Death by suicide is a major public health problem that profoundly impacts families in a way few other things do. Every year, many people at risk of suicide seek and get help, potentially saving themselves and their loved ones untold grief. The good news is that death by suicide can often be prevented through early screening and obtaining effective treatment. Obsessive-compulsive disorder (OCD) is a disorder in which people have recurring, unwanted thoughts, ideas or sensations (obsessions) that make them feel driven to do something repetitively (compulsions). OCD is associated with high risk not only depression but also of suicidal behavior.It is vital that patients of OCD undergo detailed assessment for suicide risk and associated depression. Aggressive treatment of depression may be warranted to modify the risk of suicide. Behavioral and cognitive techniques along with pharmacotherapy should be used to target co-existing depressive symptoms so as to decrease morbidity and mortality. Start by asking questions The first step is to find out whether the person is in danger of acting on suicidal feelings. Be sensitive, but ask direct questions, such as: How are you coping with what's been happening in your life? Do you ever feel like just giving up? Are you thinking about dying? Are you thinking about hurting yourself? Are you thinking about suicide? Have you ever thought about suicide before, or tried to harm yourself before? Have you thought about how or when you'd do it? Do you have access to weapons or things that can be used as weapons to harm yourself? Asking about suicidal thoughts or feelings won't push someone into doing something self-destructive. In fact, offering an opportunity to talk about feelings may reduce the risk of acting on suicidal feelings. Look for warning signs You can't always tell when a loved one or friend is considering suicide. But here are some common signs: Talking about suicide — for example, making statements such as "I'm going to kill myself," "I wish I were dead" or "I wish I hadn't been born" Getting the means to take your own life, such as buying a gun or stockpiling pills Withdrawing from social contact and wanting to be left alone Having mood swings, such as being emotionally high one day and deeply discouraged the next Being preoccupied with death, dying or violence Feeling trapped or hopeless about a situation Increasing use of alcohol or drugs Changing normal routine, including eating or sleeping patterns Doing risky or self-destructive things, such as using drugs or driving recklessly Giving away belongings or getting affairs in order when there is no other logical explanation for doing this Saying goodbye to people as if they won't be seen again Developing personality changes or being severely anxious or agitated, particularly when experiencing some of the warning signs listed above consultat