The effect of therapeutic phlebotomy for hemochromatosis on non-suicidal self-injury: A case report
The International Journal of Psychiatry in Medicine
Benjamin JC Newham, Rahul Khanna
First Published July 30, 2018 Research Article https://doi.org/10.1177/0091217418791451

Abstract
Background
Self-phlebotomy has been described as a form of non-suicidal self-injury. However, a relationship between non-suicidal self-injury and therapeutic phlebotomy for hemochromatosis has not previously been described.

Case presentation: We present a case of a 52-year-old man in whom the frequency of his therapeutic phlebotomy and non-suicidal self-injury were inversely linked, leading to adverse outcomes when his phlebotomy was suspended.

Conclusions
This is the first report describing the relationship between non-suicidal self-injury and therapeutic phlebotomy. This case highlights the need for risk assessment and monitoring of self-harm in patients who are undergoing therapeutic phlebotomy in order
to prevent adverse outcomes.

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