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@ARTICLE{Chechko:902349,
      author       = {Chechko, Natalia and Stormanns, Eva and Podoll, Klaus and
                      Stickel, Susanne and Neuner, Irene},
      title        = {{S}elf-enucleation of the right eye by a 38-year-old woman
                      diagnosed with schizoaffective disorder: a case report},
      journal      = {BMC psychiatry},
      volume       = {20},
      number       = {1},
      issn         = {1471-244X},
      address      = {Heidelberg},
      publisher    = {Springer},
      reportid     = {FZJ-2021-04198},
      pages        = {563},
      year         = {2020},
      abstract     = {BackgroundAutoenucleation is a rare form of self-mutilation
                      typically associated with psychiatric disorders such as
                      schizophrenia, substance-induced psychosis and bipolar
                      disorder. The act is usually unilateral, although bilateral
                      attempts are also well documented in the literature.Case
                      presentationIt is a case study involving a female patient
                      (NN) diagnosed with schizoaffective disorder who
                      self-enucleated her right eye following sexual intercourse
                      with a fellow patient, and was forcefully prevented by staff
                      from enucleating the second eye. We report recurrent
                      episodes of her illness culminating in this severe act of
                      self-mutilation. The motivational reasons behind this form
                      of self-harm along with differential diagnosis and potential
                      treatment options are discussed in the context of the
                      available literature.ConclusionAutoenucleation is commonly
                      associated with religious and sexual delusions, and patients
                      are thought to be at a greater risk of further self-harm.
                      Timely antipsychotic treatment is likely to reduce the risk
                      of such extreme forms of self-harm, although they can occur
                      despite robust therapeutic intervention and treatment
                      attempts. While self-inflicted eye injuries are rare, their
                      prevention in what is typically a difficult patient group is
                      fraught with challenges.},
      cin          = {INM-4 / JARA-BRAIN},
      ddc          = {610},
      cid          = {I:(DE-Juel1)INM-4-20090406 / I:(DE-Juel1)VDB1046},
      pnm          = {5253 - Neuroimaging (POF4-525)},
      pid          = {G:(DE-HGF)POF4-5253},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {33238922},
      UT           = {WOS:000595729000008},
      doi          = {10.1186/s12888-020-02974-6},
      url          = {https://juser.fz-juelich.de/record/902349},
}