Background: Obsessive-compulsive Disorder (OCD) is a relatively common
psychiatric disorder among children and adolescents. Apart from the commonly reported
obsessions, childhood OCD can present with unusual or unfamiliar obsessions, making the
diagnosis difficult. Suicidal ideas and attempts are high in OCD patients. Very rarely OCD
patients also present with suicidal obsessions which need to be differentiated from a genuine
suicidal desire for proper management.
Methods: We report an uncommon suicidal obsessional fear triggered by “Blue Whale
Game” related news in the media in a 14-year-old boy who had been previously well
functioning. This patient experienced significant distress and dysfunction due to these
repetitive thoughts. After an intervention with medication, his symptoms diminished and he
returned to pre-morbid functioning.
Discussion: Environmental stressors are considered to play an important role in the
development of OCD. Environment interacts with genetic predisposition, which moderates
the vulnerability to a stressful experience, in precipitating OCD. This case is unusual in that
suicidal obsessions were triggered by an external event, highlighting the interaction between
external events and the onset of the obsessive-compulsive disorder.