Obsessions and suicidality in youth suffering from bipolar I disorder

• Published in: Middle East current psychiatry (Cairo) 2023-12, Vol.30 (1), p.82-7, Article 82
• Main Authors: Ezzat, Mohammed, Younis, Mohammed Atef, Khalil, Mohammed A., Gomaa, Maged E., Afifi, Dina Yosri, Ayoub, Doaa R.
• Format: Article
• Language: English
• Subjects: Age; Bipolar disorder; BSSI; Comorbidity; DYBOCS; Educational attainment; Medicine; Medicine & Public Health; Obsessive compulsive disorder; Patients; Psychiatry; Quantitative psychology; Remission (Medicine); Suicidal behavior; Suicide; Suicides & suicide attempts; Youth
• ISSN: 2090-5416; 2090-5408; 2090-5416
• DOI: 10.1186/s43045-023-00354-w

Background Obsessive compulsive disorder (OCD) is a common comorbidity with bipolar disorder, a comorbidity that is known to increase suicide risk. This study aimed to assess the presence of OCD in youth diagnosed with bipolar I disorder and to evaluate the association between OCD and suicide in the same cohort. Eighty subjects diagnosed with bipolar I disorder were enrolled in this study; subjects were divided according to the presence or absence of OCD to group A: bipolar disorder patients with OCD ( n  = 26) and group B: bipolar disorder patients without OCD ( n  = 54). The following scales were applied: Dimensional Yale-Brown Obsessive-Compulsive Scale (DYBOCS)–Beck Scale for Suicidal Ideations (BSSI)–Hamilton Depression Rating Scale (HDRS), and Young Mania Rating Scale (YMRS). Results DYBOCS score of group A was 30.23 ± 0.43, and that of group, B was 18.50 ± 1.88 with a significant difference ( p