Abstract：
Self-mutilation lesions can represent a clinical diagnosis challenge for healthcare professionals, as patients do not admit to self-mutilation. This leads to failed diagnoses due to the similarity of this condition to other diseases. Searches on the subject were carried out at the PubMed, Periódicos Capes, Scopus, Science Direct and WoS databases, according to the following inclusion criteria: articles in English, Portuguese or Spanish, published from 2018 to June 2023, encompassing case reports, case series and literature reviews. Men are slight more affected by self-mutilation injuries, also presenting the most serious lesions. Self-mutilation injuries are reported globally, mostly in the Asian and American continents. Clinical presentations are varied, but morphology is, in most cases, associated to the form/instrument used for self-mutilation. Greater evidence of diagnosed mental disorders in women and underreporting of these cases in men due to low demands for specialized treatment are noted. A higher prevalence of self-mutilation lesions was verified for men, affecting a wide age range, with the highest number of cases in the USA. The most affected body areas are arms and external genitalia, mostly due to knife use. An association between self-mutilation injuries and mental disorders is clear, with most cases being previously undiagnosed.
摘要：
自残病变可能是医疗保健专业人员的临床诊断挑战，因为患者不承认自残。由于这种情况与其他疾病的相似性，这导致诊断失败。在PubMed上对该主题进行了搜索，佩里奥迪科斯斗篷，Scopus,科学直接和WoS数据库，根据以下纳入标准：英文文章，葡萄牙语或西班牙语，2018年至2023年6月出版，包括病例报告，案例系列和文献综述。男性受自残伤的影响轻微更大，也呈现最严重的病变。据报道，全球有自残伤，主要在亚洲和美洲大陆。临床表现多种多样，但是形态学是，在大多数情况下,与用于自残的表格/工具相关。注意到更多的证据表明，由于对专门治疗的需求较低，女性被诊断为精神障碍，男性被低估了这些病例。男性的自残病变患病率较高，影响广泛的年龄范围，病例数在美国最高。受影响最大的身体区域是手臂和外生殖器，主要是由于刀的使用。自残伤害和精神障碍之间的关联是明确的，大多数病例以前都没有被诊断出来。
