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Middle East Current Psychiatry 2011, 18:18-22 MethodsThe sample consisted of 100 patients recruited from psychiatric outpatient clinics of Zagazig University Hospitals. The included patients had to fulfill the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision criteria for OCD and had to be aged between 20 and 50 years; patients included both sexes and were from all socioeconomic and educational classes. All the participants were subjected to psychiatric assessment for OCD symptoms by the Yale-Brown Obsessive-Compulsive Scale, suicidal ideation by the Beck Suicide Ideation Scale, and asking the patients directly for their history of suicide attempts. ResultsThe result of this study represents that the prevalence of suicidal ideations was 21%, failed suicidal trial was 1% (this is a very low rate and statistically neglected), and there were no recorded suicidal cases. ConclusionThis study concluded that suicidal ideations are a highly prevalent phenomenon in OCD than was thought earlier, and it is strongly interrelated with sociodemographic characteristics.