The destructiveness of perfectionism revisited: Implications for the assessment of suicide risk and the prevention of suicide

Review of General Psychology

Volumn 18, Issue 3, 2014, Pages 156-172

  Flett, Gordon L ^a   Hewitt, Paul L ^b   Heisel, Marnin J ^c  

^a York University   (Canada)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^c WESTERN UNIVERSITY   (Canada)

Author keywords

Hopelessness; Perfectionism; Psychache; Self criticism; Self stigma; Suicide

Indexed keywords

EID: 84915758921     PISSN: 10892680     EISSN: 19391552     Source Type: Journal    
DOI: 10.1037/gpr0000011     Document Type: Article

References (129)

1. Alaska Injury Prevention Center, Critical Illness and Trauma Foundation, Inc., American Association of Suicidology. (2007). Alaska suicide follow-back study final report. Juneau, AK: Alaska Department of Health and Social Services.
2. Ansell, E. B., Pinto, A., Crosby, R. D., Becker, D. F., Anez, L. M., Paris, M., Grilo, C. M. (2010). The prevalence and structure of obsessivecompulsive personality disorder in Hispanic psychiatric outpatients. Journal of Behavior Therapy and Experimental Psychiatry, 41, 275-281. doi:10.1016/j.jbtep.2010.02.005
3. Apter, A., Bleich, A., King, R. A., Korn, S., Fluch, S., Kotler, M., Cohen, D. J. (1993). Death without warning? A clinical post-mortem study of suicide in 45 Israeli adolescent males. Archives of General Psychiatry, 50, 138-142. doi:10.1001/archpsyc.1993.01820140064007
4. Balthazard, P. A., Cooke, R. A., Potter, R. E. (2006). Dysfunctional culture, dysfunctional organization: Capturing the behavioral norms that form organizational culture and drive performance. Journal of Managerial Psychology, 21, 709-732. doi:10.1108/02683940610713253
5. Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97, 90-113. doi:10.1037/0033-295X.97.1.90
6. Becker-Weidman, E. G., Reinecke, M. A., Jacobs, R. H., Martinovich, Z., Silva, S. G., March, J. S. (2009). Predictors of hopelessness among clinically depressed youth. Behavioural and Cognitive Psychotherapy, 37, 267-291. doi:10.1017/S1352465809005207
7. Beevers, C. G., Miller, I. W. (2004). Perfectionism, cognitive bias, and hopelessness as prospective predictors of suicide ideation. Suicide and Life-Threatening Behavior, 34, 126 -137. doi:10.1521/suli.34.2.126 .32791
8. Bell, J., Stanley, N., Mallon, S., Manthorpe, J. (2010). The role of perfectionism in student suicide: Three cases from the UK. Omega, 61, 251-267.
9. Bergmans, Y., Links, P. S. (2009). Reducing potential risk factors for suicide-related behavior with a group intervention for clients with recurrent suicide-related behavior. Annals of Clinical Psychiatry, 21, 17-25.
10. Besser, A., Flett, G. L., Hewitt, P. L. (2010). Silencing the self and personality vulnerabilities associated with depression. In D. Jack & A. Ali (Eds.), Silencing the self across cultures: Depression and gender in the social world (pp. 285-312). London, UK: Oxford University Press. doi:10.1093/acprof:oso/9780195398090.003.0014
11. Bialosky, J. (2011). A history of a suicide: My sister's unfinished life. Toronto, Canada: Atria Books.
12. Bibeau, L., Dupuis, G. (2007). Détresse psychologique, perfectionnisme, insatisfaction de l'image corporelle: Validation d'un modèle explicatif de la problématique suicidaire. Canadian Journal of Behavioural Science/ Revue Canadienne des Sciences du Comportement, 39, 119-134. doi:10.1037/cjbs2007_2_119
13. Blankstein, K. R., Lumley, C. H., Crawford, A. (2007). Perfectionism, hopelessness, and suicide ideation: Revisions to diathesis-stress and specific vulnerability models. Journal of Rational-Emotive & Cognitive- Behavior Therapy, 25, 279-319. doi:10.1007/s10942-007-0053-6
14. Blatt, S. J. (1995). The destructiveness of perfectionism. American Psychologist, 50, 1003-1020. doi:10.1037/0003-066X.50.12.1003
15. Blatt, S. J., Zuroff, D. C. (2002). Perfectionism in the therapeutic process. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 393-406). Washington, DC: American Psychological Association.
16. Boergers, J., Spirito, A., Donaldson, D. (1998). Reasons for adolescent suicide attempts: Associations with psychological functioning. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 1287-1293. doi:10.1097/00004583-199812000-00012
17. Brown, L. M., Bongar, B., Cleary, K. M. (2004). A profile of psychologists' views of critical risk factors for completed suicide in older adults. Professional Psychology: Research and Practice, 35, 90 -96. doi: 10.1037/0735-7028.35.1.90
18. Burns, D. D. (1980, November). The perfectionist's script for self-defeat. Psychology Today, 3, 4-52.
19. Centers for Disease Control and Prevention. (2010). 1997-2007 Incidence and mortality web-based report. Atlanta, GA: Author.
