PDF(Pubmed)
Abstract：
Self-mutilation refers to the state in which a person deliberately hurts himself without the intention to commit suicide but with the motive of some personal gain. Four cases are described in the current study with four different personal motives - drug supply, accusation of intimate partner violence, confrontation of parental prohibition, and a way to hide and escape from a committed crime. Evaluating the injuries due to self-mutilation might be challenging due to atypical lesions and well-structured false stories when the victim has some level of competency. Careful analysis of the victim\'s story and a thorough evaluation of the sustained injuries are needed. If doubts about artificial injuries exist, immediate consultation with a forensic pathologist is required.
摘要：
自残是指一个人故意伤害自己，而无意自杀，但出于某种个人利益的动机。在当前的研究中描述了四个案例，具有四种不同的个人动机-药物供应，指控亲密伴侣暴力，父母禁令的对抗，以及一种隐藏和逃避犯罪的方法。当受害者具有一定程度的能力时，由于非典型病变和结构良好的虚假故事，评估自残造成的伤害可能具有挑战性。需要仔细分析受害者的故事，并对持续伤害进行彻底评估。如果存在对人工伤害的怀疑，需要立即咨询法医病理学家。
