the first study pinpointing an increased risk for serious accidents among persons with OCD because we are unaware of any prior studies examining the risk of accidents among persons with OCD. The reason for a higher risk of accidents could be due to the notion that patients with OCD may have problems controlling their impulsivity,23 or that engaging in obsessions and compulsions may evoke problems of attention, documented in neuropsychological examinations.24 Interestingly, the risk for unnatural deaths among persons with OCD remained significantly elevated after the exclusion of cases with comorbid anxiety disorders, depression, or substance use disorders.