{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T07:29:22Z","timestamp":1776238162549,"version":"3.50.1"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>This report describes the case of a 31-year-old male lumberjack with severe self-inflicted injuries, including the amputation of both auricles and the penis, under the influence of cannabinoids, mitragynine, and 7-hydroxymitragynine. Emergency surgery was performed, and psychiatric evaluation revealed substance-induced psychosis. The patient\u2019s motivation for reconstructive penile surgery led to abstinence from the substance use and cooperation with treatment. Five months after hospitalization, successful penile reconstruction was completed. The patient remained abstinent and was engaged in regular psychiatric follow-ups, showing no signs of acute psychopathology. This case underscores the importance of using a multidisciplinary approach to manage severe self-harm behaviors, and highlights the critical role of patient motivation in achieving positive outcomes.<\/jats:p>","DOI":"10.3389\/fpsyt.2025.1479863","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T07:52:38Z","timestamp":1742284358000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Case Report: Cannabis and kratom-induced self-amputation of ears and penis"],"prefix":"10.3389","volume":"16","author":[{"given":"Marek","family":"Broul","sequence":"first","affiliation":[]},{"given":"Xenia","family":"Rudenko","sequence":"additional","affiliation":[]},{"given":"Adam","family":"Bajus","sequence":"additional","affiliation":[]},{"given":"Ji\u0159\u00ed","family":"Kr\u00e1l","sequence":"additional","affiliation":[]},{"given":"Dan Mwemena","family":"Kyenge","sequence":"additional","affiliation":[]},{"given":"Zdenka","family":"Sta\u0148kov\u00e1","sequence":"additional","affiliation":[]},{"given":"Jakub","family":"Albrecht","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1979.01780040083009","article-title":"Male genital self-mutilation","volume":"36","author":"Greilsheimer","year":"1979","journal-title":"Arch Gen Psychiatry"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-996311","article-title":"Genital self-injury behavior\u2013phenomenologic and differential diagnosis considerations from the psychiatric viewpoint","volume":"65","author":"Becker","year":"1997","journal-title":"Fortschr Neurol Psychiatr"},{"key":"B3","doi-asserted-by":"crossref","first-page":"bcr2013201554","DOI":"10.1136\/bcr-2013-201554","article-title":"The CARE guidelines: consensus-based clinical case reporting guideline development","volume":"2013","author":"Gagnier","year":"2013","journal-title":"BMJ Case Rep"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2017.04.026","article-title":"CARE guidelines for case reports: explanation and elaboration document","author":"Riley","year":"2017","journal-title":"J Clin Epidemiol"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1007\/s00204-020-02693-7","article-title":"Designer drugs: mechanism of action and adverse effects","volume":"94","author":"Luethi","year":"2020","journal-title":"Arch Toxicol"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2012.02.023","article-title":"A case of self amputation of penis by cannabis induced psychosis","volume":"19","author":"Khan","year":"2012","journal-title":"J Forensic Leg Med"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.74.9.571","article-title":"Self-enucleation and psychosis","volume":"74","author":"Jones","year":"1990","journal-title":"Br J Ophthalmol"},{"key":"B8","article-title":"A case of radical facial self-mutilation. 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