected]
Phone: +61 (0)2 9850 4132
http://www.phil.mq.edu.au/staff/jsutton/
ASCS09: Proceedings of 9th conference, Australasian Society for
Cognitive Science
http://www.maccs.mq.edu.au/ascs09
Memory Studies (Sage journal): http://mss.sagepub.com/
----------------------------------------------------------------
This message was sent using IMP, the Internet Messaging Program.
_______________________________________________
SydPhil mailing list: http://sydphil.info
950 subscribers now served.
To UNSUBSCRIBE, change your MEMBERSHIP OPTIONS, find ANSWERS TO COMMON
PROBLEMS, or visit our ONLINE ARCHIVES, please go to the LIST INFORMATION PAGE:
http://sydphil.info
