en گزارش مورد case report <p class="MsoNormal" style="text-indent: 12.6pt"><b><span style="font-size: 10pt color: rgb(23, 54, 93)">Background</span></b><b><span style="font-size: 10pt">:</span></b><span style="font-size: 10pt"> Non-accidental burns may not be detected unless a complete history of the accident and a detailed physical examination is obtained. Self-inflicted burns are a regular source of admission to burn units. <o:p /></span></p> <p class="MsoNormal" style="text-indent: 12.6pt"><b><span style="font-size: 10pt color: rgb(23, 54, 93)">Case presentation</span></b><b><span style="font-size: 10pt">: </span></b><span style="font-size: 10pt">An 11 year old boy with multiple localized burn injuries was brought to the emergency department of burn hospital by his mother. The lesions were in different symmetrical shapes on the posterior forearms. The grade of burn injury was 2B-3 and the injuries had happened 12 hours ago.  The mother claimed that his son decided to punish himself following frequent blame from the family because of lying thus he made knife blade and spoon hot over the stove and put them on his forearms for several times. In further history taking the mother said that his son is a case of attention deficit and hyperactivity disorder (ADHD).<o:p /></span></p> <p class="MsoNormal" style="text-indent: 12.6pt"><b><span style="font-size: 10pt color: rgb(23, 54, 93)">Conclusion</span></b><b><span style="font-size: 10pt">: </span></b><span style="font-size: 10pt">Self-immolation in psychotic children happens with different motivations, thus appropriate history taking, physical examination and psychiatric evaluation can lead us to correct diagnose and take the best decision. Children who suffer from a diagnosable mental illness can benefit from an appropriate treatment and be protected from further injuries.<o:p /></span></p> Self-immolation, Burn injuries, ADHD, Child abuse 7 9 http://ijca.iums.ac.ir/browse.php?a_code=A-10-1-2&slc_lang=en&sid=1 Shahrokh Mehrpisheh 100319475328460027 100319475328460027 No Azadeh Memarian azade.memarian@yahoo.com 100319475328460028 100319475328460028 Yes Hadi Mousakhani 100319475328460029 100319475328460029 No Kamran Aghakhani 100319475328460030 100319475328460030 No Rozita Hoseini 100319475328460031 100319475328460031 No