Obsessive-Compulsive Personality Disorder and Death by Suicide

Introduction The risk of suicide may be elevated in the presence personality pathology. Adults with Obsessive Compulsive Personality Disorder (OCPD) vulnerable to depression and suicidal thoughts. Objectives To identify factors associated cases OCPD. Methods Psychological autopsy procedures were used gather detailed information about adults who died by natural causes. A total 75 deceased evaluated using psychological procedures. Family members interviewed a recently adult, structured diagnostic interviews (SCID SIDP-IV). Diagnostic summaries, coroner’s reports police records reviewed psychiatrist, psychologist, social worker, neuroscientist until agreement was reached final diagnosis. sample included 40 met criteria for OCPD (18 had suicide; 20 causes). An additional examined which evidence PD absent (19 18 Results diagnosis Major Depressive significantly more common completers compared without ( X 2 = 6.74, p < .01) or death 12.70, .001). Suicide displayed many symptoms depression, often than (see Table 1). As death, both groups likely have previously attempted prior their act 8.52, .05). 1. Comparison four Episode at time death. Natural Death No Sad mood 82.4% 36.8% 78.9% 50.0% 11.38 ** Sleep disturbance 38.9% 73.7% 46.7% 9.53 * Feelings worthlessness 60.0% 84.2% 17.6% 17.49 *** Reduced concentration 58.8% 27.8% 57.9% 14.3% 9.89 Recurrent ideation 88.2% 26.3% 0.0% 35.57 Loss pleasure 40.0% 10.80 Psychomotor changes 33.3% 61.1% 26.7% 5.04 energy 64.7% 44.4% 63.2% 4.12 Change appetite 70.6% 42.1% 31.3% 8.37 Note: .05; .01; .001 Conclusions appear episode, combination MDD creates significant suicide. It is important appreciate influence disorder risk. Disclosure Interest None Declared