{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T02:32:11Z","timestamp":1777084331665,"version":"3.51.4"},"reference-count":35,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T00:00:00Z","timestamp":1593648000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Mental health staff may have limited exposure to emergencies associated with obsessive\u2013compulsive disorder (OCD) during postgraduate training. The first time they encounter a person in the midst of severe obsessions, or one who has compulsively self-harmed in response to such obsessions, might be when working on call covering the emergency department. This educational article presents the lived experience of one of the authors as a clinical scenario. The scenario is then used to illustrate the severity of disability and the rates of self-harm and suicide-related mortality caused by OCD. The recognition and assessment of OCD is described, along with what helps in emergency situations. Written informed consent was obtained for the publication of clinical details.<\/jats:p>","DOI":"10.1192\/bjb.2020.70","type":"journal-article","created":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T04:47:36Z","timestamp":1593665256000},"page":"109-114","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":11,"title":["When self-harm is about preventing harm: emergency management of obsessive\u2013compulsive disorder and associated self-harm"],"prefix":"10.1192","volume":"45","author":[{"given":"Erika","family":"Palombini","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Richardson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"McAllister","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1717-4766","authenticated-orcid":false,"given":"David","family":"Veale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8835-4334","authenticated-orcid":false,"given":"Alex B.","family":"Thomson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2020,7,2]]},"reference":[{"key":"S2056469420000704_ref4","unstructured":"4 Alderdice, J , Morgan, J , Antoniou, J , Bolton, J , Brown, T , Cassidy, C , Self-Harm, Suicide and Risk: Helping People Who Self-Harm. College Report CR158. Royal College of Psychiatrists, 2010 (https:\/\/www.rcpsych.ac.uk\/improving-care\/campaigning-for-better-mental-health-policy\/college-reports\/2008-2010-college-reports)."},{"key":"S2056469420000704_ref14","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.113.141242"},{"key":"S2056469420000704_ref17","first-page":"511","article-title":"Prevalence and severity of obsessive-compulsive disorder and their relationships with dermatological diseases","volume":"52","author":"Sheikhmoonesi","year":"2014","journal-title":"Acta Med Iran"},{"key":"S2056469420000704_ref3","unstructured":"3 National Institute for Health and Care Excellence. Self-Harm in Over 8s: Short-Term Management and Prevention of Recurrence. Clinical Guideline CG16. 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