Skip to main content
Log in

Dimensions of perfectionism and suicide ideation

  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

Two studies were conducted to examine the relation between dimensions of perfectionsim and suicide ideation: whether perfectionism is important in suicide ideation when considered in the context of other predictors of suicide (i.e., depression, hopelessness), and whether perfectionism moderates the association between life stress and suicide ideation. Samples of 91 psychiatric patients (Study 1) and 160 college students (Study 2) completed the Multidimensional Perfectionism Scale, the Hopelessness Scale, the Beck Depression Inventory, and the Scale For Suicide Ideation. The subjects in Study 2 also completed a measure of negative life stress. Overall, the results confirmed that self-oriented and socially prescribed perfectionism are associated with greater suicide ideation. Moreover, these two perfectionism dimensions contributed uniquely to the discrimination of suicide groups and both moderated the link between life stress and suicide ideation. The findings are discussed in terms of their practical and theoretical implications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.

    Google Scholar 

  • Barrow, J. C., & Moore, C. A. (1983). Group interventions with perfectionistic thinking.Personnel and Guidance Journal, 61, 612–615.

    Google Scholar 

  • Baumeister, R. (1990). Suicide as escape from self.Psychological Review, 97, 90–113.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Brown, G., Berchick, R. J., Stewart, B. L., & Steer, R. A. (1990). Relationship between hopelessness and ultimate suicide: A replication with psychiatric outpatients.American Journal of Psychiatry, 147, 190–195.

    PubMed  Google Scholar 

  • Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicide intention: The Scale For Suicide Ideation.Journal of Consulting and Clinical Psychology, 47, 343–352.

    PubMed  Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979).Cognitive therapy for depression: A treatment manual. New York: Guildford Press.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation.Clinical Psychology Review, 8, 77–100.

    Article  Google Scholar 

  • Beck, A. T., Steer, R. A., Kovacs, M., & Garrison, B. (1985). Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation.American Journal of Psychiatry, 142, 559–563.

    PubMed  Google Scholar 

  • Beck, A. T., Steer, R. A., & Ranieri, W. F. (1988). Scale For Suicide Ideation: Psychometric properties of a self-report version.Journal of Clinical Psychology, 44, 499–505.

    PubMed  Google Scholar 

  • Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The Hopelessness Scale.Journal of Consulting and Clinical Psychology, 42, 861–865.

    PubMed  Google Scholar 

  • Bedrosian, R. C., & Beck, A. T. (1979). Cognitive aspects of suicidal behavior.Suicide and Life-Threatening Behavior, 9, 87–96.

    PubMed  Google Scholar 

  • Berman, A. L., & Jobes, D. A. (1991).Adolescent suicide: Assessment and intervention. Washington, DC: American Psychological Association.

    Google Scholar 

  • Bernard, J. L., & Bernard, M. L. (1982). Factors related to suicidal behavior among college students and the impact of institutional response.Journal of College Student Personnel, 23, 409–413.

    Google Scholar 

  • Bonner, A. R., & Rich, A. R. (1987). Toward a predictive model of suicidal ideation and behavior: Some preliminary data in college students.Suicide and Life Threatening Behavior, 17, 50–63.

    PubMed  Google Scholar 

  • Bonner, A. R., & Rich, A. R. (1990). Psychosocial vulnerability, life stress, and suicide ideation in a jail population: A cross-validation study.Suicide and Life Threatening Behavior, 20, 213–224.

    PubMed  Google Scholar 

  • Braaten, L. J., & Darling, C. D. (1962). Suicidal tendencies among college students.Psychiatric Quarterly, 36, 665–692.

    PubMed  Google Scholar 

  • Burke, K. C., Burke, J. D., Regier, D. A., & Rae, D. S. (1990). Age at onset of selected mental disorders in five community populations.Archives of General Psychiatry, 47, 511–518.

    PubMed  Google Scholar 

  • Burns, D. D. (1980).Feeling good: The new mood therapy. New York: The New American Library.

    Google Scholar 

  • Chaplin, W. F. (1991). The next generation of moderator research in personality.Journal of Personality, 59, 143–179.

