Psychache and Suicidal History in Patients with Obsessive-Compulsive Disorder

Mehmet Emin Demirkol,1 Zeynep Namlı,1 Özge Eriş Davul,2 Mahmut Onur Karaytuğ,3 Lut Tamam,1 Hamdi Yılmaz1 1Deparment of Psychiatry, Çukurova University School of Medicine, Adana, Turkey; 2Department of Psychiatry, Hatay State Hospital, Hatay, Turkey; 3Department of Psychiatry, Dr...

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Autores principales:	Demirkol ME, Namlı Z, Eriş Davul Ö, Karaytuğ MO, Tamam L, Yılmaz H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	obsessive compulsive disorder suicide psychological pain psychache Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/87a6427540ef4a12a8c61394898f2f57
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spelling	oai:doaj.org-article:87a6427540ef4a12a8c61394898f2f572021-12-02T09:37:22ZPsychache and Suicidal History in Patients with Obsessive-Compulsive Disorder1178-2021https://doaj.org/article/87a6427540ef4a12a8c61394898f2f572019-12-01T00:00:00Zhttps://www.dovepress.com/psychache-and-suicidal-history-in-patients-with-obsessive-compulsive-d-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Mehmet Emin Demirkol,1 Zeynep Namlı,1 Özge Eriş Davul,2 Mahmut Onur Karaytuğ,3 Lut Tamam,1 Hamdi Yılmaz1 1Deparment of Psychiatry, Çukurova University School of Medicine, Adana, Turkey; 2Department of Psychiatry, Hatay State Hospital, Hatay, Turkey; 3Department of Psychiatry, Dr Ekrem Tok Hospital for Mental and Nervous Disease, Adana, TurkeyCorrespondence: Lut Tamam; Mehmet Emin DemirkolDepartment of Psychiatry, Çukurova University School of Medicine, Adana, TurkeyTel + 90 533 6306006; +90 535 5849684Fax +90 322 3386204Email ltamam@gmail.com; emindemirkol@gmail.comPurpose: Suicide is an important cause of death in patients diagnosed with obsessive-compulsive disorder (OCD) as well as other psychiatric disorders. Early determining of risk factors provides an opportunity for intervention. The mediating effect of psychological pain (also known as psychache) on suicide has been shown in various disorders but has not been investigated in patients with OCD. In this study, we aimed to show the relationship between psychological pain and other clinical variables and suicide in OCD patients.Patients and methods: This cross-sectional study consisted of 67 patients diagnosed with OCD according to DSM-5 criteria with no comorbid psychiatric diagnosis who applied to the psychiatric outpatient clinic of Çukurova University Faculty of Medicine and 63 healthy controls. Among the OCD patients, 12 had previous suicide attempts. In addition to the sociodemographic data form, participants filled out the Yale-Brown Obsessive Compulsive Scale (YBOCS), the Psychache Scale (PS), the Beck Scale for Suicidal Ideation (BSIS), and the Hamilton Depression Scale (HDS).Results: OCD group’s median obsession, compulsion, and the total scores of YBOCS, and the mean PS scores were higher than the control group. There was no difference between the sociodemographic variables of OCD patients with and without previous suicide attempts such as age, gender, years of education, place of residence, marital, and occupational status. The median scores of obsession, avoidance, global severity, and indecisiveness subdimensions of YBOCS, the mean BSIS and PS scores, the rates of current aggressive, current contamination, and the past religious obsessions were higher in the suicidal group. There were moderately significant relationships in the same direction between the PS, BSIS, and total YBOCS scores. Multivariate regression analysis demonstrated that only the PS scores predicted previous suicide attempts.Conclusion: Our results demonstrated that current aggressive, current contamination, past religious obsessions, and the higher psychological pain are related to previous suicide attempts in OCD patients. Our regression analysis supports Shneidman’s hypothesis: there would be no suicide without psychache. Relieving psychache in OCD patients may reduce suicide attempts even if there is no diagnosis of comorbid depression.Keywords: obsessive compulsive disorder, suicide, psychological pain, psychacheDemirkol MENamlı ZEriş Davul ÖKaraytuğ MOTamam LYılmaz HDove Medical Pressarticleobsessive compulsive disordersuicidepsychological painpsychacheNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 3531-3539 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	obsessive compulsive disorder suicide psychological pain psychache Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	obsessive compulsive disorder suicide psychological pain psychache Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Demirkol ME Namlı Z Eriş Davul Ö Karaytuğ MO Tamam L Yılmaz H Psychache and Suicidal History in Patients with Obsessive-Compulsive Disorder
