Prevalence and associated factors for suicidal ideation and behaviors in obsessive-compulsive disorder

Introduction: Patients with obsessive-compulsive disorder (OCD) have historically been considered at low risk for suicide, but recent studies are controversial. Objective: To study the prevalence of suicidal thoughts and attempts in OCD patients and to compare those with and without suicidality according to demographic and clinical variables. Methods: Fifty outpatients with primary OCD (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) from a Brazilian public university were evaluated. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was used to assess OCD severity, the Beck Depression Inventory to evaluate depressive symptoms and the Alcohol Use Disorders Identification Test to assess alcohol problems. Results: All patients had obsessions and compulsions, 64% a chronic fluctuating course and 62% a minimum Y-BOCS score of 16. Half of the patients presented relevant depressive symptoms, but only three had a history of alcohol problems. Seventy percent reported having already thought that life was not worth living, 56% had wished to be dead, 46% had suicidal ideation, 20% had made suicidal plans, and 10% had already attempted suicide. Current suicidal ideation occurred in 14% of the sample and was significantly associated with a Y-BOCS score ≥16. Previous suicidal thoughts were associated with a Beck Depression Inventory score ≥19. Conclusion: Suicidally has been underestimated in OCD and should be investigated in every patient, so that appropriate preventive measures can be taken.

Razão de prevalências: Alcoolismo nas diferentes regiões geográficas do Brasil segundo o sexo

The present study applies a method of prevalence analysis to data obtained in two nationwide household surveys on alcohol use during life and dependence, for each of the sexes. The ratios of prevalences (R), for the lifetime alcohol use and dependence rates, between the two genders in the various Brazilian macro-regions, were calculated together with their respective 95% confidence intervals. It was found that lifetime use, both in 2001 and in 2005, was significantly greater in Brazilian males in all geographical regions. In 2001, the population of the North (male and female) had a higher rate of alcohol consumption than that in the Brazilian population as a whole and that in the Southeast. Dependence on the consumption of alcoholic drinks in 2001 and in 2005 was greater in the male sex, but similar among the various regions studied. It can be concluded that this method of analyzing the data on alcoholism could be of great use in assessing its magnitude and importance in terms of public health.

Unusual presentation of oral squamous cell carcinoma in a young woman

Oral squamous cell carcinoma (OSCC) is the most common oral malignant neoplasm, mainly affecting individuals over 50 years old with a history of tobacco and alcohol use. The occurrence of this oral cancer in individuals under 40 years old is unusual and, when it does occur, shows a weaker relation to those risk factors and a more aggressive clinical course. Due to the paucity of reports in this population, it is difficult to prove its increasing trend. A case of oral squamous cell carcinoma in a 39-year-old woman with no history of tobacco or alcohol use is reported. Clinical and histopathological findings, aetiology, and treatment are discussed. The increasing trend of oral squamous cell carcinoma in young women without known risk factors highlights the need for clinicians to be prepared to diagnose this lesion quickly and precisely, providing a better prognosis, chance of survival, and quality of life for the patient.

Lifestyle factors and socioeconomic variables associated with abdominal obesity in Brazilian adolescents

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Symptom dimensions, clinical course and comorbidity in men and women with obsessive-compulsive disorder

The study aimed to compare male and female patients with obsessive-compulsive disorder (OCD) across symptom dimensions, clinical course and comorbidity. A cross-sectional study was undertaken with 858 adult OCD patients (DSM-IV) from the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders. Patients were evaluated using structured interviews, including the Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS) and the Structured Clinical Interview for DSM-IV Axis I disorders (SCID-I). The sample was composed of 504 women (58.7%) and 354 men (41.3%) with a mean age of 35.4 years-old (range: 18-77). Men were younger, more frequently single and presented more tics, social phobia and alcohol use disorders. Among men, symptom interference occurred earlier and symptoms of the sexual/religious dimension were more common and more severe. Conversely, women were more likely to present symptoms of the aggressive, contamination/cleaning and hoarding dimension and comorbidity with specific phobias, anorexia nervosa, bulimia, trichotillomania, skin picking and compulsive buying. In the logistic regression, female gender remained independently associated with the aggressive and contamination/cleaning dimensions. In both genders the aggressive dimension remained associated with comorbid post-traumatic stress disorder, the sexual/religious dimension with major depression and the hoarding dimension with tic disorders. Gender seems to be relevant in the determination of OCD clinical presentation and course and should be considered an important aspect when defining more homogeneous OCD subgroups. © 2012 Elsevier B.V.

Detecção de Binge drinking em estudantes do ensino médio: efetividade de diferentes métodos

Pós-graduação em Alimentos e Nutrição - FCFAR

Consumo de álcool entre estudantes do ensino médio do município de Passos-MG

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Uso de álcool e julgamento sócio-moral de estudantes do ensino médio

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Padrão de uso de alcool e outras drogas entre estudantes de Cascavel - PR

Pós-graduação em Educação - FFC

Adolescente, uso de álcool, depressão e desenvolvimento cognitivo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Acidentes e uso de álcool entre escolares que participaram ou não do PROERD

Pós-graduação em Educação - FFC

Uso de alcool e competência moral em universitários

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A relação entre o padrão de consumo de bebidas alcoólicas e a competência moral em universitária

Pós-graduação em Educação - FFC

Comportamento violentos(foco em bullying) e uso de substâncias psicoativas por alunos do ensino médio e fundamental de Botucatu, Brasil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Prevalência do uso de substâncias psicoativas entre estudantes do ensino fundamental e médio de um municipio do interior: reavaliação apos 10 anos

Pós-graduação em Saúde Coletiva - FMB