自伤、内化状态的人格化及与身份相关的痛苦：一名具有自闭症特征年轻患者的分析案例报告

Background: Self-injury and suicidal thinking can co-occur with autistic characteristics, affective symptoms and difficulties identifying emotional states, but these phenomena require individual assessment rather than a unitary causal explanation. Case Presentation: A young female patient receiving inpatient psychiatric care in Goiânia, Brazil, during September 2026 described recurrent distress following ambiguous interpersonal exchanges, rumination, impaired self-care, suicidal ideation and self-injury associated with tension relief, self-punishment and identity-related expression. She develo