Article2007

Prevalence and Associated Factors for Suicidal Ideation and Behaviors in Obsessive-Compulsive Disorder

Albina Rodrigues Torres · Ana Teresa de Abreu Ramos‐Cerqueira · Ricardo Cezar Torresan · Mariana de Souza Domingues · Ana Carolina R. Hercos · Aron Barbosa Caixeta Guimaraes

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Obsessive-Compulsive Spectrum Disorders Psychoanalysis and Psychopathology Research Suicide and Self-Harm Studies

Abstract

INTRODUCTION: Patients with obsessive-compulsive disorder (OCD) have historically been considered at low risk for suicide, but recent studies are controversial. OBJECTIVE: To study the prevalence of suicidal thoughts and attempts in OCD patients and to compare those with and without suicidality according to demographic and clinical variables. METHODS: Fifty outpatients with primary OCD (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) from a Brazilian public university were evaluated. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was used to assess OCD severity, the Beck Depression Inventory to evaluate depressive symptoms and the Alcohol Use Disorders Identification Test to assess alcohol problems. RESULTS: All patients had obsessions and compulsions, 64% a chronic fluctuating course and 62% a minimum Y-BOCS score of 16. Half of the patients presented relevant depressive symptoms, but only three had a history of alcohol problems. Seventy percent reported having already thought that life was not worth living, 56% had wished to be dead, 46% had suicidal ideation, 20% had made suicidal plans, and 10% had already attempted suicide. Current suicidal ideation occurred in 14% of the sample and was significantly associated with a Y-BOCS score >16. Previous suicidal thoughts were associated with a Beck Depression Inventory score >19. CONCLUSION: Suicidality has been underestimated in OCD and should be investigated in every patient, so that appropriate preventive measures can be taken.

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References

1961An Inventory for Measuring Depression 1989The Yale-Brown Obsessive Compulsive Scale 1989The Yale-Brown Obsessive Compulsive Scale 1992The Epidemiology and Clinical Features of Obsessive Compulsive Disorder 2005Anxiety Disorders and Risk for Suicidal Ideation and Suicide Attempts 1994The Cross National Epidemiology of obsessive-compulsive disorder 2006Obsessive-Compulsive Disorder: Prevalence, Comorbidity, Impact, and Help-Seeking in the British National Psychiatric Morbidity Survey of 2000 1996Quality of life for patients with obsessive-compulsive disorder

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