Prevalence of suicide attempt and clinical characteristics of suicide attempters with obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)

OBJECTIVE: Obsessive-compulsive disorder (OCD) is associated with variable risk of suicide and prevalence of suicide attempt (SA). The present study aimed to assess the prevalence of SA and associated sociodemographic and clinical features in a large international sample of OCD patients. METHODS: A...

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Autores: Dell'Osso, Bernardo, Benatti, Beatrice, Arici, Chiara, Palazzo, Carlotta, Altamura, A. Carlo, Hollander, Eric, 1957-, Fineberg, Naomi, Stein, Dan J., 1962-, Nicolini, Humberto, Lanzagorta, Nuria, Marazziti, Donatella, Pallanti, Stefano, van Ameringen, Michael, Lochner, Christine, Karamustafalioglu, Oguz, Hranov, Luchezar, Figee, Martin, Drummond, Lynne M., Rodriguez, Carolyn I., Grant, John, Denys, Damiaan, Menchón Magriñá, José Manuel, Zohar, Joseph
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2018
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/140066
Acceso en línea:https://hdl.handle.net/2445/140066
Access Level:acceso abierto
Palabra clave:Neurosi obsessiva
Suïcidi
Factors de risc en les malalties
Obsessive-compulsive disorder
Suicide
Risk factors in diseases
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spelling Prevalence of suicide attempt and clinical characteristics of suicide attempters with obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)Dell'Osso, BernardoBenatti, BeatriceArici, ChiaraPalazzo, CarlottaAltamura, A. CarloHollander, Eric, 1957-Fineberg, NaomiStein, Dan J., 1962-Nicolini, HumbertoLanzagorta, NuriaMarazziti, DonatellaPallanti, Stefanovan Ameringen, MichaelLochner, ChristineKaramustafalioglu, OguzHranov, LuchezarFigee, MartinDrummond, Lynne M.Rodriguez, Carolyn I.Grant, JohnDenys, DamiaanMenchón Magriñá, José ManuelZohar, JosephNeurosi obsessivaSuïcidiFactors de risc en les malaltiesObsessive-compulsive disorderSuicideRisk factors in diseasesOBJECTIVE: Obsessive-compulsive disorder (OCD) is associated with variable risk of suicide and prevalence of suicide attempt (SA). The present study aimed to assess the prevalence of SA and associated sociodemographic and clinical features in a large international sample of OCD patients. METHODS: A total of 425 OCD outpatients, recruited through the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS) network, were assessed and categorized in groups with or without a history of SA, and their sociodemographic and clinical features compared through Pearson's chi-squared and t tests. Logistic regression was performed to assess the impact of the collected data on the SA variable. RESULTS: 14.6% of our sample reported at least one SA during their lifetime. Patients with an SA had significantly higher rates of comorbid psychiatric disorders (60 vs. 17%, p<0.001; particularly tic disorder), medical disorders (51 vs. 15%, p<0.001), and previous hospitalizations (62 vs. 11%, p<0.001) than patients with no history of SA. With respect to geographical differences, European and South African patients showed significantly higher rates of SA history (40 and 39%, respectively) compared to North American and Middle-Eastern individuals (13 and 8%, respectively) (χ2=11.4, p<0.001). The logistic regression did not show any statistically significant predictor of SA among selected independent variables. CONCLUSIONS: Our international study found a history of SA prevalence of ~15% in OCD patients, with higher rates of psychiatric and medical comorbidities and previous hospitalizations in patients with a previous SA. Along with potential geographical influences, the presence of the abovementioned features should recommend additional caution in the assessment of suicide risk in OCD patients.Cambridge University Press2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/140066Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésVersió postprint del document publicat a: https://doi.org/10.1017/S1092852917000177Cns Spectrums, 2018, vol. 23, num. 1, p. 59-66https://doi.org/10.1017/S1092852917000177(c) Cambridge University Press, 2018info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1400662026-05-27T06:46:51Z
dc.title.none.fl_str_mv Prevalence of suicide attempt and clinical characteristics of suicide attempters with obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)
title Prevalence of suicide attempt and clinical characteristics of suicide attempters with obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)
spellingShingle Prevalence of suicide attempt and clinical characteristics of suicide attempters with obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)
Dell'Osso, Bernardo
Neurosi obsessiva
Suïcidi
Factors de risc en les malalties
Obsessive-compulsive disorder
Suicide
Risk factors in diseases
title_short Prevalence of suicide attempt and clinical characteristics of suicide attempters with obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)
title_full Prevalence of suicide attempt and clinical characteristics of suicide attempters with obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)
title_fullStr Prevalence of suicide attempt and clinical characteristics of suicide attempters with obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)
title_full_unstemmed Prevalence of suicide attempt and clinical characteristics of suicide attempters with obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)
title_sort Prevalence of suicide attempt and clinical characteristics of suicide attempters with obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)
dc.creator.none.fl_str_mv Dell'Osso, Bernardo
Benatti, Beatrice
Arici, Chiara
Palazzo, Carlotta
Altamura, A. Carlo
Hollander, Eric, 1957-
Fineberg, Naomi
Stein, Dan J., 1962-
Nicolini, Humberto
Lanzagorta, Nuria
Marazziti, Donatella
Pallanti, Stefano
van Ameringen, Michael
Lochner, Christine
Karamustafalioglu, Oguz
Hranov, Luchezar
Figee, Martin
Drummond, Lynne M.
