Table of ContentsView AllTable of ContentsAbout Suicidal ObsessionsNon-Suicidal Self-injuryObsessions Related to OCDThoughts Related to DepressionOCD and DepressionTreatment Options

Table of ContentsView All

View All

Table of Contents

About Suicidal Obsessions

Non-Suicidal Self-injury

Obsessions Related to OCD

Thoughts Related to Depression

OCD and Depression

Treatment Options

Close

Information presented in this article may be triggering to some people. If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat988for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.For more mental health resources, see ourNational Helpline Database.

Information presented in this article may be triggering to some people. If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat988for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

For more mental health resources, see ourNational Helpline Database.

Harm obsessive-compulsive disorder (OCD) is aspecific type of OCDin which the personfears causing harmto themselves or others. There are many variations of harm OCD, including physical harm; aggression toward or killing oneself or another; and sexual harm, including harmful sexual behavior toward children.

Fear of harming oneself when not depressed and/or wanting to die may be due to suicidal obsessions in OCD, or suicidal OCD. This is different from suicidal thoughts due todepressionor a desire to end one’s suffering because of physical illness or injury.

In this article, we will discuss the differences between suicidal obsessions in OCD, called suicidal OCD, non-suicidal self-injury, and suicidal thoughts related to depression. However, any thoughts of suicide should be taken seriously.

It is possible for someone with suicidal obsessions related to OCD to also become suicidal and want to die. The information in this article should not replace professional mental health evaluation or treatment.

The International Society for the Study of Self-injury (ISSS) defines non-suicidal self-injury as “the deliberate, self-inflicted destruction of body tissue without suicidal intent and for purposes not socially sanctioned” (ISSS, 2007). This includes the most common behaviors, such as cutting, scratching, hitting, burning, head-banging, puncturing the skin and so on to relieve emotional distress. In these cases, there is no thought of wanting to die.

Self-injuryis considered a maladaptive coping response to emotional distress or numbness.

This behavior often begins in adolescence. Although manyteenswho try self-injury do not continue to engage in the behavior, some continue it into adulthood. Self-injury may be associated withpersonality disorders, anxiety and/ordepression.

Suicidal obsessions can be associated with harm OCD or suicidal OCD. In these cases, a person who does not want to die has unwanted, intrusive thoughts and/or images of dying or self-injury.

Many who have suicidal obsessions believe they have what’s known as Pure-O, meaning they have obsessions with no compulsions. However, it is now believed that most people with suicidal OCD engage in mental rituals or compulsions instead of physical ones in response to the suicidal obsessions.

This might include attempting to crowd out the suicidal thoughts with positive thoughts, praying, counting, seeking reassurance or other mental activities. Previously it was believed thatexposure-response prevention therapy(ERP) would not work for suicidal OCD, as it requires working to extinguish the compulsions.

However, for those who perform mental acts to neutralize the suicidal thoughts, ERP is effective.

Suicidal thoughts are one of the many symptoms of depression. However, not everyone who experiences depression will have suicidal thoughts or want to die. Also, not everyone who has suicidal thoughts actually comes up with a plan or makes an attempt, known as a suicidal gesture or suicide attempt.

AAS reports the risk of suicide in people with untreated depression is 25 times greater than the general population. Untreated depression often results in other problems as well, such as substance abuse or dependence, which makes the risk even greater.

About 2/3 of people with OCD will experience at least onemajor depressive episodein their lifetimes. There are different schools of thought about why this happens. These two disorders are believed to involve the same neurotransmitters, which are brain chemicals, so there is a shared biological component.

There is also a possibility that depression is related to feelings of hopelessness and helplessness that can result from the inability to control the symptoms of OCD. In either case, both the OCD and depression need to be treated. As noted above, left untreated, depression can result in suicide, and having more than one mental health condition increases the risk.

Antidepressants are often used to treat OCD, as well as depression. For those who have both disorders, a combination of medications may be needed.

Cognitive behavioral therapy(CBT) is effective in treating both disorders, as ismindfulness. Speak with a trained mental health professional immediately if you have anysuicidal thoughts. Even those with suicidal obsessions may become suicidal without treatment.

SourcesVerywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American Association of Suicidology Suicide Prevention is Everyone’s Business.Suicide Fact Sheets.Definition of Non-Suicidal Self-Injury.ISSS.Facts and Figures.American Foundation for Suicide Prevention.Suicide in the U.S.: Statistics and Prevention.NIMH RSS.American Association of Suicidology. Depression and Suicide Risk."(2014).American Foundation for Suicide Prevention. “Suicide Statistics."(2014).

Sources

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American Association of Suicidology Suicide Prevention is Everyone’s Business.Suicide Fact Sheets.Definition of Non-Suicidal Self-Injury.ISSS.Facts and Figures.American Foundation for Suicide Prevention.Suicide in the U.S.: Statistics and Prevention.NIMH RSS.American Association of Suicidology. Depression and Suicide Risk."(2014).American Foundation for Suicide Prevention. “Suicide Statistics."(2014).

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

American Association of Suicidology Suicide Prevention is Everyone’s Business.Suicide Fact Sheets.Definition of Non-Suicidal Self-Injury.ISSS.Facts and Figures.American Foundation for Suicide Prevention.Suicide in the U.S.: Statistics and Prevention.NIMH RSS.American Association of Suicidology. Depression and Suicide Risk."(2014).American Foundation for Suicide Prevention. “Suicide Statistics."(2014).

American Association of Suicidology Suicide Prevention is Everyone’s Business.Suicide Fact Sheets.

Definition of Non-Suicidal Self-Injury.ISSS.

Facts and Figures.American Foundation for Suicide Prevention.

Suicide in the U.S.: Statistics and Prevention.NIMH RSS.

Meet Our Review Board

Share Feedback

Was this page helpful?Thanks for your feedback!What is your feedback?HelpfulReport an ErrorOtherSubmit

Was this page helpful?

Thanks for your feedback!

What is your feedback?HelpfulReport an ErrorOtherSubmit

What is your feedback?