Citation

Abdel Hamid AAL, Nasreldin M, Gohar SM, Saleh AA, Tarek MA. Suicide Life Threat. Behav. 2019; 49(6): 1552-1559.

Copyright

(Copyright © 2019, American Association of Suicidology, Publisher John Wiley and Sons)

DOI

10.1111/sltb.12540

PMID

30729568

Abstract

OBJECTIVES: Obsessions and suicidal behavior are common among patients with bipolar disorder. The relation between them and their impact on disease severity should be a focus of attention. This study aimed at assessment of the presence of sexual and religious obsessions in patients with bipolar disorder and their relation to suicide ideation.
METHODS: Ninety patients diagnosed with bipolar I disorder were recruited consecutively and subdivided into two groups: bipolar disorder with and without sexual/religious obsessions. Both groups were subjected to Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS), Young Mania Rating Scale (YMRS), Hamilton Depression Rating Scale (HAMD), and Beck Scale for Suicide Ideation (BSSI).
RESULTS: Patients with bipolar disorder and sexual/religious obsessions were 54.4% (n = 49) of the total sample, and they showed significantly higher number of suicidal attempts, more severe depression, and suicidal ideation than those without sexual/religious obsessions. BSSI showed significantly positive correlation with HAMD and DY-BOCS sexual and religious obsessions dimension-related distress.
CONCLUSION: Sexual and religious obsessions tend to be more frequent among patients with bipolar disorder. Higher depression and obsessive-related distress potentially contribute to the increased risk of suicidal ideation.

Language: en

Keywords

Humans; Adult; Female; Male; Middle Aged; Depression; Psychiatric Status Rating Scales; Suicidal Ideation; Surveys and Questionnaires; Sexual Behavior; Religion; Bipolar Disorder; Obsessive Behavior