title: Frequency and correlates of suicidal ideation in pediatric obsessive-compulsive disorder.
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.
authors.affiliation: 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.
authors.forename: Eric A
authors.initials: EA
authors.lastname: Storch
authors.forename: Regina
authors.initials: R
authors.lastname: Bussing
authors.forename: Marni L
authors.initials: ML
authors.lastname: Jacob
authors.forename: Joshua M
authors.initials: JM
authors.lastname: Nadeau
authors.forename: Erika
authors.initials: E
authors.lastname: Crawford
authors.forename: P Jane
authors.initials: PJ
authors.lastname: Mutch
authors.forename: Dana
authors.initials: D
authors.lastname: Mason
authors.forename: Adam B
authors.initials: AB
authors.lastname: Lewin
authors.forename: Tanya K
authors.initials: TK
authors.lastname: Murphy
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000503:physiopathology*; D059020:Suicidal Ideation