ArticleInternational journal of environmental research and public health2020
Perfectionism and Prospective Near-Term Suicidal Thoughts and Behaviors: The Mediation of Fear of Humiliation and Suicide Crisis Syndrome.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 34 citations in OpenAlex.
- Silent struggles: a machine learning approach for predicting suicidal ideation based on crisis symptoms and childhood trauma in Saudi adolescents.BMC psychology · 2025Article
- Suicide Crisis Syndrome: examining supporting evidence and barriers to diagnostic validity.Frontiers in psychiatry · 2025Article
- The impact of perfectionism on suicidal ideation among medical residents in Iran: the mediating role of psychological distress.BMC psychiatry · 2024Article
- Perfectionism and Emotion Regulation in the Study of Suicidal Ideation in Portuguese Young Adults.Behavioral sciences (Basel, Switzerland) · 2024Article
- Multiphasic Personality Assessment in a Case Series of Adolescent Patients with Suicidal Ideation and/or Attempts.Children (Basel, Switzerland) · 2023Article
- The psychometrics of the Persian version of the perfectionistic self-presentation scale-junior form.Brain and behavior · 2023Article
- Perceived clinical utility of the suicide crisis syndrome: A multisite pilot study.Psychological services · 2023Article
- Recent Stressful Experiences and Suicide Risk: Implications for Suicide Prevention and Intervention in U.S. Army Soldiers.Psychiatric research and clinical practice · 2023Article
- The association between the suicide crisis syndrome and suicidal behaviors: The moderating role of personality traits.European psychiatry : the journal of the Association of European Psychiatrists · 2021Article
- Profiles of Perfectionistic Ruminations in Undergraduates: Impact on the Spontaneous Use of Mental Images.International journal of environmental research and public health · 2020Article
- The Association Between Health Status and Insomnia, Mental Health, and Preventive Behaviors: The Mediating Role of Fear of COVID-19.Gerontology & geriatric medicineArticle
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Authors and funding
6 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerfectionism has been linked to suicide. According to the Narrative-Crisis Model of suicide, individuals with trait vulnerabilities are prone to develop a certain mindset, known as a Suicidal Narrative, which may precipitate the Suicide Crisis Syndrome (SCS), culminating in suicide. The purpose of this study was to investigate the association between perfectionism (trait vulnerability), fear of humiliation (component of the Suicidal Narrative), SCS, and prospective near-term suicidal thoughts and behaviors (STB).
methodsAdult psychiatric outpatient participants (N = 336) were assessed at baseline with the Suicidal Narrative Inventory for perfectionism and fear of humiliation. The questions used to assess perfectionism were adapted from the Multidimensional Perfectionism Scale. The severity of the SCS was calculated using the Suicide Crisis Inventory. STB were assessed at baseline and after one month using the Columbia Suicide Severity Rating Scale. Serial mediation analyses were conducted using PROCESS version 3.3 in SPSS.
resultsWhile the direct effect of perfectionism on prospective STB was not significant (b = 0.01, p = 0.19), the indirect effect of perfectionism on STB, through serial mediation by fear of humiliation and the SCS, was significant (indirect effect p = 0.007, 95% CI [0.003,0.013]). The indirect effect was not significant for models that did not include both mediators. LIMITATIONS: Variables were assessed at one time only.
conclusionPerfectionism did not directly modulate STB. Perfectionism may be related to suicidal behavior through fear of humiliation, leading to the SCS. These results support the Narrative-Crisis Model of suicide and clarify the role of perfectionism in the etiology of suicide.
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