in patients with ocd, obsessions and checking were found to be more diffuse (92.78%) and associated with a greater overall functional and lifestyle impairment than other categories of symptoms . in schizophrenia, obsessive compulsive symptoms were reported by 10%  to 26.7% of patients, the frequent obsessions being that of contamination, sexual and aggressive thoughts . nevertheless, the influence of subtypes of ocd, such as sexual obsessions, on suicidal behaviors, in patients with a psychiatric diagnosis, was scarcely investigated. independent researchers, not members of the therapeutic team, discussed the study with patients and solicited their participation. cross-tabulations with χ2 tests were also used to estimate lifetime prevalence of sexual obsessions and suicidal behaviors (ideation, plans and attempts) between groups, taking into consideration the effect of gender. results of logistic regression analyses showed that gender, mental disorders and sexual obsessions were significantly related to suicidal behaviors in this study. altogether, there is a need to explore, accurately, the prevalence of sexual obsessions in patients with different psychiatric diagnoses of both genders. mental disorders also contribute to the likelihood of reporting lifetime suicidal behaviors, with a substantial contribution coming from mood disorders, followed by schizophrenia, and panic disorder. a potential criticism is that the presence of lifetime suicidal ideation, plans and attempts was assessed retrospectively through self-reporting.
in conclusion, this study suggests that is necessary to detect, accurately, the presence of sexual obsessions, which are a source of psychological burden that could be associated with suicide ideation or attempt. 10.1016/0005-7967(84)90057-3. obsessive compulsive cognitions working group: development and initial validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory. grant je, pinto a, gunnip m, mancebo mc, eisen jl, rasmussen sa: sexual obsessions and clinical correlates in adults with obsessive-compulsive disorder. 1997, 39: 324-328. poyurovsky m, faragian s, kleinman-balush v, pashinian a, kurs r, fuchs c: awareness of illness and insight into obsessive-compulsive symptoms in schizophrenia patients with obsessive-compulsive disorder. predictive factor of a good therapeutic response to fluvoxamine. balci v, sevincok l: suicidal ideation in patients with obsessive-compulsive disorder. branaman tf: the role of fantasy in the evaluation and treatment of sexual obsessions and compulsivity. balazs j, benazzi f, rihmer z, rihmer a, akiskal kk, akiskal hs: the close link between suicide attempts and mixed (bipolar) depression: implications for suicide prevention. joiner te, blalock ja, wagner kd: preliminary examination of sex differences in depressive symptoms among adolescent psychiatric inpatients: the role of anxious symptoms and generalized negative affect. sexual obsessions and suicidal behaviors in patients with mood disorders, panic disorder and schizophrenia.
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