Suicidal Ideations in Patients With Obsessive-Compulsive Disorder

Background: There are many controversies about the frequency and burden of suicidality in patients with Obsessive-Compulsive Disorder (OCD). Objectives: This study was done to determine the prevalence and risk factors of current suicidal ideations in patients with OCD. Materials & Methods: In this cross-sectional study, ۲۵۸ outpatients with OCD (Yale-Brawn Obsessive Compulsive Scale, Y-BOCS ≥۱۶) referring to two psychiatry clinics in Guilan, Iran, from March ۲۰۱۸ to September ۲۰۱۹ were evaluated. Suicidality score of the Brief Psychiatric Rating Scale (BPRS) ≥۴ was considered for current suicidal ideation at the first visit. Beck Scale for Suicidal Ideation (BSSI) was used to evaluate the intensity of suicidal ideations a week before evaluation. Simple linear and binary logistic regression analyses were used to analyze data by SPSS v. ۲۰. Results: Current suicidal ideation was found in ۲۲.۱% of patients. The previous history of suicide attempt (BPRS, P<۰.۰۰۰۱ and BSSI, P<۰.۰۰۰۱), a history of OCD in first-degree relatives (BPRS: P=۰.۰۰۴ and BSSI: P=۰.۰۱۰), a history of suicide attempts in first-degree relatives (BPRS: P=۰.۰۱۳ and BSSI: P<۰.۰۰۰۱), comorbid diagnosis of depressive or body dysmorphic disorder (BPRS, P<۰.۰۰۰۱ and BSSI, P<۰.۰۰۰۱), and higher Y-BOCS score (BPRS: P=۰.۰۴۳ and BSSI: P<۰.۰۰۰۱) were associated with a higher risk of having suicidal ideation. Conclusion: Suicidal thoughts are high in Iranian patients with OCD at their first visit to psychiatry clinics. The previous suicide history, positive history of OCD and suicide attempts in their first-degree relatives, the severity of OCD, and some comorbid psychological disorders are associated with a higher risk of suicidal ideation among OCD patients. 

Keywords:

Obsessive-Compulsive Disorder , Suicidal Ideation , Suicide , Risk factors