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  • Suicide in obsessive-compulsive related disorders: prevalence rates and psychopathological risk factors
    [2019.09.13.] - MPT Web-szerkesztőség - Hírkategória: Tudomány

    U. Albert, L. Pellegrini, G. Maina, A.-R. Atti, D. De Ronchi, Z. Rhimer

    Key words
    Suicide attempts • Suicidal ideation • BDD • HD • Trichotillomania • Skin Picking Disorder

    Objectives
    To estimate prevalence rates of suicide attempts and suicidal ideation in individuals with a principal
    diagnosis of obsessive-compulsive related disorders (OCRDs); 2. to identify predictors of
    suicide risk among subjects with OCRDs (where available).

    Methods
    The systematic review was conducted by searching PubMed from the date of the first available
    article to December 31, 2018. The search terms [suicide] OR [suicidality] OR [suicide attempts]
    OR [suicidal ideation] OR [suicidal thoughts] were combined with the following: [BDD] OR [body
    dysmorphic disorder]; [HD] OR [hoarding disorder]; [trichotillomania] OR [hair pulling disorder];
    [excoriation disorder] OR [skin picking disorder].

    Results
    In BDD, data concerning lifetime suicide attempts are consistent across studies: mean rate is
    21.5% (range 9-30.3%). Mean rate of current suicidal ideation is 37.4% (range 26.5-49.7%) and
    mean rate of lifetime suicidal ideation is 74.5% (range 53.5-85%). BDD-specific factors such as
    early onset, severity, poor insight and muscle dysmorphia and comorbid disorders increase the
    risk of suicide attempts or suicidal ideation. Only 2 studies recruited individuals with DSM-5 HD:
    suicidality appears to be low, with rates of current suicidal ideation comprised between 5% and
    10%, although 19% of individuals attempted suicide during their lifetime. Concerning the grooming
    disorders, lifetime rates of suicide attempts are low as compared to rates in other OCRDs;
    approximately 40% of individuals, however, reported lifetime suicidal ideation.

    Conclusions
    OCRDs taken together may be at risk for suicide attempts and suicidal ideation independently
    from comorbid disorders (and specifically independently from comorbid OCD); BDD remains the
    disorder more strongly associated with an increased risk for suicide, followed by HD and then the
    grooming disorders.

    Kapcsolódó dokumentumok(1)

    Suicide in obsessive-compulsive related disorders: prevalence rates and psychopathological risk factors 
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     2019.09.13. 0,139 Mb

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