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Suicidal thoughts and behaviors in adults with hoarding disorder

Dariana Gil-Hernández1, Elizabeth McCarthy1, Tatevik Avanesyan1

  • 1Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.

Comprehensive Psychiatry
|November 6, 2024
PubMed

Insights

Individuals with Hoarding Disorder (HD) show high rates of suicidal thoughts and behaviors. This study used the Columbia-Suicide Severity Rating Scale (C-SSRS) to assess these risks in a HD sample.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Research

Background:

  • Hoarding Disorder (HD) is defined by persistent difficulty discarding possessions, leading to functional impairment.
  • Existing research indicates a strong link between hoarding behaviors and suicidal ideation/behaviors.
  • However, specific data on suicidal thoughts and behaviors in individuals meeting DSM-5 criteria for HD is limited.

Purpose of the Study:

  • To investigate the prevalence of suicidal thoughts and behaviors in individuals diagnosed with Hoarding Disorder (HD).
  • To contribute empirical data on the intersection of HD and suicidality using a standardized assessment tool.

Main Methods:

  • Utilized existing data from a cohort of 99 participants diagnosed with HD according to DSM-5 criteria.
  • Suicidal thoughts and behaviors were assessed using the structured Columbia-Suicide Severity Rating Scale (C-SSRS).

Main Results:

  • Nearly half (49.5%) of participants reported passive suicidal ideation.
  • Over a quarter (26.3%) reported active suicidal ideation.
  • Lifetime suicide attempts were reported by 13% of the participants, with 11 individuals reporting overdose ideation during active suicidal ideation.

Conclusions:

  • This study represents the first examination of suicidal thoughts and behaviors in HD using the C-SSRS.
  • Findings indicate elevated rates of suicidal thoughts and behaviors in this HD sample compared to the general U.S. population.
  • Highlights the critical need for routine screening of suicidal ideation and behaviors in individuals with Hoarding Disorder.
Abstract

Keywords:
C-SSRSSuicidehoarding disordersuicidal behaviorsuicidal ideation

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