Abstract:
:Self-embedding behavior (SEB) is the repeated insertion of sharp objects, such as needles or pins, into the soft tissues of abdomen, limbs, and other body parts. In this study, two cases of SEB were reported and the scientific worldwide literature reviewed. Thirty-two cases of SEB were identified through systematic searches in the main bibliographic databases. Mean age was 35 years (SD = 8.97). Just over two-thirds of the patients were female. Although the number of embedded objects could be as high as 200, major clinical and surgical complications were uncommon and mortality was null. Patients with SEB presented three major diagnoses: psychotic (25%), personality (21.9%), and factitious (28.1%) disorders. The practice of SEB largely went undetected as the patients themselves did not bring it to the attention of family members or physicians and usually denied they have engaged in SEB. A high level of suspicion is required to avoid a missed diagnosis.
journal_name
J Forensic Scijournal_title
Journal of forensic sciencesauthors
Mannarino VS,Pereira DCS,Gurgel WS,Costa CBF,Valença AM,Fontenelle LF,Mendlowicz MVdoi
10.1111/1556-4029.13359subject
Has Abstractpub_date
2017-07-01 00:00:00pages
953-961issue
4eissn
0022-1198issn
1556-4029journal_volume
62pub_type
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