PMID- 30692943
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 9
DP  - 2018
TI  - Suicidality in People With Obsessive-Compulsive Symptoms or Personality Traits.
PG  - 747
LID - 10.3389/fpsyt.2018.00747 [doi]
LID - 747
AB  - Objective: Obsessive-Compulsive Disorder (OCD) and Obsessive-Compulsive 
      Personality Disorder (OCPD) have been reported to be associated with mood 
      instability (MI), depression and suicide-related outcomes. We examined whether 
      obsessive-compulsive symptoms and personality traits as well as obsessional 
      thoughts of death, are associated with suicidal thoughts, non-suicidal 
      self-injury and attempted suicide. Methods: We used data from 7,839 people from 
      the 2000 British Adult Psychiatric Morbidity Survey that elicited symptoms of OCD 
      with a computerized version of the Clinical Interview Schedule-Revised (CIS-R) 
      and traits of OCPD with a self-completed version of the SCID-II. We created a 
      series of logistic regression models, first entering only OCD symptoms and OCPD 
      traits in separate models, to which depression and mood instability (MI) were 
      added. We also examined the relation of obsessional thoughts about death with 
      self-harm in a network analysis model that included the main symptoms of mood 
      instability and depression. Results: OCD symptoms were associated with suicidal 
      thoughts (OR: 1.23, 95% CI: 1.14-1.32), and suicide attempts (OR: 1.13, 95% CI: 
      1.04-1.24) in the fully-adjusted model. OCPD traits were associated with suicidal 
      thoughts (OR: 1.14, 95% CI: 1.10-1.19), non-suicidal self-injury (OR: 1.14 95% 
      CI: 1.03-1.26), and suicide attempts (OR: 1.09; 1.01-1.17). Depression and MI 
      were both associated with all three suicide-related outcomes. In the network 
      analysis, MI was the most prominent correlate of suicide-related outcomes, being 
      associated with suicidal ideas (partial r = 0.15) and non-suicidal self-injury 
      (partial r = 0.07). Limitation: This was a cross-sectional study that used a 
      single-item measure for mood instability. Conclusions: Obsessive-compulsive 
      symptoms and personality traits are related to suicide-related outcomes 
      independently of depressive symptoms and mood instability. This relationship is 
      not accounted for by obsessional thoughts of death alone.
FAU - Bowen, Rudy
AU  - Bowen R
AD  - Department of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada.
FAU - Rahman, Hiba
AU  - Rahman H
AD  - Department of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada.
FAU - Dong, Lisa Yue
AU  - Dong LY
AD  - Department of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada.
FAU - Khalaj, Sara
AU  - Khalaj S
AD  - Department of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada.
FAU - Baetz, Marilyn
AU  - Baetz M
AD  - Department of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada.
FAU - Peters, Evyn
AU  - Peters E
AD  - Department of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada.
FAU - Balbuena, Lloyd
AU  - Balbuena L
AD  - Department of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada.
LA  - eng
PT  - Journal Article
DEP - 20190114
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC6339952
OTO - NOTNLM
OT  - OCD
OT  - OCPD
OT  - affective dysregulation
OT  - anxiety disorders
OT  - mood disorders
OT  - network model
OT  - self-harm
EDAT- 2019/01/30 06:00
MHDA- 2019/01/30 06:01
PMCR- 2019/01/14
CRDT- 2019/01/30 06:00
PHST- 2018/10/03 00:00 [received]
PHST- 2018/12/18 00:00 [accepted]
PHST- 2019/01/30 06:00 [entrez]
PHST- 2019/01/30 06:00 [pubmed]
PHST- 2019/01/30 06:01 [medline]
PHST- 2019/01/14 00:00 [pmc-release]
AID - 10.3389/fpsyt.2018.00747 [doi]
PST - epublish
SO  - Front Psychiatry. 2019 Jan 14;9:747. doi: 10.3389/fpsyt.2018.00747. eCollection 
      2018.