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Sexual and Religious Obsessions in Relation to Suicidal Ideation in Bipolar Disorder
Author(s) -
Abdel Hamid Ahmed A. L.,
Nasreldin Mohamed,
Gohar Sherif M.,
Saleh Alia A.,
Tarek MennatAllah
Publication year - 2019
Publication title -
suicide and life‐threatening behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.544
H-Index - 90
eISSN - 1943-278X
pISSN - 0363-0234
DOI - 10.1111/sltb.12540
Subject(s) - suicidal ideation , young mania rating scale , bipolar disorder , psychology , hamd , psychiatry , clinical psychology , depression (economics) , hamilton rating scale for depression , bipolar i disorder , distress , mania , rating scale , poison control , anxiety , medicine , major depressive disorder , suicide prevention , mood , developmental psychology , environmental health , economics , macroeconomics
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.