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Drs Unruh and Nejad and Mr Stern report no financial or other affiliations relevant to the subject of this article. Patients with recurrent self-injurious insertions serving an emotional regulatory function may be assisted in establishing initial contact with treatment teams that specialize in behavioral treatment of recurrent self-harm. Rationale for Psychiatric Consultation At present there is no consensus about when psychiatric consultation should be sought or what it should involve for the management of patients admitted for foreign object insertion. Korean J Intern Med. Review initial and all subsequent iterations of the insertion behavior. An impacted clamshell in the duodenum mistaken for a gall stone. J Nerv Ment Dis.

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