suicidal ideations in patients with obsessive-compulsive disorder

Background: there are many controversies about the frequency and burden of suicidality in patients with obsessive-compulsive disorder (ocd). objectives: this study was done to determine the prevalence and risk factors of current suicidal ideations in patients with ocd. materials & methods: in this cross-sectional study, 258 outpatients with ocd (yale-brawn obsessive compulsive scale, y-bocs ≥16) referring to two psychiatry clinics in guilan, iran, from march 2018 to september 2019 were evaluated. suicidality score of the brief psychiatric rating scale (bprs) ≥4 was considered for current suicidal ideation at the first visit. beck scale for suicidal ideation (bssi) was used to evaluate the intensity of suicidal ideations a week before evaluation. simple linear and binary logistic regression analyses were used to analyze data by spss v. 20. results: current suicidal ideation was found in 22.1% of patients. the previous history of suicide attempt (bprs, p<0.0001 and bssi, p<0.0001), a history of ocd in first-degree relatives (bprs: p=0.004 and bssi: p=0.010), a history of suicide attempts in first-degree relatives (bprs: p=0.013 and bssi: p<0.0001), comorbid diagnosis of depressive or body dysmorphic disorder (bprs, p<0.0001 and bssi, p<0.0001), and higher y-bocs score (bprs: p=0.043 and bssi: p<0.0001) were associated with a higher risk of having suicidal ideation. conclusion: suicidal thoughts are high in iranian patients with ocd at their first visit to psychiatry clinics. the previous suicide history, positive history of ocd and suicide attempts in their first-degree relatives, the severity of ocd, and some comorbid psychological disorders are associated with a higher risk of suicidal ideation among ocd patients.