Suicidal Ideation and Obsessive-Compulsive Disorder: Links and Knowledge
Lindsay L Benster,1 Cory R Weissman,2 Zafiris J Daskalakis2 1Joint Doctoral Program in Clinical Psychology, SDSU/UC San Diego, San Diego, CA, USA; 2Department of Psychiatry, UC San Diego School of Medicine, San Diego, CA, USACorrespondence: Lindsay L Benster, Joint Doctoral Program in Clinical Psych...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-12-01
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| Series: | Psychology Research and Behavior Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/suicidal-ideation-and-obsessive-compulsive-disorder-links-and-knowledg-peer-reviewed-fulltext-article-PRBM |
| _version_ | 1811288853227503616 |
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| author | Benster LL Weissman CR Daskalakis ZJ |
| author_facet | Benster LL Weissman CR Daskalakis ZJ |
| author_sort | Benster LL |
| collection | DOAJ |
| description | Lindsay L Benster,1 Cory R Weissman,2 Zafiris J Daskalakis2 1Joint Doctoral Program in Clinical Psychology, SDSU/UC San Diego, San Diego, CA, USA; 2Department of Psychiatry, UC San Diego School of Medicine, San Diego, CA, USACorrespondence: Lindsay L Benster, Joint Doctoral Program in Clinical Psychology, SDSU/UC San Diego, 6363 Alvarado Ct, San Diego, CA, 92120, USA, Tel +1206 230 0707, Email llbenster@ucsd.eduAbstract: Suicidal ideation (SI) is understudied in obsessive-compulsive disorder (OCD). Nonetheless, evidence suggests increased risk for SI in individuals with OCD compared to the general population. Understanding the relationship between SI and OCD involves investigating risk factors associated with SI. Furthering knowledge of links is essential for enhancing outcomes and decreasing experiences of SI through improving treatment interventions. Additionally, increasing awareness of factors that lead SI to suicide attempts (SA) is vital. To best illustrate the current state of knowledge, this scoping review examines risk factors for SI, including symptom profiles or phenotypes, comorbid diagnoses, sociodemographic and lifestyle factors, childhood trauma, and genetic and familial contributions. Important treatment considerations for targeting SI within the context of OCD are detailed with respect to the current evidence for psychotherapy, pharmacology, brain stimulation, and neurosurgery. Gaps in the literature and future directions are identified, broadly with respect to studies examining the treatment of SI within the context of OCD, particular OCD phenotypes, and factors influencing SI in pediatric OCD. Due to the relative novelty of this area of exploration, many unknowns persist regarding onset of SI in OCD, factors contributing to the maintenance of SI in OCD, and relevant treatment protocols. Findings suggest that individuals with previous SI or SA, history of childhood trauma, significant life stress, and psychiatric comorbidities, particularly depression, should be closely monitored and screened for SI.Keywords: suicidality, OCD, risk factors, SI treatment |
| first_indexed | 2024-04-13T03:44:35Z |
| format | Article |
| id | doaj.art-5f67602998c649a487f91b6e3de832f3 |
| institution | Directory Open Access Journal |
| issn | 1179-1578 |
| language | English |
| last_indexed | 2024-04-13T03:44:35Z |
| publishDate | 2022-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Psychology Research and Behavior Management |
| spelling | doaj.art-5f67602998c649a487f91b6e3de832f32022-12-22T03:04:03ZengDove Medical PressPsychology Research and Behavior Management1179-15782022-12-01Volume 153793380780487Suicidal Ideation and Obsessive-Compulsive Disorder: Links and KnowledgeBenster LLWeissman CRDaskalakis ZJLindsay L Benster,1 Cory R Weissman,2 Zafiris J Daskalakis2 1Joint Doctoral Program in Clinical Psychology, SDSU/UC San Diego, San Diego, CA, USA; 2Department of Psychiatry, UC San Diego School of Medicine, San Diego, CA, USACorrespondence: Lindsay L Benster, Joint Doctoral Program in Clinical Psychology, SDSU/UC San Diego, 6363 Alvarado Ct, San Diego, CA, 92120, USA, Tel +1206 230 0707, Email llbenster@ucsd.eduAbstract: Suicidal ideation (SI) is understudied in obsessive-compulsive disorder (OCD). Nonetheless, evidence suggests increased risk for SI in individuals with OCD compared to the general population. Understanding the relationship between SI and OCD involves investigating risk factors associated with SI. Furthering knowledge of links is essential for enhancing outcomes and decreasing experiences of SI through improving treatment interventions. Additionally, increasing awareness of factors that lead SI to suicide attempts (SA) is vital. To best illustrate the current state of knowledge, this scoping review examines risk factors for SI, including symptom profiles or phenotypes, comorbid diagnoses, sociodemographic and lifestyle factors, childhood trauma, and genetic and familial contributions. Important treatment considerations for targeting SI within the context of OCD are detailed with respect to the current evidence for psychotherapy, pharmacology, brain stimulation, and neurosurgery. Gaps in the literature and future directions are identified, broadly with respect to studies examining the treatment of SI within the context of OCD, particular OCD phenotypes, and factors influencing SI in pediatric OCD. Due to the relative novelty of this area of exploration, many unknowns persist regarding onset of SI in OCD, factors contributing to the maintenance of SI in OCD, and relevant treatment protocols. Findings suggest that individuals with previous SI or SA, history of childhood trauma, significant life stress, and psychiatric comorbidities, particularly depression, should be closely monitored and screened for SI.Keywords: suicidality, OCD, risk factors, SI treatmenthttps://www.dovepress.com/suicidal-ideation-and-obsessive-compulsive-disorder-links-and-knowledg-peer-reviewed-fulltext-article-PRBMsuicidalityocdrisk factorssi treatment |
| spellingShingle | Benster LL Weissman CR Daskalakis ZJ Suicidal Ideation and Obsessive-Compulsive Disorder: Links and Knowledge Psychology Research and Behavior Management suicidality ocd risk factors si treatment |
| title | Suicidal Ideation and Obsessive-Compulsive Disorder: Links and Knowledge |
| title_full | Suicidal Ideation and Obsessive-Compulsive Disorder: Links and Knowledge |
| title_fullStr | Suicidal Ideation and Obsessive-Compulsive Disorder: Links and Knowledge |
| title_full_unstemmed | Suicidal Ideation and Obsessive-Compulsive Disorder: Links and Knowledge |
| title_short | Suicidal Ideation and Obsessive-Compulsive Disorder: Links and Knowledge |
| title_sort | suicidal ideation and obsessive compulsive disorder links and knowledge |
| topic | suicidality ocd risk factors si treatment |
| url | https://www.dovepress.com/suicidal-ideation-and-obsessive-compulsive-disorder-links-and-knowledg-peer-reviewed-fulltext-article-PRBM |
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