Risk assessment in Obsessive Compulsive Disorder

David Veale; Mark Freeston; Georgina Krebs; Isobel  Heyman; Paul Salkovskis

doi:10.1192/apt.bp.107.004705

Risk assessment in Obsessive Compulsive Disorder

David Veale, Mark Freeston, Georgina Krebs, Isobel Heyman, Paul Salkovskis

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Abstract

Some people with obsessive–compulsive disorder (OCD) experience recurrent intrusive sexual, aggressive or death-related thoughts and as a result may be subjected to lengthy or inappropriate risk assessments. These apparent ‘primary’ risks can be dealt with relatively easily through a careful understanding of the disorder’s phenomenology. However, there are other, less obvious ‘secondary’ risks, which require more careful consideration. This article discusses the differentiation of intrusive thoughts and urges in people with OCD from those experienced by sexual or violent offenders; assessing the risk of self-harm and suicide; discussing the nature of repugnant obsessions with a patient; assessing risk of harm and violence to the dependents and family living with someone with the disorder; and assessing the lack of insight and the use of the Mental Health Act. Issues specifically related to children and young people with OCD are also highlighted.

Original language	English
Pages (from-to)	332-343
Journal	Advances in Psychiatric Treatment
Volume	15
Early online date	2 Jan 2008
DOIs	https://doi.org/10.1192/apt.bp.107.004705
Publication status	Published - Sept 2009

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title = "Risk assessment in Obsessive Compulsive Disorder",

abstract = "Some people with obsessive–compulsive disorder (OCD) experience recurrent intrusive sexual, aggressive or death-related thoughts and as a result may be subjected to lengthy or inappropriate risk assessments. These apparent {\textquoteleft}primary{\textquoteright} risks can be dealt with relatively easily through a careful understanding of the disorder{\textquoteright}s phenomenology. However, there are other, less obvious {\textquoteleft}secondary{\textquoteright} risks, which require more careful consideration. This article discusses the differentiation of intrusive thoughts and urges in people with OCD from those experienced by sexual or violent offenders; assessing the risk of self-harm and suicide; discussing the nature of repugnant obsessions with a patient; assessing risk of harm and violence to the dependents and family living with someone with the disorder; and assessing the lack of insight and the use of the Mental Health Act. Issues specifically related to children and young people with OCD are also highlighted.",

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T1 - Risk assessment in Obsessive Compulsive Disorder

AU - Veale, David

AU - Freeston, Mark

AU - Krebs, Georgina

AU - Heyman, Isobel

AU - Salkovskis, Paul

PY - 2009/9

Y1 - 2009/9

N2 - Some people with obsessive–compulsive disorder (OCD) experience recurrent intrusive sexual, aggressive or death-related thoughts and as a result may be subjected to lengthy or inappropriate risk assessments. These apparent ‘primary’ risks can be dealt with relatively easily through a careful understanding of the disorder’s phenomenology. However, there are other, less obvious ‘secondary’ risks, which require more careful consideration. This article discusses the differentiation of intrusive thoughts and urges in people with OCD from those experienced by sexual or violent offenders; assessing the risk of self-harm and suicide; discussing the nature of repugnant obsessions with a patient; assessing risk of harm and violence to the dependents and family living with someone with the disorder; and assessing the lack of insight and the use of the Mental Health Act. Issues specifically related to children and young people with OCD are also highlighted.

AB - Some people with obsessive–compulsive disorder (OCD) experience recurrent intrusive sexual, aggressive or death-related thoughts and as a result may be subjected to lengthy or inappropriate risk assessments. These apparent ‘primary’ risks can be dealt with relatively easily through a careful understanding of the disorder’s phenomenology. However, there are other, less obvious ‘secondary’ risks, which require more careful consideration. This article discusses the differentiation of intrusive thoughts and urges in people with OCD from those experienced by sexual or violent offenders; assessing the risk of self-harm and suicide; discussing the nature of repugnant obsessions with a patient; assessing risk of harm and violence to the dependents and family living with someone with the disorder; and assessing the lack of insight and the use of the Mental Health Act. Issues specifically related to children and young people with OCD are also highlighted.

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DO - 10.1192/apt.bp.107.004705

M3 - Article

SN - 1355-5146

VL - 15

SP - 332

EP - 343

JO - Advances in Psychiatric Treatment

JF - Advances in Psychiatric Treatment

ER -

Risk assessment in Obsessive Compulsive Disorder

Abstract

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