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

Nagy, Nahla E.; El-Serafi, Doha; Elrassas, Hanan; Abdeen, Mai SeifElDin; Mohamed, Duaa AbdelHafez

doi:10.1080/13651501.2020.1773503

Cited by 12 publications

(15 citation statements)

References 66 publications

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“…The most important finding in the present study was that the presence of religious obsessions was the strongest predictor for the current suicidal ideations among Egyptian Muslim patients with OCD. In Egypt, where this study was carried out, a predominantly Islamic society is governed by traditional cultural and Islamic values [29], so religious obsessions are extremely painful and stressful than other subtype obsessions in this society; this is on line with a recent Egyptian study that reported similar results [30].…”

Section: Discussionsupporting

confidence: 75%

Prevalence and risk factors of suicidal ideations among patients with obsessive-compulsive disorder in Egypt

Sehlo

Youssef

El-Gohari

2021

Middle East Curr Psychiatry

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Background 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. 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). Results Twenty 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. Conclusion Religious 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.

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Section: Discussionsupporting

confidence: 75%

Prevalence and risk factors of suicidal ideations among patients with obsessive-compulsive disorder in Egypt

Sehlo

Youssef

El-Gohari

2021

Middle East Curr Psychiatry

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“…Finally, 35.7% of patients had a history of previous attempts that is very high for a common OCD sample. However, the study sample included OCD patients with comorbid disorders (e.g., major depressive disorder, anxiety disorders and substance use disorders) and treatment‐resistant OCD, worsening suicidality (Albert et al, 2019; Angelakis et al, 2015; Nagy et al, 2020). However, the effects of these worsening factors of suicidal risk were not controlled in the current study.…”

Section: Discussionmentioning

confidence: 99%

The effect of childhood maltreatment on suicidal ideation through cognitive emotion regulation strategies and specific obsessive–compulsive symptoms in obsessive–compulsive disorder

Khamesi

Najafi

Khosravani

2021

Clin Psychology and Psychoth

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Childhood maltreatment is thought to be associated with suicidality in patients with obsessive-compulsive disorder (OCD). Although the underlying mechanism of this relationship is not clear, cognitive emotion regulation strategies (CERSs) and the specific OC symptoms including unacceptable obsessional thoughts (UOTs) and responsibility for harm (RFH) may underlie this link. Accordingly, the study aimed to assess the effect of childhood maltreatment on suicidal ideation through UOTs, RFH and adaptive and maladaptive CERSs in OCD patients. Three hundred patients meeting a DSM-5 diagnosis of OCD were selected and completed the scales measuring childhood maltreatment, OCD, suicidality and depressive symptoms. After controlling for depressive symptoms and OCD severity, childhood maltreatment was shown to affect suicidal ideation directly. Also, the indirect effect of childhood maltreatment on suicidal ideation was mediated by adaptive CERSs, UOTs and RFH.The findings show that OCD patients with a history of childhood maltreatment, less use of adaptive CERSs and the experiences of UOTs and RFH should be carefully considered regarding suicidal risk.

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“…, forced control of locks) who do not take these precautions as seriously[ 196 ], which induces anger and hostile behavior in OCD patients[ 197 ]. Patients find it harder to alleviate their anxiety when experiencing high levels of hostility, which predicts poor treatment outcomes[ 183 , 191 , 198 ]. Hostility and high levels of anxiety are linked to suicide in OCD patients; in a recent study, 27% of the OCD patients had suicidal ideation during their lifetime and 33% had attempted suicide[ 198 ].…”

Section: Aggression In Different Psychiatric Disordersmentioning

confidence: 99%

Prevalence and correlates of aggressive behavior in psychiatric inpatient populations

Girasek¹,

Nagy²,

Fekete³

et al. 2022

WJP

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Aggressive behavior in patients with psychiatric disorders is attracting increasing research interest. One reason for this is that psychiatric patients are generally considered more likely to be aggressive, which raises a related question of whether diagnoses of psychiatric disorders predict the prevalence of aggressive behavior. Predicting aggression in psychiatric wards is crucial, because aggressive behavior not only endangers the safety of both patients and staff, but it also extends the hospitalization times. Predictions of aggressive behavior also need careful attention to ensure effective treatment planning. This literature review explores the relationship between aggressive behavior and psychiatric disorders and syndromes (dementia, psychoactive substance use, acute psychotic disorder, schizophrenia, bipolar affective disorder, major depressive disorder, obsessive-compulsive disorder, personality disorders and intellectual disability). The prevalence of aggressive behavior and its underlying risk factors, such as sex, age, comorbid psychiatric disorders, socioeconomic status, and history of aggressive behavior are discussed as these are the components that mostly contribute to the increased risk of aggressive behavior. Measurement tools commonly used to predict and detect aggressive behavior and to differentiate between different forms of aggressive behavior in both research and clinical practice are also reviewed. Successful aggression prevention programs can be developed based on the current findings of the correlates of aggressive behavior in psychiatric patients.

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

Cited by 12 publications

References 66 publications

Prevalence and risk factors of suicidal ideations among patients with obsessive-compulsive disorder in Egypt

Prevalence and risk factors of suicidal ideations among patients with obsessive-compulsive disorder in Egypt

The effect of childhood maltreatment on suicidal ideation through cognitive emotion regulation strategies and specific obsessive–compulsive symptoms in obsessive–compulsive disorder

Prevalence and correlates of aggressive behavior in psychiatric inpatient populations

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