Case study: A patient with severe delusions who self-mutilates

Although some overlapping features exist between self-injury and intention to die, there is \ngrowing recognition that non-suicidal self-injury (NSSI), including major self-mutilation (MSM), \nand suicidal behaviour are distinct entities as evidenced by their significance in terms of aetiology, \npsychiatric impairment, psychological function, method of self-harm and course or outcome \nbetween the two phenomena.1 \nWe present a case of self-harm in a mental healthcare user diagnosed with schizophrenia to \nhighlight the distinction made above.