So I asked him what happened....I wasn't expecting the response I got.
Mr. Blue Balls: "I tried to freeze my penis off 2 days ago by leaving ice packs on it."
Me: "Uhhh...ok. Why did you do that?"
Mr. Blue Balls: "I don't know."
So I proceeded to take a look at the damage. When he dropped his pants. I noticed his testicles were gone. His wife told me that 2 years ago he cut off his testicles HIMSELF. Never said why....always would just say I don't know. She said he was never diagnosed as psychotic or bipolar or schizophrenic. She said he was just diagnosed with being severely depressed. I've seen some really depressed people, and none of them had self mutilated their genitalia!
His penis had 2nd degree burns. It will turn out better than his nuts did. I called our psych team to come out for an eval (team of trained professionals but not physicians). I figured they would deem him a threat to himself and get him admitted to a psych center. Nope. They said he seemed genuinely regretful and set him up with outpatient counseling. Of course, he couldn't tell them why he did it either. So I was left with no choice but to discharge him.
So Psych Doc....what's your interpretation? How much denial is this family in? Should he have been committed?