{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:44:00Z","timestamp":1791564240468,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T00:00:00Z","timestamp":1549411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Suicide &amp; Life Threat Behav"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Obsessions and suicidal behavior are common among patients with bipolar disorder. The relation between them and their impact on disease severity should be a focus of attention. This study aimed at assessment of the presence of sexual and religious obsessions in patients with bipolar disorder and their relation to suicide ideation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ninety patients diagnosed with bipolar I disorder were recruited consecutively and subdivided into two groups: bipolar disorder with and without sexual\/religious obsessions. Both groups were subjected to Dimensional Yale\u2010Brown Obsessive\u2013Compulsive Scale (<jats:styled-content style=\"fixed-case\">DY<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">BOCS<\/jats:styled-content>), Young Mania Rating Scale (<jats:styled-content style=\"fixed-case\">YMRS<\/jats:styled-content>), Hamilton Depression Rating Scale (<jats:styled-content style=\"fixed-case\">HAMD<\/jats:styled-content>), and Beck Scale for Suicide Ideation (<jats:styled-content style=\"fixed-case\">BSSI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients with bipolar disorder and sexual\/religious obsessions were 54.4% (<jats:italic>n\u00a0=\u00a0<\/jats:italic>49) of the total sample, and they showed significantly higher number of suicidal attempts, more severe depression, and suicidal ideation than those without sexual\/religious obsessions. <jats:styled-content style=\"fixed-case\">BSSI<\/jats:styled-content> showed significantly positive correlation with <jats:styled-content style=\"fixed-case\">HAMD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">DY<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">BOCS<\/jats:styled-content> sexual and religious obsessions dimension\u2010related distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sexual and religious obsessions tend to be more frequent among patients with bipolar disorder. Higher depression and obsessive\u2010related distress potentially contribute to the increased risk of suicidal ideation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sltb.12540","type":"journal-article","created":{"date-parts":[[2019,2,7]],"date-time":"2019-02-07T06:45:20Z","timestamp":1549521920000},"page":"1552-1559","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Sexual and Religious Obsessions in Relation to Suicidal Ideation in Bipolar Disorder"],"prefix":"10.1111","volume":"49","author":[{"given":"Ahmed A. 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