Genital self-mutilation or similar suicide in a schizophrenic, the second attempt was dramatic

Genital auto-mutilation is a urological emergency rarely encountered in practice. It constitutes a drama by its manner of occurrence and clinical presentation. In case of heavy bleeding, a state of hemorrhagic shock may occur and require resuscitation. the treatment is based on surgery and psychiatric advice. a regular follow-up with an attentive intention is needed to avoid the recurrency. We are reporting a 29-year-old patient followed for schizophrenia with poor compliance who is attempting genital auto-mutilation for the second time. The first attempt resulted in shallow wounds, but the second attempt was dramatic: it resulted in genital amputation.