Obsessions and suicidality in youth suffering from bipolar I disorder

Abstract Background Obsessive compulsive disorder (OCD) is a common comorbidity with bipolar disorder, a comorbidity that is known to increase suicide risk. This study aimed to assess the presence of OCD in youth diagnosed with bipolar I disorder and to evaluate the association between OCD and suici...

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Main Authors: Mohammed Ezzat, Mohammed Atef Younis, Mohammed A. Khalil, Maged E. Gomaa, Dina Yosri Afifi, Doaa R. Ayoub
Format: Article
Language:English
Published: SpringerOpen 2023-10-01
Series:Middle East Current Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s43045-023-00354-w
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author Mohammed Ezzat
Mohammed Atef Younis
Mohammed A. Khalil
Maged E. Gomaa
Dina Yosri Afifi
Doaa R. Ayoub
author_facet Mohammed Ezzat
Mohammed Atef Younis
Mohammed A. Khalil
Maged E. Gomaa
Dina Yosri Afifi
Doaa R. Ayoub
author_sort Mohammed Ezzat
collection DOAJ
description Abstract Background Obsessive compulsive disorder (OCD) is a common comorbidity with bipolar disorder, a comorbidity that is known to increase suicide risk. This study aimed to assess the presence of OCD in youth diagnosed with bipolar I disorder and to evaluate the association between OCD and suicide in the same cohort. Eighty subjects diagnosed with bipolar I disorder were enrolled in this study; subjects were divided according to the presence or absence of OCD to group A: bipolar disorder patients with OCD (n = 26) and group B: bipolar disorder patients without OCD (n = 54). The following scales were applied: Dimensional Yale-Brown Obsessive-Compulsive Scale (DYBOCS)–Beck Scale for Suicidal Ideations (BSSI)–Hamilton Depression Rating Scale (HDRS), and Young Mania Rating Scale (YMRS). Results DYBOCS score of group A was 30.23 ± 0.43, and that of group, B was 18.50 ± 1.88 with a significant difference (p < 0.01). There was a significant positive correlation between BSSI and age, age of onset and YMRS in group A (p < 0.01). Conclusions The study demonstrated that OCD is a common comorbidity in youth with bipolar I disorder and may be associated with a greater risk of suicide than in youth with bipolar I disorder without comorbid OCD. Furthermore, comorbidity of OCD with bipolar I disorder in youth may be associated with younger age of onset and more severe symptoms profile.
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spelling doaj.art-4f906bae31e544988e2b4fb89ddb7bba2023-11-26T12:11:59ZengSpringerOpenMiddle East Current Psychiatry2090-54162023-10-013011710.1186/s43045-023-00354-wObsessions and suicidality in youth suffering from bipolar I disorderMohammed Ezzat0Mohammed Atef Younis1Mohammed A. Khalil2Maged E. Gomaa3Dina Yosri Afifi4Doaa R. Ayoub5Department of Psychiatry, Faculty of Medicine, Cairo UniversityDepartment of Psychiatry, Faculty of Medicine, Cairo UniversityDepartment of Psychiatry, Faculty of Medicine, Cairo UniversityDepartment of Psychiatry, Faculty of Medicine, Cairo UniversityDepartment of Psychiatry, Faculty of Medicine, Cairo UniversityDepartment of Psychiatry, Faculty of Medicine, Cairo UniversityAbstract Background Obsessive compulsive disorder (OCD) is a common comorbidity with bipolar disorder, a comorbidity that is known to increase suicide risk. This study aimed to assess the presence of OCD in youth diagnosed with bipolar I disorder and to evaluate the association between OCD and suicide in the same cohort. Eighty subjects diagnosed with bipolar I disorder were enrolled in this study; subjects were divided according to the presence or absence of OCD to group A: bipolar disorder patients with OCD (n = 26) and group B: bipolar disorder patients without OCD (n = 54). The following scales were applied: Dimensional Yale-Brown Obsessive-Compulsive Scale (DYBOCS)–Beck Scale for Suicidal Ideations (BSSI)–Hamilton Depression Rating Scale (HDRS), and Young Mania Rating Scale (YMRS). Results DYBOCS score of group A was 30.23 ± 0.43, and that of group, B was 18.50 ± 1.88 with a significant difference (p < 0.01). There was a significant positive correlation between BSSI and age, age of onset and YMRS in group A (p < 0.01). Conclusions The study demonstrated that OCD is a common comorbidity in youth with bipolar I disorder and may be associated with a greater risk of suicide than in youth with bipolar I disorder without comorbid OCD. Furthermore, comorbidity of OCD with bipolar I disorder in youth may be associated with younger age of onset and more severe symptoms profile.https://doi.org/10.1186/s43045-023-00354-wBipolar disorderSuicideYouthBSSIDYBOCS
spellingShingle Mohammed Ezzat
Mohammed Atef Younis
Mohammed A. Khalil
Maged E. Gomaa
Dina Yosri Afifi
Doaa R. Ayoub
Obsessions and suicidality in youth suffering from bipolar I disorder
Middle East Current Psychiatry
Bipolar disorder
Suicide
Youth
BSSI
DYBOCS
title Obsessions and suicidality in youth suffering from bipolar I disorder
title_full Obsessions and suicidality in youth suffering from bipolar I disorder
title_fullStr Obsessions and suicidality in youth suffering from bipolar I disorder
title_full_unstemmed Obsessions and suicidality in youth suffering from bipolar I disorder
title_short Obsessions and suicidality in youth suffering from bipolar I disorder
title_sort obsessions and suicidality in youth suffering from bipolar i disorder
topic Bipolar disorder
Suicide
Youth
BSSI
DYBOCS
url https://doi.org/10.1186/s43045-023-00354-w
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