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Multi-method assessment of suicidal thoughts and behaviors among patients in treatment for OCD and related disorders.
Falkenstein, Martha J; Kelley, Kara N; Martin, Heather S; Kuckertz, Jennie M; Coppersmith, Daniel; Bezahler, Andreas; Narine, Kevin; Beard, Courtney; Webb, Christian A.
Afiliación
  • Falkenstein MJ; Obsessive Compulsive Disorder Institute, McLean Hospital, United States; Department of Psychiatry, Harvard Medical School, United States. Electronic address: mfalkenstein@mclean.harvard.edu.
  • Kelley KN; Obsessive Compulsive Disorder Institute, McLean Hospital, United States.
  • Martin HS; Obsessive Compulsive Disorder Institute, McLean Hospital, United States.
  • Kuckertz JM; Obsessive Compulsive Disorder Institute, McLean Hospital, United States; Department of Psychiatry, Harvard Medical School, United States.
  • Coppersmith D; Department of Psychology, Harvard University, United States.
  • Bezahler A; Obsessive Compulsive Disorder Institute, McLean Hospital, United States.
  • Narine K; Obsessive Compulsive Disorder Institute, McLean Hospital, United States.
  • Beard C; Obsessive Compulsive Disorder Institute, McLean Hospital, United States; Department of Psychiatry, Harvard Medical School, United States.
  • Webb CA; Obsessive Compulsive Disorder Institute, McLean Hospital, United States; Department of Psychiatry, Harvard Medical School, United States.
Psychiatry Res ; 333: 115740, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38237537
ABSTRACT
Obsessive-compulsive and related disorders (OCRDs) are associated with increased risk of suicidal thoughts and behaviors (STBs), yet research characterizing suicidality in OCRDs remains limited. A major challenge in assessing STBs is the reliance on explicit self-report. This study utilized multi-method assessment to examine changes in both implicit and explicit STBs in 31 adults receiving partial/residential treatment for OCRDs. Assessments were administered at admission and weekly during treatment. Approximately three-quarters of participants reported lifetime suicidal thoughts, with 16 % reporting a prior suicide attempt. OCD severity was significantly correlated with lifetime suicidal thoughts, and was significantly higher for those with lifetime suicidal thoughts and prior attempts compared to those without. Implicit biases towards death were not associated with OCD severity, and did not predict explicitly endorsed STBs. This is the first study to measure both explicit and implicit STBs in adults with OCRDs. Limitations included small sample size and lack of racial/ethnic diversity. Given the majority had recent suicidal thoughts and one in six had a prior attempt, we emphasize the importance of STB assessment in OCD treatment settings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ideación Suicida / Trastorno Obsesivo Compulsivo Tipo de estudio: Prognostic_studies Límite: Adult / Humans Idioma: En Revista: Psychiatry Res Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ideación Suicida / Trastorno Obsesivo Compulsivo Tipo de estudio: Prognostic_studies Límite: Adult / Humans Idioma: En Revista: Psychiatry Res Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda