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Risk assessment in Obsessive Compulsive Disorder

Research output: Contribution to journalArticle

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

Original languageEnglish
Pages (from-to)332-343
JournalAdvances in Psychiatric Treatment
Volume15
Early online date2 Jan 2008
DOIs
Publication statusPublished - Sep 2009

King's Authors

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.

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