    PubMed  Google Scholar 

  • Clopton, J. R. (1978). A note on the MMPI as a suicide predictor.Journal of Consulting and Clinical Psychology, 46, 335–336.

    PubMed  Google Scholar 

  • Cochrane, R., & Robertson, A. (1973). The Life Events Inventory: A measure of the relative severity of psycho-social stressors.Journal of Psychosomatic Research, 17, 135–139.

    PubMed  Google Scholar 

  • Cohen, J., & Cohen, P. (1983).Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Davis, P. A. (1983).Suicidal adolescents. Springfield, IL: Charles C. Thomas.

    Google Scholar 

  • Delisle, J. R. (1990). The gifted adolescent at risk: Strategies and resources for suicide prevention among gifted youth.Journal of Education of the Gifted, 13, 212–228.

    Google Scholar 

  • Dixon, W. A., Heppner, P. P., & Anderson, W. A. (1991). Problem-solving appraisal, stress, hopelessness, and suicide ideation in a college population.Journal of Counseling Psychology, 38, 51–56.

    Article  Google Scholar 

  • Dixon, W. A., Rumford, K. G., Heppner, P. P., & Lips, B. J. (1992). Use of different sources of stress to predict hopelessness and suicide ideation in a college population.Journal of Counseling Psychology, 39, 342–349.

    Article  Google Scholar 

  • Ellis, T. E., & Ratliff, K. G. (1986). cognitive characteristics of suicidal and nonsuicidal psychiatric inpatients.Cognitive Therapy and Research, 10, 625–634.

    Article  Google Scholar 

  • Flett, G. L., Hewitt, P. L., & Blankstein, K. R. (1991, August).The Perfectionism Cognitions Inventory: Development, validation, and association with depression. Paper presented at the 99th annual meeting of the American Psychological Association, San Francisco.

  • Flett, G. L., Hewitt, P. L., Blankstein, K. R., & Koledin, S. (1991). Dimensions of perfectionism and irrational thinking.Journal of Rational-Emotive and Cognitive-Behavior Therapy, 9, 185–201.

    Article  Google Scholar 

  • Flett, G. L., Hewitt, P. L., Blankstein, K. R., & Mosher, S. W. (1991). Perfectionism, life events, and depression: Testing a diathesis-stress model.Canadian Psychology, 32, 311 (Abstract).

    Google Scholar 

  • Flett, G. L., Hewitt, P. L., & Dyck, D. G. (1989). Self-oriented perfectionism, neuroticism, and anxiety.Personality and Individual Differences, 10, 731–735.

    Google Scholar 

  • Frost, R., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism.cognitive Therapy and Research, 14, 449–468.

    Google Scholar 

  • Goldney, R. D. (1982). Locus of control in young women who have attempted suicide.Journal of Nervous Mental Disorders, 170, 198.

    Google Scholar 

  • Goldsmith, S. J., Fyer, M., & Frances, A. (1990). Personality and suicide. In S. J. Blumenthal and D. J. Kupfer (Eds.).Suicide over the life cycle. Washington: American Psychiatric Press.

    Google Scholar 

  • Goldstein, R. B., Black, D. W., Nasrallah, M. A., & Winokur, G. (1991). The prediction of suicide.Archives of General Psychiatry, 48, 418–422.

    PubMed  Google Scholar 

  • Green, S. B. (1991). How many subjects does it take to do a regression analysis?Multivariate Behavioral Research, 26, 499–510.

    Article  Google Scholar 

  • Hayes, R. L., & Sloat, R. S. (1989). Gifted students at risk for suicide.Roeper Review, 12, 102–107.

    Google Scholar 

  • Hewitt, P. L., & Dyck, D. G. (1986). Perfectionism, stress, and vulnerability to depression.Cognitive Therapy and Research, 10, 137–142.

    Article  Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (1989). The Multidimensional Perfectionism Scale: Development and validation.Canadian Psychology, 30, 339 Abstract.

    Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (1991a). Dimensions of perfectionism in unipolar depression.Journal of Abnormal Psychology, 100, 98–101.

    Article  PubMed  Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (1991b). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology.Journal of Personality and Social Psychology, 60, 456–470.

