@article{ref1,
title="Self-induced injuries--surgical aspects",
journal="Unfallchirurgie",
year="1997",
author="Katzer, A. and Schaaf, S. R. and Wening, J. V. and Möller, H. C. and Puschel, K. and Jungbluth, K. H.",
volume="23",
number="3",
pages="105-113",
abstract="So far, psychiatric-psychoanalytic theories have been able to explain the phenomenon &quot;self-injury&quot; 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.<p /><p>Language: de</p>",
language="de",
issn="0340-2649",
doi="",
url="http://dx.doi.org/"
}