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Related Experiment Videos

Suicidal behavior in obsessive-compulsive disorder.

Prakash Kamath1, Y C Janardhan Reddy, Thennarasu Kandavel

  • 1National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.

The Journal of Clinical Psychiatry
|December 7, 2007
PubMed
Summary
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Obsessive-compulsive disorder (OCD) is linked to high suicidal behavior rates. Depression and hopelessness are key factors, necessitating thorough suicide risk assessment and depression treatment in OCD patients.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Limited data exists on suicidal behavior in obsessive-compulsive disorder (OCD).
  • Understanding suicidal behavior correlates in OCD is crucial for effective intervention.

Purpose of the Study:

  • To examine suicidal behavior and its clinical correlates in individuals with OCD.
  • To identify predictors of suicidal ideation and suicide attempts in OCD patients.

Main Methods:

  • A study of 100 consecutive DSM-IV OCD subjects in India.
  • Utilized structured interviews, Scale for Suicide Ideation, Hamilton Rating Scale for Depression (HAM-D), and Beck Hopelessness Scale (BHS).
  • Employed binary logistic regression and structural equation modeling for analysis.

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Main Results:

  • High rates of suicidal ideation (59% worst ever, 28% current) and suicide attempts (27%) were observed.
  • Past suicide attempt predicted worst ever suicidal ideation (89% prediction).
  • Major depression, HAM-D score, BHS score, and history of attempt significantly predicted suicidal ideation.

Conclusions:

  • OCD is associated with a significant risk of suicidal behavior.
  • Depression and hopelessness are major correlates of suicidal behavior in OCD.
  • Detailed suicide risk assessment and aggressive depression treatment are vital for OCD patients.