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Suicidal Ideation Versus Suicidal Obsession: A Case Report

Published online by Cambridge University Press:  07 November 2014

Abstract

This case report illustrates the relationship between stress and obsessive-compulsive disorder (OCD) by describing an unusual case of OCD sequelae following a suicide attempt. The patient is a 29-year-old married woman who suffered a major depressive episode without OCD and tried to commit suicide by drinking household cleaner. Following the attempt, violent obsessive thoughts of harming herself and others emerged along with avoidance behavior. After exposure therapy, there was a decrease in her obsessive thoughts, less anxiety, and no avoidance behavior. This report highlights not only the existence of “posttraumatic obsession” but also the importance of accurate interpretation of suicidal preoccupation, leading to the diagnosis of OCD rather then suicidal ideation secondary to depression.

Type
Case Report
Copyright
Copyright © Cambridge University Press 2007

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References

REFERENCES

1.De Silva, P, Marks, M. Traumatic experiences, post-traumatic stress disorder and obsessive-compulsive disorder. Int Rev Psychiatry. 2001;13:172180.CrossRefGoogle Scholar
2.Pitman, RK. Posttraumatic obsessive-compulsive disorder: a case study. Compr Psychiatry. 1993;34:102107.CrossRefGoogle ScholarPubMed
3.De Silva, P, Marks, M. The role of traumatic experiences in the genesis of obsessive-compulsive disorder. Behav Res Ther. 1999;37:941951.CrossRefGoogle ScholarPubMed
4.Sasson, Y, Dekel, S, Nacasch, N, et al.Posttraumatic obsessive-compulsive disorder: a case series. Psychiatry Res. 2005;135:145152.CrossRefGoogle ScholarPubMed
5.Gershuny, BS, Baer, L, Radomsky, AS, Wilson, KA, Jenicke, MA. Connections among symptoms of obsessive-compulsive disorder and posttraumatic stress disorder: a case series. Behav Res Ther. 2003;41:10291041.CrossRefGoogle ScholarPubMed
6.Rassmusen, S, Eisen, JL. Phenomenology of OCD: clinical subtypes, heterogeneity and coexistence. In: Zohar, J, Insel, T, Rassmussen, S, eds. The Psychobiology of Obsessive-Compulsive Disorder. New York, NY: Springer Publishing Company, Inc.; 1991:1314Google Scholar
7.Lee, HJ, Kwon, SM. Two different types of obsession: autogenous obsessions and reactive obsessions. Behav Res Ther. 2003;41:1129.CrossRefGoogle ScholarPubMed
8.Torres, AR, Prince, MJ, Bebbington, PE, et al.Obsessive-compulsive disorder: prevalence, comorbidity, impact, and help-seeking in the British National Psychiatric Morbidity Survey of 2000. Am J Psychiatry. 2006;163:19781985.CrossRefGoogle ScholarPubMed
9.Griez, EJL, Raravelli, C, Nutt, D, Zohar, J. Anxiety Disorders: An Introduction to Clinical Management and Research. Chichester, UK: Wiley; 2001.CrossRefGoogle Scholar
10.Dohrenwend, BP. The role of adversity and stress in psychopathology: some evidence and its implications for theory and research. J Health Soc Behav. 2000;41:119.CrossRefGoogle ScholarPubMed
11.Purdon, C. Cognitive-behavioral treatment of repugnant obsessions. J Clin Psychol. 2004;60:11691180.CrossRefGoogle ScholarPubMed
12.Woody, SR, Steketee, G, Chambless, DL. Reliability and validity of the Yale-Brown Obsessive-Compulsive Scale. Behav Res Ther. 1995;33:597605.CrossRefGoogle ScholarPubMed