Suicidality in obsessive compulsive disorder (OCD): A systematic review and meta-analysis
Abstract
Although a growing number of studies have examined the frequency of suicidal thoughts and behaviors in individuals with obsessive compulsive disorder (OCD), there is controversy about the frequency and burden of suicidality in OCD. This is the first systematic review aimed at examining the association between suicidality and OCD and at providing evidence about psychological mechanisms that may underlie suicidality in those with OCD. Five electronic bibliographic databases were searched up to April 2014: Medline, PsycINFO, Embase, Web of Science and CINAHL. Meta-analysis using random effects models was conducted. Forty-eight studies were included in the systematic review. The pooled effect size across 30 independent comparisons revealed a moderate to high, significant association between suicidality and OCD (Hedges' g=0.66, 95% confidence interval 0.49-0.82) which persisted across different types of suicidality including suicidal ideation and suicide attempts. Comorbid Axis I disorders, increased severity of comorbid depressive and anxiety symptoms, increased severity of obsessions, feelings of hopelessness and past history of suicide attempts were associated with worsening levels of suicidality in OCD. There was no indication for publication bias but the methodological quality of the studies was low. The theoretical, research and clinical implications of these findings are emphasized.
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The presence of depression further exacerbates the increased risk of suicidal ideations in individuals with OCD.
“The presence of depression further exacerbates the increased risk of suicidal ideations [77].”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [77]
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- Authors
- Angelakis, I., Gooding, P., Tarrier, N., & Panagioti, M.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Panagioti, Maria
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2015-07
- Volume
- 39
- Pages
- 1-15
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2129581943
- Cited by
- 185
- References
- 85
- Citations by year
- 2026: 16 · 2025: 18 · 2024: 16 · 2023: 21 · 2022: 14 · 2021: 22 · 2020: 23 · 2019: 17 · 2018: 12 · 2017: 12 · 2016: 10 · 2015: 4
- FWCI
- 1.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Perfectionism, Procrastination, Anxiety Studies
- Keywords
- obsessive-compulsive disorder, suicidality, suicidal ideation, suicide attempts, comorbidities, depression, anxiety, obsession, hopelessness, suicide attempt history, psychological mechanisms
- MeSH terms
- Humans, Obsessive-Compulsive Disorder, Suicide, Suicide, Attempted, Suicidal Ideation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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