Suicide attempts and suicidal ideation in patients with obsessive-compulsive disorder: A systematic review and meta-analysis

Introduction: There is controversy on the magnitude of suicide risk in OCD and on the psychopathological features that raise the risk. This systematic review and meta-analysis aims to estimate the pooled prevalence of suicide attempts and suicidal ideation (current/lifetime) in subjects with OCD and identify sociodemographic and clinical factors associated with greater risk. Methods: We conducted a […]

Impulsivity, hostility and suicidality in patients diagnosed with obsessive compulsive disorder

Background: There are limited data on suicidal behaviour in obsessive-compulsive disorder (OCD). This study aimed to evaluate several aspects affecting suicidality in OCD patients and determine whether impulsivity or hostility are associated with suicide attempts in this vulnerable group. Methods: Eighty-one patients with OCD were assessed by structured clinical interview for DSM-IV (SCID I), Yale-Brown Obsessive–Compulsive Scale […]

Which factors may differentiate lifetime suicide attempters from ideators in obsessive-compulsive disorder patients?

Background: The causes underlying suicidal behaviour in patients with obsessive-compulsive (OCD) are not fully understood. Aim: In this study, we examined whether lifetime suicide attempt (SA), and suicide ideation (SI) was associated with affective temperaments, impulsivity, childhood traumatic events or separation anxiety. Methods: We compared OCD patients with lifetime SA (Group 1; n=25), lifetime suicide ideation (SI) (Group 2; n=62), and without […]

Suicide in obsessive-compulsive disorder: A population-based study of 36788 Swedish patients.

The risk of death by suicide in individuals with obsessiveÐcompulsive disorder (OCD) is largely unknown. Previous studies have been small and methodologically flawed. We analyzed data from the Swedish national registers to estimate the risk of suicide in OCD and identify the risk and protective factors associated with suicidal behavior in this group. We used […]

This is how it feels: A memoir. Attempting suicide and finding life.

At twenty-years-old, Craig Miller attempted to end his own life. He sat on the edge of a rented bed and swallowed two hundred and fifty pills. He lay back and closed his eyes, never imagining that a note he wrote to himself fourteen years earlier would be what would save his life. That note, written […]

The crazy game: How I survived the crease and beyond.

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Obsessive compulsive symptoms in individuals at clinical risk for psychosis: Association with depressive symptoms and suicidal ideation.

ObsessiveÐcompulsive symptoms, particularly aggressive obsessions, are prevalent in schizophrenia patients and associated with other symptom severity, suicidal ideation and functional impairment. In a psychosis-risk cohort, obsessiveÐcompulsive diagnosis and symptoms were assessed in terms of prevalence and content, and for associations with clinical measures. ObsessiveÐcompulsive symptoms were prevalent in the CHR cohort, as was suicidal ideation. […]

Impulsivity and serotonergic function in compulsive personality disorder.

This study compared serotonergic function, as assessed by prolactin response to fenfluramine, in males with compulsive personality disorder, males with noncompulsive personality disorders, and normal control subjects. The two patient groups did not differ in age, depression status, suicide history, or comorbid borderline personality disorder. However, compulsive personality disorder patients had significantly greater impulsive aggressive […]

Perfectionism and peer relations among children with obsessive-compulsive disorder.

The study examined perfectionism, symptoms of obsessive-compulsive disorder (OCD) and depression, and peer relationships among a clinical sample of 31 youth (age␣range 7Ð18 years) diagnosed with OCD. Using a correlational design, perfectionistic beliefs accounted for significant variance in OCD symptoms, depressive symptoms, and difficulties in peer relationships for children with OCD. One dimension of perfectionism, […]

Is OCD at Risk for Suicide? A Case-Control Study

The authors hypothesize obsessive-compulsive disorder carries a low risk for suicide, that suicide ideation & lifetime attempts in this disorder are due to comorbid major depressive episodes, & that patients with major depressive episodes carry the same suicidal risk as obsessive-compulsive/major depressive episode patients. 58 patients with obsessive-compulsive disorder were compared with 58 patients with […]