    Article  PubMed  Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (1993). Dimensions of perfectionism, daily stress, and depression: A test of the specific vulnerability hypothesis.Journal of Abnormal Psychology, 102, 58–65.

    Article  PubMed  Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (1993). Perfectionism and goal orientation in impulsive and suicidal behavior. In W. McCown, M. Shure, & J. Johnson (Eds.),The impulsive client: Theory, research, and treatment. Arlington, VA: American Psychological Association Press.

    Google Scholar 

  • Hewitt, P. L., Flett, G. L., & Blankstein, K. R. (1991). Perfectionism and neuroticism in psychiatric patients and college students.Personality and Individual Differences, 12, 273–279.

    Article  Google Scholar 

  • Hewitt, P. L., Flett, G. L., & Turnbull-Donovan, W. (1992). Perfectionism and suicide potential.British Journal of Clinical Psychology, 31, 181–190.

    PubMed  Google Scholar 

  • Hewitt, P. L., Flett, G. L., Turnbull-Donovan, W., & Mikail, S. (1991). The Multidimensional Perfectionism Scale: Reliability, validity, and psychometric properties in psychiatric samples.Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 464–468.

    Google Scholar 

  • Hirschfeld, R. M. A., & Blumenthal, S. J. (1986). Personality, life events, and other psychosocial factors in adolescent depression and suicide. In G. L. Klerman (Ed.),Suicide and depression among adolescents and young adults. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Hollender, M. H. (1965). Perfectionism.Comprehensive Psychiatry, 6, 94–103.

    Google Scholar 

  • Ivanoff, A., & Jang, S. J. (1991). The role of hopelessness and social desirability in predicting suicidal behavior: A study of prison inmates.Journal of Consulting and Clinical Psychology, 59, 394–399.

    Article  PubMed  Google Scholar 

  • Joffe, R. T., & Regan, J. J. (1989). Personality and suicidal behavior in depressed patients.Comprehensive Psychiatry, 30, 157–160.

    Article  PubMed  Google Scholar 

  • Kanfer, F. H., & Hagerman, S. (1981). The role of self-regulation. In L. Rehm (Ed.),Behavior therapy for depression: Present status and future directions (pp. 143–179). New York: Academic Press.

    Google Scholar 

  • Kashani, J. H., & Priesmeyer, M. (1983). Differences in depressive symptoms and depression among college students.American Journal of Psychiatry, 140, 1081–1082.

    PubMed  Google Scholar 

  • Levenson, M., & Neuringer, C. (1971). Problem solving behavior in suicidal adolescents.Journal of Consulting and Clinical Psychology, 37, 433–436.

    PubMed  Google Scholar 

  • Lewinsohn, P. M., Duncan, E. M., Stanton, A. K., & Hautzinger, M. (1986). Age at first onset for nonbipolar depression.Journal of Abnormal Psychology, 95, 378–383.

    Article  PubMed  Google Scholar 

  • Llopis, V., Beneyto, M. G., & Asencio, A. P. (1988). Epidemiology of suicidal attempts in Valencia.Social Psychiatry and Psychiatric Epidemiology, 23, 96–98.

    Article  PubMed  Google Scholar 

  • Maltsberger, J. T. (1986).Suicide risk. New York: New York Universities Press.

    Google Scholar 

  • Maris, R. (1985). The adolescent suicide problem.Suicide and Life Threatening Behavior, 15, 91–109.

    PubMed  Google Scholar 

  • Marks, P. A., & Haller, D. L. (1977). Now I lay me down for keeps: A study of adolescent suicide attempts.Journal of Clinical Psychology, 47, 390–399.

    Google Scholar 

  • Minkoff, K., Bergman, E., Beck, A., & Beck, R. (1973). Hopelessness, depression and attempted suicide.American Journal of Psychiatry, 130, 455–459.

    PubMed  Google Scholar 

  • Pacht, A. R. (1984). Reflections on perfection.American Psychologist, 39, 386–390.

    Google Scholar 

  • Parnell, R. W. (1951). Mortality and prolonged illness among Oxford undergraduates.Lancet, 1, 731–733.

