Abstract

Schizophrenia is a psychiatric disorder and self harm is considered to be a rarepresentation of it. Lack of early intervention is mostly suggestive of leading to it. We herebypresent a case of a elderly male with chronic schizophrenia who came to our ER with thecomplains of self assault one day prior to admission, odd behavior, somatic delusions since 8days, self laughter and self talking since the last 25 years. Being a previously diagnosed caseof schizophrenia, he was non complaint with his previous medications, which worsened hiscondition and led to the patient stabbing himself multiple times after being convinced that therewere snakes in his abdomen. The patient was treated with antipsychotics and benzodiazepines,his family was given psycho education and after being stable for a few weeks, he was laterdischarged and asked to follow up regularly in our OPD.

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