Rodriguez, Carolyn I.
Grant, John
Denys, Damiaan
Menchón Magriñá, José Manuel
Zohar, Joseph
author Dell'Osso, Bernardo
author_facet Dell'Osso, Bernardo
Benatti, Beatrice
Arici, Chiara
Palazzo, Carlotta
Altamura, A. Carlo
Hollander, Eric, 1957-
Fineberg, Naomi
Stein, Dan J., 1962-
Nicolini, Humberto
Lanzagorta, Nuria
Marazziti, Donatella
Pallanti, Stefano
van Ameringen, Michael
Lochner, Christine
Karamustafalioglu, Oguz
Hranov, Luchezar
Figee, Martin
Drummond, Lynne M.
Rodriguez, Carolyn I.
Grant, John
Denys, Damiaan
Menchón Magriñá, José Manuel
Zohar, Joseph
author_role author
author2 Benatti, Beatrice
Arici, Chiara
Palazzo, Carlotta
Altamura, A. Carlo
Hollander, Eric, 1957-
Fineberg, Naomi
Stein, Dan J., 1962-
Nicolini, Humberto
Lanzagorta, Nuria
Marazziti, Donatella
Pallanti, Stefano
van Ameringen, Michael
Lochner, Christine
Karamustafalioglu, Oguz
Hranov, Luchezar
Figee, Martin
Drummond, Lynne M.
Rodriguez, Carolyn I.
Grant, John
Denys, Damiaan
Menchón Magriñá, José Manuel
Zohar, Joseph
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Neurosi obsessiva
Suïcidi
Factors de risc en les malalties
Obsessive-compulsive disorder
Suicide
Risk factors in diseases
topic Neurosi obsessiva
Suïcidi
Factors de risc en les malalties
Obsessive-compulsive disorder
Suicide
Risk factors in diseases
description OBJECTIVE: Obsessive-compulsive disorder (OCD) is associated with variable risk of suicide and prevalence of suicide attempt (SA). The present study aimed to assess the prevalence of SA and associated sociodemographic and clinical features in a large international sample of OCD patients. METHODS: A total of 425 OCD outpatients, recruited through the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS) network, were assessed and categorized in groups with or without a history of SA, and their sociodemographic and clinical features compared through Pearson's chi-squared and t tests. Logistic regression was performed to assess the impact of the collected data on the SA variable. RESULTS: 14.6% of our sample reported at least one SA during their lifetime. Patients with an SA had significantly higher rates of comorbid psychiatric disorders (60 vs. 17%, p<0.001; particularly tic disorder), medical disorders (51 vs. 15%, p<0.001), and previous hospitalizations (62 vs. 11%, p<0.001) than patients with no history of SA. With respect to geographical differences, European and South African patients showed significantly higher rates of SA history (40 and 39%, respectively) compared to North American and Middle-Eastern individuals (13 and 8%, respectively) (χ2=11.4, p<0.001). The logistic regression did not show any statistically significant predictor of SA among selected independent variables. CONCLUSIONS: Our international study found a history of SA prevalence of ~15% in OCD patients, with higher rates of psychiatric and medical comorbidities and previous hospitalizations in patients with a previous SA. Along with potential geographical influences, the presence of the abovementioned features should recommend additional caution in the assessment of suicide risk in OCD patients.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/140066
url https://hdl.handle.net/2445/140066
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1017/S1092852917000177
Cns Spectrums, 2018, vol. 23, num. 1, p. 59-66
https://doi.org/10.1017/S1092852917000177
dc.rights.none.fl_str_mv (c) Cambridge University Press, 2018
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Cambridge University Press, 2018
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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