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 "confirm" their obsessive beliefs (termed "confirmatory events"). 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.

中文翻译：

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当强迫症患者决定寻求而不是避免伤害时：强迫症中的自杀性问题。

强迫症（OCD）是一种慢性的，令人痛苦的，致残的疾病，与自杀行为和自杀死亡的高风险有关。在这项研究中，作者描述了两例强迫症患者因应对压力性生活事件而复发的自杀行为，这些生活事件似乎“证实”了他们的强迫观念（称为“确认事件”）。在这两种情况下，作者均采用了公认的策略来治疗其他情况下的自杀倾向（例如抗抑郁药，锂和电惊厥疗法），但均未成功。未来的研究应该调查个性化的策略来治疗强迫症患者的自杀和预防自杀。