Abstract
BackgroundSuicidal ideations were reported in many studies among patient with obsessive-compulsive disorder (OCD); this study aimed to evaluate the prevalence and factors associated with current suicidal ideations among Egyptian patients with obsessive-compulsive disorder (OCD). A consecutive sample of 120 Egyptian OCD patients was included in the study. OCD was diagnosed using the structured clinical interview for DSM-V axis Ι disorders, clinical version (SCID-I-CV). Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was also applied to the patients. Presence of current suicidal ideations was assessed using Scale for Suicidal Ideation (SSI).ResultsTwenty eight (23.3%) of the OCD patients reported presence of current suicidal ideations, religious obsessions OR = 3.53, P = 0.009, and presence of comorbid major depressive disorder OR = 1.77, P = 0.04.ConclusionReligious obsessions and comorbid major depressive disorder were found to be significant predictors for the current suicidal ideations in patients with OCD; however, religious obsessions were the strongest predictor. Religious obsessions should be evaluated and treated to decrease the risk of suicidal thoughts in Egyptian OCD patients.
Highlights
Suicidal ideations were reported in many studies among patient with obsessive-compulsive disorder (OCD); this study aimed to evaluate the prevalence and factors associated with current suicidal ideations among Egyptian patients with obsessive-compulsive disorder (OCD)
There was a significant increase in the number of previous hospitalizations, the number of patients diagnosed with major depressive disorder, and patients with past suicidal attempts in group I compared with group II (P = < 0.001, 0.01, and 0.02 respectively)
There was a significant increase in the number of patients with religious obsessions in group I compared with group II (P = 0.03) (Tables 1 and 2)
Summary
Suicidal ideations were reported in many studies among patient with obsessive-compulsive disorder (OCD); this study aimed to evaluate the prevalence and factors associated with current suicidal ideations among Egyptian patients with obsessive-compulsive disorder (OCD). A consecutive sample of 120 Egyptian OCD patients was included in the study. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was applied to the patients. Presence of current suicidal ideations was assessed using Scale for Suicidal Ideation (SSI). Suicidal ideation was defined as any self-reported thoughts of engaging in suiciderelated behavior [3]. Suicidal behavior among patients with anxiety disorders is much higher than in the general population [4]. Studies reported significantly higher rates of suicidal behavior among patients with OCD. Kamath et al [9] reported that OCD is associated with a high risk of
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