{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:12:39Z","timestamp":1777432359509,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,9,23]],"date-time":"2015-09-23T00:00:00Z","timestamp":1442966400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To detail a diagnostic dilemma of intentional hand amputation in a man with a history of substance misuse and associated psychosis, depression and traumatic brain injury and to highlight issues in joint psychiatric and surgical management of such a complex patient in a general hospital setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Deliberate limb self-amputation is a rare event with the majority of reported cases occurring during an episode of psychosis. This case illustrates the diagnostic utility of the literature supporting that a person who has self-inflicted amputation of a limb should be treated as psychotic until proven otherwise. The presence of a traumatic brain injury, with associated cognitive and psychosocial sequelae, affected diagnosis and management. Early and ongoing involvement of consultation-liaison psychiatry collaborating with a multidisciplinary general hospital team may improve mental and physical health outcomes for such patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1039856215604479","type":"journal-article","created":{"date-parts":[[2015,9,23]],"date-time":"2015-09-23T21:32:55Z","timestamp":1443043975000},"page":"173-175","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Self-amputation of the hand: issues in diagnosis and general hospital management"],"prefix":"10.1177","volume":"24","author":[{"given":"Alison","family":"Crawford","sequence":"first","affiliation":[{"name":"Trainee in Psychiatry, South Eastern Sydney Local Health District, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne PF","family":"Wand","sequence":"additional","affiliation":[{"name":"Staff Specialist Psychiatrist, Consultation-Liaison Psychiatry and Conjoint Senior Lecturer, South Eastern Sydney Local Health District, NSW, and; Faculty of Medicine, University of New South Wales, Kensington, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle A","family":"Smith","sequence":"additional","affiliation":[{"name":"Staff Specialist Psychiatrist, Consultation-Liaison Psychiatry and Conjoint Lecturer, South Eastern Sydney Local Health District, NSW, and; Faculty of Medicine, University of New South Wales, Kensington, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,9,23]]},"reference":[{"key":"bibr1-1039856215604479","first-page":"1012","volume":"35","author":"Large M","year":"2009","journal-title":"Psychiatr Bull"},{"key":"bibr2-1039856215604479","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v59n1207"},{"key":"bibr3-1039856215604479","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2006.05.022"},{"key":"bibr4-1039856215604479","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2004.12.003"},{"key":"bibr5-1039856215604479","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(09)70867-9"},{"key":"bibr6-1039856215604479","doi-asserted-by":"publisher","DOI":"10.1097\/00000433-198803000-00018"},{"key":"bibr7-1039856215604479","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.135.11.1406"},{"key":"bibr8-1039856215604479","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(83)90039-7"},{"key":"bibr9-1039856215604479","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.138.8.1086"},{"key":"bibr10-1039856215604479","doi-asserted-by":"publisher","DOI":"10.1080\/02699050701785542"},{"key":"bibr11-1039856215604479","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.71.4.436"},{"key":"bibr12-1039856215604479","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198302000-00014"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1039856215604479","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1039856215604479","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1039856215604479","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:48:03Z","timestamp":1777376883000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1039856215604479"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,23]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1177\/1039856215604479"],"URL":"https:\/\/doi.org\/10.1177\/1039856215604479","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,23]]}}}