Case Report

Obsessive-Compulsive Disorder with Suicide Obsessions in a First Responder without Previous Diagnosis of OCD or History of Suicide Attempts

Table 1

Previously published case reports on OCD with suicidal obsession.

ReportAgeSexHistory Comments

Al-Zaben [13]54FemaleLong history of MDD,
long history of OCD
OCD symptoms were improved with paroxetine and cognitive restructuring.

Wetzler et al. [14]29FemaleLong history of MDD,
suicide attempt with posttraumatic obsession
Depression was improved with ECT and citalopram.
OCD improved with gradual exposure therapy.

Wetterneck et al. [15]40sMaleMDD, chronic treatment resistant OCDImproved after treatment with Foa et al.’s protocol on exposure and ritual/response prevention (ERP), an evidence-based treatment for OCD.

Aukst-Margetić et al. [16]54MaleBipolar disorderDeveloped ego-dystonic suicidal obsession with clozapine in a dose dependent manner. Improved with switch to a different atypical antipsychotic.