Key result
Psychiatric evaluation of 3 patients who surreptitiously ingested anticoagulants revealed neurotic symptoms, hysterical and masochistic traits, and backgrounds of physical and sexual trauma.
Case Report (n=4)
Surreptitious ingestion of anticoagulants to induce bleeding is associated with specific psychiatric traits and traumatic backgrounds, suggesting a role for psychiatric therapy in management.
Alerts clinicians to psychiatric evaluation in unexplained anticoagulant bleeding; leaves open whether trauma-informed therapy improves outcomes.
Psychiatric studies of three patients who had surreptitiously ingested anticoagulant drugs are contrasted with those of a patient who had taken bishydroxycoumarin (Dicumarol®) in error. The three patients had a variety of neurotic symptoms and displayed hysterical and masochistic character traits. Their backgrounds were strikingly similar, replete with physical beatings and sexual traumas. The data suggest that the attempt to induce bleeding by the ingestion of drugs was determined by a variety of life experiences and internal conflicts and that appropriate psychiatric therapy may be helpful in the management of this disorder.
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David P. Agle (1970) conducted a case report in Surreptitious ingestion of anticoagulant drugs (n=4). Surreptitious ingestion of anticoagulant drugs vs. Accidental ingestion of anticoagulant drugs was evaluated on Psychiatric characteristics and background. Psychiatric evaluation of 3 patients who surreptitiously ingested anticoagulants revealed neurotic symptoms, hysterical and masochistic traits, and backgrounds of physical and sexual trauma.
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