description	Mehmet Emin Demirkol,1 Zeynep Namlı,1 Özge Eriş Davul,2 Mahmut Onur Karaytuğ,3 Lut Tamam,1 Hamdi Yılmaz1 1Deparment of Psychiatry, Çukurova University School of Medicine, Adana, Turkey; 2Department of Psychiatry, Hatay State Hospital, Hatay, Turkey; 3Department of Psychiatry, Dr Ekrem Tok Hospital for Mental and Nervous Disease, Adana, TurkeyCorrespondence: Lut Tamam; Mehmet Emin DemirkolDepartment of Psychiatry, Çukurova University School of Medicine, Adana, TurkeyTel + 90 533 6306006; +90 535 5849684Fax +90 322 3386204Email ltamam@gmail.com; emindemirkol@gmail.comPurpose: Suicide is an important cause of death in patients diagnosed with obsessive-compulsive disorder (OCD) as well as other psychiatric disorders. Early determining of risk factors provides an opportunity for intervention. The mediating effect of psychological pain (also known as psychache) on suicide has been shown in various disorders but has not been investigated in patients with OCD. In this study, we aimed to show the relationship between psychological pain and other clinical variables and suicide in OCD patients.Patients and methods: This cross-sectional study consisted of 67 patients diagnosed with OCD according to DSM-5 criteria with no comorbid psychiatric diagnosis who applied to the psychiatric outpatient clinic of Çukurova University Faculty of Medicine and 63 healthy controls. Among the OCD patients, 12 had previous suicide attempts. In addition to the sociodemographic data form, participants filled out the Yale-Brown Obsessive Compulsive Scale (YBOCS), the Psychache Scale (PS), the Beck Scale for Suicidal Ideation (BSIS), and the Hamilton Depression Scale (HDS).Results: OCD group’s median obsession, compulsion, and the total scores of YBOCS, and the mean PS scores were higher than the control group. There was no difference between the sociodemographic variables of OCD patients with and without previous suicide attempts such as age, gender, years of education, place of residence, marital, and occupational status. The median scores of obsession, avoidance, global severity, and indecisiveness subdimensions of YBOCS, the mean BSIS and PS scores, the rates of current aggressive, current contamination, and the past religious obsessions were higher in the suicidal group. There were moderately significant relationships in the same direction between the PS, BSIS, and total YBOCS scores. Multivariate regression analysis demonstrated that only the PS scores predicted previous suicide attempts.Conclusion: Our results demonstrated that current aggressive, current contamination, past religious obsessions, and the higher psychological pain are related to previous suicide attempts in OCD patients. Our regression analysis supports Shneidman’s hypothesis: there would be no suicide without psychache. Relieving psychache in OCD patients may reduce suicide attempts even if there is no diagnosis of comorbid depression.Keywords: obsessive compulsive disorder, suicide, psychological pain, psychache
format	article
author	Demirkol ME Namlı Z Eriş Davul Ö Karaytuğ MO Tamam L Yılmaz H
author_facet	Demirkol ME Namlı Z Eriş Davul Ö Karaytuğ MO Tamam L Yılmaz H
author_sort	Demirkol ME
title	Psychache and Suicidal History in Patients with Obsessive-Compulsive Disorder
title_short	Psychache and Suicidal History in Patients with Obsessive-Compulsive Disorder
title_full	Psychache and Suicidal History in Patients with Obsessive-Compulsive Disorder
title_fullStr	Psychache and Suicidal History in Patients with Obsessive-Compulsive Disorder
title_full_unstemmed	Psychache and Suicidal History in Patients with Obsessive-Compulsive Disorder
title_sort	psychache and suicidal history in patients with obsessive-compulsive disorder
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/87a6427540ef4a12a8c61394898f2f57
work_keys_str_mv	AT demirkolme psychacheandsuicidalhistoryinpatientswithobsessivecompulsivedisorder AT namlız psychacheandsuicidalhistoryinpatientswithobsessivecompulsivedisorder AT erisdavulo psychacheandsuicidalhistoryinpatientswithobsessivecompulsivedisorder AT karaytugmo psychacheandsuicidalhistoryinpatientswithobsessivecompulsivedisorder AT tamaml psychacheandsuicidalhistoryinpatientswithobsessivecompulsivedisorder AT yılmazh psychacheandsuicidalhistoryinpatientswithobsessivecompulsivedisorder
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Psychache and Suicidal History in Patients with Obsessive-Compulsive Disorder

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