CONCLUSIONS: These data suggest relatively high rates of borderline personality disorder in people with BFRBs, in turn linked to more severe psychopathology and elevated lifetime suicide attempt risk. Perhaps the comorbidity with borderline personality disorder reflects a possible subtype of these behaviors that is more impulsive and may necessitate different treatment approaches.

CONCLUSION: Psychosocial stressors, trichotillomania, and trichophagia often go unnoticed in teenagers resulting in drastic consequences. A multidisciplinary approach is required to diagnose and manage gastrointestinal obstruction secondary to Rapunzel Syndrome.

Background: Rapunzel syndrome is a rare and severe form of trichobezoar, characterized by the presence of hair masses in the stomach that often extend into the bowel, resembling the legendary "Rapunzel's" long hair. Methods: This review examines the clinical, diagnostic, forensic, and post-mortem aspects associated with Rapunzel syndrome, with a focus on cases resulting in mortality or those at high risk of death due to complications. In particular, the review systematically analyzes the...

Trichotillomania is a disorder of chronic hair pulling classified as an impulse control disorder that causes essential stress and leads to difficulties in functionality and severe alopecia. This is the case of a 43-year-old male without a serious medical history who was hospitalized with a large ulcerated plaque with smooth margins covering almost the entire occipital area. He received antibiotic and antidepressant treatment, after which he appeared to be improving. Psychotherapy with behavioral...