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Perfectionism and Suicidal Ideation

An Examination of Premotivational Factors Within the Integrated Motivational–Volitional Model of Suicide

Published Online:February 09, 2022https://doi.org/10.1027/0227-5910/a000850

Abstract

Abstract.Background: The integrated motivational–volitional (IMV) model of suicidal behavior posits that defeat leads to suicidal ideation through increased vulnerability for feelings of entrapment. One potentially important vulnerability factor for the development of feelings of defeat is socially prescribed perfectionism. Aims: The current study investigated these relationships in a sample of 313 US adults. Method: Mediation and parallel mediation analyses were conducted to determine the relationships between defeat, entrapment, social prescribed perfectionism, negative social comparison, and rejection sensitivity. Results: Findings indicated that socially prescribed perfectionism was significantly related to defeat through both negative social comparison and rejection sensitivity even when controlling for depression symptoms. Negative social comparison and rejection sensitivity were related to entrapment through feelings of defeat. This relationship was strongest when analyzing externalized (vs. internalized) entrapment. Limitations: The findings were limited by the cross-sectional study design as well as the relatively homogeneous sample. Implications and future directions are discussed.

References

  • Allan, S., & Gilbert, P. (1995). A social comparison scale: Psychometric properties and relationship to psychopathology. Personality and Individual Differences, 19(3), 293–299. 10.1016/0191-8869(95)00086-L First citation in articleCrossref, Google Scholar

  • Berenson, K. R., Gyurak, A., Ayduk, Ö., Downey, G., Garner, M. J., Mogg, K., Bradley, B. P., & Pine, D. S. (2009). Rejection sensitivity and disruption of attention by social threat cues. Journal of Research in Personality, 43(6), 1064–1072. 10.1016/j.jrp.2009.07.007 First citation in articleCrossref Medline, Google Scholar

  • Brown, S. L., Mitchell, S. M., Roush, J. F., La Rosa, N. L., & Cukrowicz, K. C. (2019). Rejection sensitivity and suicide ideation among psychiatric inpatients: An integration of two theoretical models. Psychiatry Research, 272, 54–60. 10.1016/j.psychres.2018.12.009 First citation in articleCrossref Medline, Google Scholar

  • Bryan, C. J., & Rudd, M. D. (2018). Brief cognitive-behavioral therapy for suicide prevention. Guilford Publications. First citation in articleGoogle Scholar

  • Cramer, R. J., Rasmussen, S., & Tucker, R. P. (2019). An examination of the Entrapment Scale: Factor structure, correlates, and implications for suicide prevention. Psychiatry Research, 282, 1–10. 10.1016/j.psychres.2019.112550 First citation in articleCrossref, Google Scholar

  • De Paoli, T., Fuller-Tyszkiewicz, M., Halliwell, E., Puccio, F., & Krug, I. (2017). Social rank and rejection sensitivity as mediators of the relationship between insecure attachment and disordered eating. European Eating Disorders Review, 25(6), 469–478. 10.1002/erv.2537 First citation in articleCrossref Medline, Google Scholar

  • Flett, G. L., Nepon, T., Hewitt, P. L., & Rose, A. L. (2020). Why perfectionism is antithetical to mindfulness: A conceptual and empirical analysis and consideration of treatment implications. International Journal of Mental Health and Addiction, 19, 1625–1645. 10.1007/s11469-020-00252-w First citation in articleCrossref, Google Scholar

  • Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14(5), 449–468. First citation in articleCrossref, Google Scholar

  • Gao, S., Assink, M., Cipriani, A., & Lin, K. (2017). Associations between rejection sensitivity and mental health outcomes: A meta-analytic review. Clinical Psychology Review, 57, 59–74. 10.1016/j.cpr.2017.08.007 First citation in articleCrossref Medline, Google Scholar

  • Gilbert, P., & Allan, S. (1998). The role of defeat and entrapment (arrested flight) in depression: An exploration of an evolutionary view. Psychological Medicine, 28(3), 585–598. 10.1017/s0033291798006710 First citation in articleCrossref Medline, Google Scholar

  • Glover, D. S., Brown, G. P., Fairburn, C. G., & Shafran, R. (2007). A preliminary evaluation of cognitive‐behaviour therapy for clinical perfectionism: A case series. British Journal of Clinical Psychology, 46(1), 85–94. 10.1348/014466506X117388 First citation in articleCrossref Medline, Google Scholar

  • Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. A regression-based approach. The Guilford Press. First citation in articleGoogle Scholar

  • Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Publications. First citation in articleGoogle Scholar

  • Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60(3), 456--470. 10.1037/0022-3514.60.3.456 First citation in articleCrossref Medline, Google Scholar

  • Hewitt, P. L., Flett, G. L., Sherry, S. B., & Caelian, C. (2006). Trait Perfectionism Dimensions and Suicidal Behavior. In T. E. Ellis (Ed.), Cognition and suicide: Theory, research, and therapy (pp. 215–235). American Psychological Association. 10.1037/11377-010 First citation in articleCrossref, Google Scholar

  • Klonsky, E. D., Saffer, B. Y., & Bryan, C. J. (2018). Ideation-to-action theories of suicide: A conceptual and empirical update. Current Opinion in Psychology, 22, 38–43. 10.1016/j.copsyc.2017.07.020 First citation in articleCrossref Medline, Google Scholar

