This is an excellent Clinical Problems in Consultation Psychiatry (CPCP) presentation by resident physicians Drs. Amber Johnson, MD (2011 winner of the Creighton University Dr. Frank Menolascino Department of Psychiatry Award, Creighton
University :: Medical School: Graduation Awards) and Nicole Gastala, MD, (she and her husband were very excited about coming to Iowa, Most U.S. medical seniors land residency spots on Match Day – amednews.com). Deliberate foreign body ingestion is often an impulsive nonsuicidal self harm behavior that can be driven by several motives from getting out of jail to filling a void inside to managing rage and more. Patients sometimes tell me they are painfully aware they could accidentally kill themselves and they wish they could stop. Always the challenge is to reach them somehow.
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Huang, B.L., et al., Intentional swallowing of foreign bodies is a recurrent and costly problem that rarely causes endoscopy complications. Clin Gastroenterol Hepatol, 2010. 8(11): p. 941-6.
Gitlin, D. F., J. P. Caplan, et al. (2007). “Foreign-body ingestion in patients with personality disorders.” Psychosomatics 48(2): 162-166.