Lebelo, Lesiba T.Grobler, Gerhard Paul2021-03-252021-03-252020-06Lebelo LT, Grobler GP. Case study: A patient with severe delusions who self-mutilates. South African Journal of Psychiatry 2020;26(0), a1403. https://DOI.org/10.4102/sajpsychiatry.v26i0.1403.1608-9685 (print)2078-6786 (online)10.4102/sajpsychiatry.v26i0.1403http://hdl.handle.net/2263/79092Although some overlapping features exist between self-injury and intention to die, there is growing recognition that non-suicidal self-injury (NSSI), including major self-mutilation (MSM), and suicidal behaviour are distinct entities as evidenced by their significance in terms of aetiology, psychiatric impairment, psychological function, method of self-harm and course or outcome between the two phenomena.1 We present a case of self-harm in a mental healthcare user diagnosed with schizophrenia to highlight the distinction made above.en© 2020. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.Self-injurySuicidal behaviourSchizophreniaNon-suicidal self-injury (NSSI)Article