Self inflicted upper limb injuries in a tertiary care rural Plastic Surgery unit - A psychiatric evaluation


  • Joice Geo Associate Professor in Psychiatry, Pushpagiri Medical College, Thiruvalla, Kerala 
  • Cyril Joseph Associate Professor and HOD in Plastic and Reconstructive Surgery, Pushpagiri Medical College, Thiruvalla
  • Chintu Sabu George ssistant Professor in Plastic Surgery, Pushpagiri Medical College, Thiruvalla, Kerala
  • Roy Abraham Kallivayalil Professor and HOD in Psychiatry, Pushpagiri Medical College, Thiruvalla, Kerala



self inflicted injuries, plastic surgery, psychiatric co-morbidity


Background: Deliberate self-harm patients (DSH) with upper limb injuries are commonly admitted in the plastic surgery units. Psychiatric comorbidities are risk factors for these patients with self-inflicted injuries. A multidisciplinary team approach is needed.

Methods: Patients who presented with self-inflicted upper limb injuries in the plastic surgery department were referred for psychiatric liaison services. Socio-demographic data, mode of injury, plastic surgical procedures, and psychiatry diagnosis were noted.

Results and discussion: Out of 48 patients, 20 (41.6%) belong to the 21-30 age group, 30 (62.5%) were males. 43 (89.6%) patients needed major plastic surgery procedures. The major psychiatric comorbidities were depressive disorder (27.1%), adjustment disorder (16.6%), alcohol dependence syndrome (14.6%), and bipolar mood disorder (12.5%). High psychiatric morbidity among self-inflicted hand injuries suggests the need for a multidisciplinary approach and long term follow-up.

Conclusion: Psychiatric liaison services are important in the treatment of self-inflicted upper limb injuries.


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How to Cite

Geo, J., Joseph, C., George, C. S., & Kallivayalil, R. A. (2020). Self inflicted upper limb injuries in a tertiary care rural Plastic Surgery unit - A psychiatric evaluation. Kerala Journal of Psychiatry, 33(2), 121–124.



Research Report