Self-mutilation attempts are common in psychiatric practice. One
form of self-harm, genital self-mutilation (GSM), is less common
but may have severe consequences. GSM acts can occur in different
diagnoses such as personality disorders, substance abuse disorders,
obsessive-compulsive disorders, and psychotic disorders. When GSM
is performed due to psychotic symptoms, the clinical picture is called
Klingsor Syndrome. GSM is often associated with severe psychosis
and often accompanied by religious delusions. In our article, we
discussed a case of schizophrenia with penile autoamputation due to
religious delusions. A 28-year-old male patient was admitted to our
hospital after penile autoamputation. After surgical interventions, the
patient’s follow-up continued in our clinic. The patient had auditory
hallucinations, delusions of persecution, and sinfulness. His symptoms
improved after antipsychotic treatment. It is important to identify the
risk factors of Klingsor Syndrome, which is a rare but serious condition,
and to intervene early in these patients.
Keywords: Self-mutilation, Psychosis, Self-injurious Behavior