Abstract
Obsessive-compulsive disorder (OCD) is a distressing and often debilitating disorder characterized by obsessions, compulsions, or both that are time-consuming and cause impairment in social, occupational, or other areas of functioning. There are many published studies reporting higher risk of suicidality in OCD patients, as well as studies describing increased risk of suicidality in OCD patients with other comorbid psychiatric conditions such as major depressive disorder (MDD) and posttraumatic stress disorder (PTSD). Existing case reports on OCD with suicide as the obsessive component describe patients with long standing diagnosis of OCD with suicidal ideations or previous suicide attempts. This report describes the case of a 28-year-old male, who works as a first responder, who presented with new onset symptoms characteristic of MDD and PTSD, with no past history of OCD or suicidality who developed OCD with suicidal obsessions. Differentiating between suicidal ideation in the context of other psychiatric illnesses and suicidal obsessions in OCD is critical to ensuring accurate diagnosis and timely provision of most appropriate treatment. The combination of exposure and response prevention therapy and pharmacotherapy with sert...Continue Reading
References
Jul 13, 2004·Clinical Psychology Review·Dean McKaySabine Wilhelm
Aug 3, 2006·Journal of Consulting and Clinical Psychology·Sona DimidjianNeil S Jacobson
Jul 3, 2007·CNS Spectrums·Alzbeta Juven WetzlerJoseph Zohar
Dec 7, 2007·The Journal of Clinical Psychiatry·Prakash KamathThennarasu Kandavel
Jan 12, 2010·Journal of Affective Disorders·P AlonsoJ M Menchón
Jan 29, 2011·The Journal of Clinical Psychiatry·Albina R TorresEuripedes C Miguel
Jan 11, 2012·Journal of Anxiety Disorders·Leonardo F FontenelleAlbina R Torres
Aug 1, 2012·Schizophrenia Research·Jordan E DeVylderCheryl M Corcoran
Aug 29, 2014·F1000prime Reports·Phillip J Seibell, Eric Hollander
Dec 3, 2014·Asian Journal of Psychiatry·Gourav GuptaShubh Mohan Singh
Apr 16, 2015·Clinical Psychology Review·Ioannis AngelakisMaria Panagioti
Jul 20, 2016·Molecular Psychiatry·L Fernández de la CruzD Mataix-Cols
Sep 9, 2016·European Psychiatry : the Journal of the Association of European Psychiatrists·P VellosoM C do Rosário
Sep 24, 2016·Cognitive Behaviour Therapy·Terence H W ChingJedidiah Siev
Citations
Aug 5, 2020·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Nicole S SmithDaniel W Capron
Sep 22, 2020·Curēus·Noha EskanderFarah Khan
Apr 22, 2021·Clinical Psychology & Psychotherapy·Vahid KhosravaniGordon J G Asmundson