Citation

Katzer A, Schaaf SR, Wening JV, Möller HC, Puschel K, Jungbluth KH. Unfallchirurgie 1997; 23(3): 105-113.

Vernacular Title

Selbstverletzungen--Chirurgische Aspekte.

Affiliation

Abteilung für Unfall- und Wiederherstellungschirurgie, Universitätskrankenhaus Hamburg-Eppendorf.

Copyright

(Copyright © 1997, Urban and Vogel)

DOI

unavailable

PMID

9334003

Abstract

So far, psychiatric-psychoanalytic theories have been able to explain the phenomenon "self-injury" only unsatisfactorily. Moreover, the patients do not turn to a psychiatrist in the first place, but to surgeons, dermatologists, gynecologists or general practitioners. This is therefore an interdisciplinary problem. Since general medical knowledge is relatively unhelpful in diagnosing self-inflicted disease and its treatment, these patients often do not receive adequate psychiatric co-management or further care or indeed often get the chance to delegate the act of self-injury to the physician. In view of the sustained tendency for the disorder to chronify, this frequently results in severe, partly irreversible and sometimes iatrogenically co-induced physical impairments. In the final analysis, it also leads to enormous financial burdens for the agencies which bear the costs.

Language: de