    PubMed  Google Scholar 

  • Ranieri, W. F., Steer, R. A., Lavrence, T. I., Rissmiller, D. J., Piper, G. E., & Beck, A. T. (1987). Relationships of depression, hopelessness, and dysfunctional attitudes to suicide ideation in psychiatric patients.Psychological Reports, 61, 967–975.

    PubMed  Google Scholar 

  • Rich, A. R., & Bonner, R. L. (1987). Concurrent validity of a stress-vulnerability model of suicidal ideation and behavior: A follow-up study.Suicide and Life Threatening Behavior, 17, 265–270.

    PubMed  Google Scholar 

  • Salter, D., & Platt, S. (1990). Suicidal intent, hopelessness and depression in a parasuicide population: The influence of social desirability and elapsed time.British Journal of Clinical Psychology, 29, 361–371.

    PubMed  Google Scholar 

  • Schwartz, A. J., & Whitaker, L. C. (1990). Suicide among college students: Assessment, treatment, and intervention. In S. J. Blumenthal and D. J. Kupfer (Eds.),Suicide over the life cycle (pp. 303–340). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Shaffer, D. (1974). Suicide in childhood and early adolescence.Journal of Child Psychology and Psychiatry, 15, 275–291.

    PubMed  Google Scholar 

  • Shafi, M., Carrigan, S., Whittinghill, J. R., & Derrick, A. (1985). Psychological autopsy of completed suicide in children and adolescents.American Journal of Psychiatry, 142, 1061–1064.

    Google Scholar 

  • Sorenson, S. B., Rutter, C. M., & Aneshensel, C. S. (1991). Depression in the community: An investigation into age of onset.Journal of Consulting and Clinical Psychology, 59, 541–546.

    PubMed  Google Scholar 

  • Stephens, B. (1987). Cheap thrills and humble pic: The adolescence of female suicide attempters.Suicide and Life Threatening Behavior, 17, 107–118.

    PubMed  Google Scholar 

  • Strosahl, K. D., Linehan, M. M., & Chiles, J. A. (1984). Will the real social desirability please stand up? Hopelessness, depression, and social desirability, and the prediction of suicidal behavior.Journal of Consulting and Clinical Psychology, 52, 449–457.

    PubMed  Google Scholar 

  • Vredenburg, K., Flett, G. L., & Krames, L. (1993). Analogue versus clinical depression: A critical re-appraisal.Psychological Bulletin.113, 327–344.

    Article  PubMed  Google Scholar 

  • Waters, B. G. H., Sendbuehler, J. M., Kincel, R. L., Boodoosingh, L. A., & Marchenko, I. (1982). The use of the MMPI for the differentiation of suicidal and nonsuicidal depressions.Canadian Journal of Psychiatry, 27, 663–667.

    Google Scholar 

  • Westefeld, J. S., & Furr, S. R. (1987). Suicide and depression among college students.Professional Psychology: Research and Practice, 18, 119–123.

    Article  Google Scholar 

  • Wetzel, R. D. (1976). Hopelessness, depression, and suicide intent.Archives of General Psychiatry, 33, 1069–1073.

    PubMed  Google Scholar 

  • Woods, P. J., & Muller, G. E. (1988). The contemplation of suicide: Its relationship to irrational beliefs in a client sample and the implications for long range suicide prevention.Journal of Rational-Emotive and Cognitive-Behavior Therapy, 6, 236–258.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This research was supported by grant 410-91-1690 from the Social Sciences and Humanities Research Council of Canada as well as by a grant from the Research and Program Evaluation Committee, Brockville Psychiatric Hospital. An earlier version of this paper was presented at a symposium on perfectionism at the annual meeting of the Canadian Psychological Association, Quebec City, June 1992. The authors wish to thank Barbara Calvert, Marjorie Cousins, Mary Kronenwald, and Lois Ritchie for their assistance and Norman Endler, Ron Norton, Rick Ingram, and two reviewers for their comments and suggestions.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hewitt, P.L., Flett, G.L. & Weber, C. Dimensions of perfectionism and suicide ideation. Cogn Ther Res 18, 439–460 (1994). https://doi.org/10.1007/BF02357753

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02357753

Key Words

Navigation