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Child Psychiatry Hum Dev. 2015 Feb;46(1):75-83. doi: 10.1007/s10578-014-0453-7.

Frequency and correlates of suicidal ideation in pediatric obsessive-compulsive disorder.

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1
Department of Pediatrics, Rothman Center for Neuropsychiatry, University of South Florida, 880 6th Street South, St., Box 7523, St. Petersburg, FL, 33701, USA, estorch@health.usf.edu.

Abstract

This study examined the frequency and sociodemographic and clinical correlates of suicidal ideation in a sample of children and adolescents with obsessive-compulsive disorder (OCD). Fifty-four youth with OCD and their parent(s) were administered the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime, Children's Yale-Brown Obsessive Compulsive Scale, and Children's Depression Rating Scale-Revised. Children completed the Suicidal Ideation Questionnaire-Junior (SIQ-JR), Child Obsessive Compulsive Impact Scale-Child, and Multidimensional Anxiety Scale for Children; parents completed the Child Obsessive Compulsive Impact Scale-Parent, Swanson, Nolan, and Pelham-IV Parent Scale, and Young Mania Rating Scale-Parent Version. Seven youth endorsed clinically significant levels of suicidal ideation on the SIQ-JR. Suicidal ideation was significantly related to clinician-rated depressive symptoms, age, child-rated impairment and anxiety symptoms, and symmetry, sexuality/religiosity and miscellaneous symptom dimensions. There was no significant association between suicidal ideation and obsessive-compulsive symptom severity, comorbidity patterns, or several parent-rated indices (e.g., impairment, impulsivity). These results provide initial information regarding the frequency and correlates of suicidal ideation in treatment-seeking youth with OCD. Clinical implications are discussed, as well as directions for future research.

PMID:
24682580
PMCID:
PMC4179999
DOI:
10.1007/s10578-014-0453-7
[Indexed for MEDLINE]
Free PMC Article
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