A woman 43-year-old self-stabbed herself in a violent suicide attempt. She was admitted to the thoracic surgery unit.
She presented with three self-inflicted knife wounds which caused hemopneumothorax and pulmonary contusion. History No psychiatric or substance use disorder history On carbimazole treatment for six years for Grave’s disease Received radioiodine treatment before four months of a suicide attempt Didn’t switch her carbimazole but continued it until one week before admission Initial examinations Significant exophthalmos Cutaneous myxedema Hoarse voice and normal-sized thyroid gland without nodule Psychiatric evaluation Disoriented with incoherent speech Intermittent agitation and mild delirium No expression of suicidal ideation Did not remember stabbing herself Clearly reported harm command hallucinations Behavioral changes, sleep disorders and persecutory delusions seven…
