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Obsessive-compulsive personality disorder and suicidal behavior: evidence for a positive association in a sample of depressed patients.
J Clin Psychiatry. 2009 Nov; 70(11):1551-6.JC

Abstract

OBJECTIVE

To explore the association between obsessive-compulsive personality disorder (OCPD) and suicidal behavior.

METHOD

Subjects referred for a psychiatric consultation were evaluated with structured interviews for mood and personality disorders (the Structured Clinical Interview for DSM-III-R and the Structured Clinical Interview for DSM-III-R Axis II Disorders), a history of suicidal behavior, and levels of coping. A total of 311 subjects were investigated using a 3-group design to test the association between OCPD and suicidal behavior, controlling for the presence of depression. Subjects with OCPD and a history of depression were compared to depressed subjects without any Axis II diagnosis and to subjects without depression or personality disorders. The study was conducted at Verdun Community Psychiatric Clinic, Douglas Hospital, McGill University, in Montreal, Quebec, Canada, and subjects were recruited from 2003 until 2005.

RESULTS

Subjects in the comorbid OCPD-depression group presented increased current and lifetime suicide ideation compared to the groups with depression alone or without depression or personality disorders (P = .004); they also had increased history of suicide attempts (P = .04), which were often multiple attempts (P = .01). They also scored lower on the Reasons for Living Inventory (RFL) and the Death Anxiety Questionnaire. Interestingly, comorbid OCPD-depression patients differed from patients with depression alone on the Moral Objections items of the RFL, on which individuals with OCPD-depression scored lowest. Limitations of this study were its cross-sectional design, retrospective sample, and limited generalizability to the population at large.

CONCLUSIONS

Obsessive-compulsive personality disorder is a factor increasing risk for nonfatal suicidal behavior independently of risk conferred by depressive disorders.

Authors+Show Affiliations

The McGill Group for Suicide Studies, Douglas Hospital Research Centre, McGill University, Montréal, Québec, Canada.No affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Review

Language

eng

PubMed ID

19607764

Citation

Diaconu, Gabriel, and Gustavo Turecki. "Obsessive-compulsive Personality Disorder and Suicidal Behavior: Evidence for a Positive Association in a Sample of Depressed Patients." The Journal of Clinical Psychiatry, vol. 70, no. 11, 2009, pp. 1551-6.
Diaconu G, Turecki G. Obsessive-compulsive personality disorder and suicidal behavior: evidence for a positive association in a sample of depressed patients. J Clin Psychiatry. 2009;70(11):1551-6.
Diaconu, G., & Turecki, G. (2009). Obsessive-compulsive personality disorder and suicidal behavior: evidence for a positive association in a sample of depressed patients. The Journal of Clinical Psychiatry, 70(11), 1551-6. https://doi.org/10.4088/JCP.08m04636
Diaconu G, Turecki G. Obsessive-compulsive Personality Disorder and Suicidal Behavior: Evidence for a Positive Association in a Sample of Depressed Patients. J Clin Psychiatry. 2009;70(11):1551-6. PubMed PMID: 19607764.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Obsessive-compulsive personality disorder and suicidal behavior: evidence for a positive association in a sample of depressed patients. AU - Diaconu,Gabriel, AU - Turecki,Gustavo, Y1 - 2009/07/14/ PY - 2008/08/25/received PY - 2008/10/09/accepted PY - 2009/7/18/entrez PY - 2009/7/18/pubmed PY - 2010/1/6/medline SP - 1551 EP - 6 JF - The Journal of clinical psychiatry JO - J Clin Psychiatry VL - 70 IS - 11 N2 - OBJECTIVE: To explore the association between obsessive-compulsive personality disorder (OCPD) and suicidal behavior. METHOD: Subjects referred for a psychiatric consultation were evaluated with structured interviews for mood and personality disorders (the Structured Clinical Interview for DSM-III-R and the Structured Clinical Interview for DSM-III-R Axis II Disorders), a history of suicidal behavior, and levels of coping. A total of 311 subjects were investigated using a 3-group design to test the association between OCPD and suicidal behavior, controlling for the presence of depression. Subjects with OCPD and a history of depression were compared to depressed subjects without any Axis II diagnosis and to subjects without depression or personality disorders. The study was conducted at Verdun Community Psychiatric Clinic, Douglas Hospital, McGill University, in Montreal, Quebec, Canada, and subjects were recruited from 2003 until 2005. RESULTS: Subjects in the comorbid OCPD-depression group presented increased current and lifetime suicide ideation compared to the groups with depression alone or without depression or personality disorders (P = .004); they also had increased history of suicide attempts (P = .04), which were often multiple attempts (P = .01). They also scored lower on the Reasons for Living Inventory (RFL) and the Death Anxiety Questionnaire. Interestingly, comorbid OCPD-depression patients differed from patients with depression alone on the Moral Objections items of the RFL, on which individuals with OCPD-depression scored lowest. Limitations of this study were its cross-sectional design, retrospective sample, and limited generalizability to the population at large. CONCLUSIONS: Obsessive-compulsive personality disorder is a factor increasing risk for nonfatal suicidal behavior independently of risk conferred by depressive disorders. SN - 1555-2101 UR - https://www.unboundmedicine.com/medline/citation/19607764/Obsessive_compulsive_personality_disorder_and_suicidal_behavior:_evidence_for_a_positive_association_in_a_sample_of_depressed_patients_ L2 - http://www.psychiatrist.com/jcp/article/pages/2009/v70n11/v70n1111.aspx DB - PRIME DP - Unbound Medicine ER -