{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:27:03Z","timestamp":1777465623837,"version":"3.51.4"},"reference-count":34,"publisher":"Guilford Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bulletin of the Menninger Clinic"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:p> Obsessive-compulsive disorder (OCD) is a chronic, distressing, and disabling condition associated with a high risk of suicidal behavior and death by suicide. In this study, the authors describe two cases of OCD patients who developed recurrent suicidal behaviors in response to stressful life events that appeared to \u201cconfirm\u201d their obsessive beliefs (termed \u201cconfirmatory events\u201d). In both cases, the authors used accepted strategies for treating suicidality in other contexts (such as antidepressants, lithium, and electroconvulsive therapy), which proved unsuccessful. Future studies should investigate personalized strategies to treat suicidality and prevent suicide in OCD patients. <\/jats:p>","DOI":"10.1521\/bumc.2018.82.4.360","type":"journal-article","created":{"date-parts":[[2018,12,27]],"date-time":"2018-12-27T20:28:47Z","timestamp":1545942527000},"page":"360-374","source":"Crossref","is-referenced-by-count":1,"title":["When patients with OCD decide to seek, and not to avoid harm: The problem of suicidality in OCD"],"prefix":"10.1521","volume":"82","author":[{"given":"Gabriela M.","family":"Ferreira","sequence":"first","affiliation":[{"name":"Obsessive, Compulsive, and Anxiety Spectrum Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."},{"name":"Clinic Hospital of the Federal University of Paran\u00e1, Curitiba, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie V.","family":"Zanini","sequence":"additional","affiliation":[{"name":"Clinic Hospital of the Federal University of Paran\u00e1, Curitiba, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela B.","family":"de Menezes","sequence":"additional","affiliation":[{"name":"Obsessive, Compulsive, and Anxiety Spectrum Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."},{"name":"D'Or Institute for Research and Education, Rio de Janeiro, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Albertella","sequence":"additional","affiliation":[{"name":"Brain and Mental Health Research Hub, School of Psychological Sciences and the Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Victoria, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Destree","sequence":"additional","affiliation":[{"name":"Brain and Mental Health Research Hub, School of Psychological Sciences and the Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Victoria, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo F.","family":"Fontenelle","sequence":"additional","affiliation":[{"name":"Obsessive, Compulsive, and Anxiety Spectrum Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil."},{"name":"D'Or Institute for Research and Education, Rio de Janeiro, Brazil."},{"name":"Brain and Mental Health Research Hub, School of Psychological Sciences and the Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Victoria, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"377","reference":[{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2009.12.001"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.03.002"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(01)00571-5"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2017.04.002"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702006943"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1038\/mp.2016.115"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852917000177"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2012.02.001"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1038\/npp.2009.185"},{"key":"ref12","first-page":"11","volume":"25","author":"Fontenelle J. 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