Self-mutilation is described as the: “deliberate destruction or alteration of body tissue, without conscious suicidal intent”, it has been performed by individuals throughout history. Genital self-mutilation has been a religious practice since ancient roman times.

Self-mutilation can interest all organs especially: genital, hands and eyes, this form was described as a mystic delirium in schizophrenia.

We report five cases of self-mutilation diagnosed at patients to the psychiatric Academic Service in Marrakech on a period of 2 years.

The first is 51 years old without a psychiatric history, admitted with agitation and self-mutilation : he has bitten it's thumb; he was diagnostigued as schizophrenic.

The second one is 21 years old, schizophrenic following treatment since two years, he has injured its penis by a razor blade.

The third one is 60 years old, he has a complete section of its penis, admitted in a delirious depression.

The fourth one is 27 years old, known schizophrenic since 2 years he has pulling out 2 teeth (incisors) and biting its lips.

The fifth one is 27 years old, known schizophrenic since 10 years, he tried to remove his testes tearing his scrotal envellop during his hospitalization.

In the literature we have found several case reports: Self-inflicted stab wound of abdomen with spoon, Self-mutilation ear, Self-inflicted orodental injury, bilateral self-nucleation of eyes.