Suicidal Ideation in Patients With Obsessive-Compulsive Disorder

The demographic & clinical correlates of current suicide ideation were examined in 44 Turkish patients with obsessive-compulsive disorder. Following Bonferroni correction, only the severity of depression differed significantly between patients with & patients without current suicide ideation. The presence of major depression, aggressive obsessions, the level of hopelessness, & the severity of obsessive-compulsive symptomatology were […]

Suicidality and Women: Obsession and the use of the Body(IN: Relating to Self-Harm and Suicide. Psychoanalytic Perspectives on Practice, Theory and Prevention, ed. by S Briggs, A Lemma and W Crouch)

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Neurosurgery for Mental Disorder

The authors review contemporary indications for neurosurgical interventions in the management of chronic & refractory mental disorder, the procedures involved, their efficacy, & known adverse effects, including suicide. It is noted most of the patients undergoing neurosurgery for mental disorder have had chronic severe illness, often with a history of suicide attempts. 4 studies in […]

Self-Injurious Behavior and Eating Disorders: the Extent and Nature of the Association

We have reviewed the literature on the association between self-injurious behaviors (SIB) and eating disorders from the psychological-behavioral perspective. Our aims were to investigate the extent and possible reasons for the association. A literature search was conducted using the following electronic databases (1989–2005): Medline, PsychInfo and EMBASE. References in identified articles were also screened. The […]

Celebrity Stalking, Homicide, and Suicide: a Psychological Autopsy

The case of an obsessed fan who attempted to kill a rock star & then completed suicide is presented. By analyzing his detailed diary, both insight into the motivational dynamics of this type of stalker & delineation of several warning signs, which help differentiate an enthusiastic fan from one who harbours a potentially dangerous obsession, […]

Suicide Ideation Versus Suicidal Obsession: a Case Report

ABSTRACTThis case report illustrates the relationship between stress and obsessive-compulsive disorder (OCD) by describing an unusual case of OCD sequelae following a suicide attempt. The patient is a 29-year-old married woman who suffered a major depressive episode without OCD and tried to commit suicide by drinking household cleaner. Following the attempt, violent obsessive thoughts of […]

Clinical Respose and Risk for Reported Suicidal Ideation and Suicide Attempts in Pediatric Antidepressant Treatment: a Meta-Analysis of Randomized Controlled Trials

Context The US Food and Drug Administration (FDA) has issued warnings that use of antidepressant medications poses a small but significantly increased risk of suicidal ideation/suicide attempt for children and adolescents. Objective To assess the efficacy and risk of reported suicidal ideation/suicide attempt of antidepressants for treatment of pediatric major depressive disorder (MDD), obsessive-compulsive disorder (OCD), and […]

Detection and Management of Comorbidity in Patients With Schizophrenia

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Obsessive-compulsive Disorder, Comorbid Depression, Substance Abuse, and Suicide Attempts: Clinical Presentations, Assessments, and Treatment

Negative Outcome After Neurosurgery for Refractory Obsessive-Compulsive Spectrum Disorder

The authors sought to determine the long-term outcome of 5 patients with severe & refractory obsessive-compulsive disorder spectrum following neursurgery. They found that all patients failed to maintain initial improvements after surgery & relapsed. In addition, they became depressed with suicidal ideation or attempt. (26 refs)

Restoring Hope: Treating Suicidal Patients with Severe and Persistent Mental Illness

The use of Lacanian Psychoanalysis in a Case of Fetishism

This article describes a long-term treatment approach based on a model developed by French psychoanalyst Jacques Lacan (1901-1981). It provides a first formulation (after about 4 years) of an ongoing case, which has been conducted exclusively by telephone. The myriad significations of a particular fetish object are drawn out & tied to the participant’s history, […]

The Psychopathology of Anancastic Endogenous Depression

In order to find factors which could be used to distinguish affective psychoeses with anancastic symptoms from affective psychoses without these traits, this study matched 104 manic-depressive patients with anancastic symptoms to 104 non-anancastic probands with affective psychoses. The pattern of the anancastic symptoms was rather uniform; aggressive obsessions, mostly in the form of suicidal […]