Genital self-mutilation is mostly seen among psychotic, affective and gender identity disorder(s). We present here a rare case report of such genital self-mutilation in a person with a hypochondriacal delusion of infection with HIV precipitated by erroneous and anxiety-provoking miscommunication during HIV testing. Such cases remind us of the need for systematic and appropriate pre-test and post-test HIV counseling, to help prevent such outcomes.
MagoV. Male genital self-mutilation. Indian J Psychiatry2011; 53: 168–169.
2.
MartinTGattazWF. Psychiatric aspects of male genital self-mutilation. Psychopathology1991; 24: 170–178.
3.
GalaCPergamiACatalanJ. Risk of deliberate self-harm and factors associated with suicidal behaviour among asymptomatic individuals with human immunodeficiency virus infection. Acta Psychiatr Scand1992; 86: 70–75.
4.
SchweitzerI. Genital self-amputation and the Klingsors syndrome. Aust NZ J Psychiatry1990; 24: 566–569.
5.
GreilsheimerHGrovesJE. Male genital self-mutilation. Arch Gen Psychiatry1979; 36: 441–441.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed. Arlington, VA: American Psychiatric Association, 2000.
8.
MeursingKSibindiF. HIV counseling – a luxury or necessity?Health Policy Plan2000; 15: 17–23.
