@article{ref1,
title="Self-amputation of the hand: issues in diagnosis and general hospital management",
journal="Australasian psychiatry",
year="2015",
author="Crawford, Alison and Wand, Anne Pf and Smith, Michelle A.",
volume="24",
number="2",
pages="173-175",
abstract="OBJECTIVES: To detail a diagnostic dilemma of intentional hand amputation in a man with a history of substance misuse and associated psychosis, depression and traumatic brain injury and to highlight issues in joint psychiatric and surgical management of such a complex patient in a general hospital setting. <br><br>CONCLUSIONS: Deliberate limb self-amputation is a rare event with the majority of reported cases occurring during an episode of psychosis. This case illustrates the diagnostic utility of the literature supporting that a person who has self-inflicted amputation of a limb should be treated as psychotic until proven otherwise. The presence of a traumatic brain injury, with associated cognitive and psychosocial sequelae, affected diagnosis and management. Early and ongoing involvement of consultation-liaison psychiatry collaborating with a multidisciplinary general hospital team may improve mental and physical health outcomes for such patients.<p /> <p>Language: en</p>",
language="en",
issn="1039-8562",
doi="10.1177/1039856215604479",
url="http://dx.doi.org/10.1177/1039856215604479"
}