  • Kraines, M. A., Kelberer, L. J. A., & Wells, T. T. (2018). Rejection sensitivity, interpersonal rejection, and attention for emotional facial expressions. Journal of Behavior Therapy and Experimental Psychiatry, 59, 31–39. 10.1016/j.jbtep.2017.11.004 First citation in articleCrossref Medline, Google Scholar

  • Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: A new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509–515. 10.3928/0048-5713-20020901-06 First citation in articleCrossref, Google Scholar

  • López-López, J. A., Davies, S. R., Caldwell, D. M., Churchill, R., Peters, T. J., Tallon, D., Dawson, S., Wu, Q., Li, J., Taylor, A., Lewis, G., Kessler, D. S., Wiles, N., & Welton, N. J. (2019). The process and delivery of CBT for depression in adults: A systematic review and network meta-analysis. Psychological Medicine, 49(12), 1937–1947. 10.1017/S003329171900120X First citation in articleCrossref Medline, Google Scholar

  • McCarthy, P. A., & Morina, N. (2020). Exploring the association of social comparison with depression and anxiety: A systematic review and meta‐analysis. Clinical Psychology & Psychotherapy, 27(5), 640–671. 10.1002/cpp.2452 First citation in articleCrossref Medline, Google Scholar

  • O’Connor, R. C. (2011). The integrated motivational-volitional model of suicidal behavior. Crisis, 32(6), 295–298. 10.1027/0227-5910/a000120 First citation in articleLink, Google Scholar

  • O’Connor, R. C., & Kirtley, O. J. (2018). The integrated motivational–volitional model of suicidal behaviour. Philosophical Transactions of the Royal Society B: Biological Sciences, 373(1754), 1–10. 10.1098/rstb.2017.0268 First citation in articleCrossref, Google Scholar

  • Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. C., Kopper, B. A., & Barrios, F. X. (2001). The Suicidal Behaviors Questionnaire-Revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8(4), 443–454. 10.1177/107319110100800409 First citation in articleCrossref Medline, Google Scholar

  • Owen, R., Dempsey, R., Jones, S., & Gooding, P. (2018). Defeat and entrapment in bipolar disorder: Exploring the relationship with suicidal ideation from a psychological theoretical perspective. Suicide and Life‐Threatening Behavior, 48(1), 116–128. 10.1111/sltb.12343 First citation in articleCrossref Medline, Google Scholar

  • Rasmussen, K. A., Slish, M. L., Wingate, L. R. R., Davidson, C. L., & Grant, D. M. M. (2012). Can perceived burdensomeness explain the relationship between suicide and perfectionism? Suicide and Life‐Threatening Behavior, 42(2), 121–128. 10.1111/j.1943-278X.2011.00074.x First citation in articleCrossref Medline, Google Scholar

  • Rasmussen, S. A., Fraser, L., Gotz, M., MacHale, S., Mackie, R., Masterton, G., McConachie, S., & O'Connor, R. C. (2010). Elaborating the cry of pain model of suicidality: Testing a psychological model in a sample of first-time and repeat self-harm patients. British Journal of Clinical Psychology, 49(1), 15–30. 10.1348/014466509X415735 First citation in articleCrossref Medline, Google Scholar

  • Roxborough, H. M., Hewitt, P. L., Kaldas, J., Flett, G. L., Caelian, C. M., Sherry, S., & Sherry, D. L. (2012). Perfectionistic self‐presentation, socially prescribed perfectionism, and suicide in youth: A test of the perfectionism social disconnection model. Suicide and Life‐Threatening Behavior, 42(2), 217–233. 10.1111/j.1943-278x.2012.00084.x First citation in articleCrossref Medline, Google Scholar

  • Stenzel, J.-S., Höller, I., Rath, D., Hallensleben, N., Spangenberg, L., Glaesmer, H., & Forkmann, T. (2020). Do feelings of defeat and entrapment change over time? An investigation of the integrated motivational-volitional model of suicidal behaviour using ecological momentary assessments. International Journal of Environmental Research and Public Health, 17(13), 4685. 10.3390/ijerph17134685 First citation in articleCrossref Medline, Google Scholar

  • Taylor, P. J., Gooding, P., Wood, A. M., & Tarrier, N. (2011). The role of defeat and entrapment in depression, anxiety, and suicide. Psychological Bulletin, 137(3), 391–420. 10.1037/a0022935 First citation in articleCrossref Medline, Google Scholar

  • Tucker, R. P., Testa, R. J., Simpson, T. L., Shipherd, J. C., Blosnich, J. R., & Lehavot, K. (2018). Hormone therapy, gender affirmation surgery, and their association with recent suicidal ideation and depression symptoms in transgender veterans. Psychological Medicine, 48(14), 2329–2336. 10.1017/S0033291717003853 First citation in articleCrossref Medline, Google Scholar

  • Wetherall, K., Robb, K. A., & O'Connor, R. C. (2019). An examination of social comparison and suicide ideation through the lens of the integrated motivational-volitional model of suicidal behavior. Suicide and Life‐Threatening Behavior, 49(1), 167–182. 10.1111/sltb.12434 First citation in articleCrossref Medline, Google Scholar