Abstract Male genital self mutilation (GSM) has traditionally been thought to take place primarily in the setting of acute psychosis, however, recent research has suggested a greater prevalence of non-psychotic patients performing GSM for reasons such as reduction of libido, body dysmorphia, and fantasy. We present a unique case in which a 52 year old male seeking castration met an individual in an online chat room for eunuchs and arranged for him to perform the procedure, resulting in his hospitalization. He closely matches a demographic of individuals previously surveyed in the Eunuch Archives forum and exemplifies the significant risks they face when attempting genital self-mutilation. Their medical histories suggest a significant period of time prior to a GSM attempt during which medical professionals may be able to intervene and provide appropriate care.

中文翻译：

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雇佣阉割：第三方应患者要求进行的生殖器自残

摘要 男性生殖器自残 (GSM) 传统上被认为主要发生在急性精神病的情况下，然而，最近的研究表明，由于性欲降低、身体畸形、和幻想。我们展示了一个独特的案例，一名 52 岁的男性寻求阉割在太监的在线聊天室遇到了一个人，并安排他进行手术，导致他住院。他与之前在 Eunuch Archives 论坛中接受调查的人群密切匹配，并举例说明了他们在尝试生殖器自残时面临的重大风险。