20. Centers for Disease Control and Prevention. (2012). Understanding suicide: Fact sheet. Retrieved from http://www.cdc.gov/violenceprevention/ pdf/suicide-datasheet-a.PDF
21. Chang, E. C. (1998). Cultural differences, perfectionism, and suicidal risk in a college population: Does social problem solving still matter? Cognitive Therapy and Research, 22, 237-254. doi:10.1023/A: 1018792709351
22. Chang, E. C., Rand, K. L. (2000). Perfectionism as a predictor of subsequent adjustment: Evidence for a specific diathesis-stress mechanism among college students. Journal of Counseling Psychology, 47, 129-137. doi:10.1037/0022-0167.47.1.129
23. Chehil, S., Kutcher, S. (2012). Suicide risk management: A manual for health professionals (2nd ed.). Chichester, West Sussex: Wiley- Blackwell.
24. Chen, C. (2012). Perfectionism and suicide ideation: An assessment of the specific vulnerability hypothesis and stress generation model (Unpublished master's thesis). University of British Columbia, Canada.
25. Cheng, S. (2001). Life stress, problem solving, perfectionism, and depressive symptoms in Chinese. Cognitive Therapy and Research, 25, 303-310.
26. Christiansen, E., Larsen, K. J. (2012). Young people's risk of suicide attempts after contact with a psychiatric department-A nested case control design using Danish registry data. Journal of Child Psychology and Psychiatry, 53, 16-25. doi:10.1111/j.1469-7610.2011.02405.x
27. Dean, P. J., Range, L. M. (1996). The escape theory of suicide and perfectionism in college students. Death Studies, 20, 415-424. doi: 10.1080/07481189608252790
28. Dean, P. J., Range, L. M. (1999). Testing the escape theory of suicide in an outpatient clinical population. Cognitive Therapy and Research, 23, 561-572. doi:10.1023/A:1018728606568
29. Dean, P. J., Range, L. M., Goggin, W. C. (1996). The escape theory of suicide in college students: Testing a model that includes perfectionism. Suicide and Life-Threatening Behavior, 26, 181-186.
30. DiBartolo, P. M., Li, C. Y., Frost, R. O. (2008). How do the dimensions of perfectionism relate to mental health? Cognitive Therapy and Research, 32, 401-417. doi:10.1007/s10608-007-9157-7
31. DiBartolo, P. M., Rendon, M. J. (2012). A critical examination of the construct of perfectionism and its relationship to mental health in Asian and African Americans using a cross-cultural framework. Clinical Psychology Review, 32, 139-152. doi:10.1016/j.cpr.2011.09.007
32. Donaldson, D., Spirito, A., Farnett, E. (2000). The role of perfectionism and depressive cognitions in understanding the hopelessness experienced by adolescent suicide attempters. Child Psychiatry and Human Development, 31, 99-111. doi:10.1023/A:1001978625339
33. Dunkley, D. M., Blankstein, K. R., Halsall, J., Williams, M., Winkworth, G. (2000). The relation between perfectionism and distress: Hassles, coping, and perceived social support as mediators and moderators. Journal of Counseling Psychology, 47, 437-453. doi:10.1037/0022- 0167.47.4.437
34. Dunkley, D. M., Zuroff, D. C., Blankstein, K. R. (2003). Self-critical perfectionism and daily affect: Dispositional and situational influences on stress and coping. Journal of Personality and Social Psychology, 84, 234-252. doi:10.1037/0022-3514.84.1.234
35. Ellis, T. E. (2006). The study of cognition and suicide: Beginnings and developmental milestones. In T. E. Ellis (Ed.), Cognition and suicide: Theory, research, and therapy (pp. 13-28). Washington, DC: American Psychological Association. doi:10.1037/11377-001
36. Ellis, T. E., Rutherford, B. (2008). Cognition and suicide: Two decades of progress. International Journal of Cognitive Therapy, 1, 47-68. doi:10.1521/ijct.2008.1.1.47
37. Enns, M. W., Cox, B. J., Clara, I. P. (2005). Perfectionism and neuroticism: A longitudinal study of specific vulnerability and diathesis-stress models. Cognitive Therapy and Research, 29, 463-478. doi:10.1007/ s10608-005-2843-04
38. Enns, M. W., Cox, B. J., Inayatulla, M. (2003). Personality predictors of outcome for adolescents hospitalized for suicidal ideation. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 720-727. doi:10.1097/01.CHI.0000046847.56865.B0
39. Enns, M. W., Cox, B. J., Sareen, F., Freeman, P. (2001). Adaptive and maladaptive perfectionism in medical students: A longitudinal investigation. Medical Education, 35, 1034-1042. doi:10.1046/j.1365-2923 .2001.01044.x
40. Essau, C. A., Conradt, J., Sasagawa, S., Ollendick, T. H. (2012). Prevention of anxiety symptoms in children: Results from a universal school-based trial. Behavior Therapy, 43, 450-464. doi:10.1016/j.beth .2011.08.003
41. Flamenbaum, R., Holden, R. R. (2007). Psychache as a mediator in the relationship between perfectionism and suicidality. Journal of Counseling Psychology, 54, 51-61. doi:10.1037/0022-0167.54.1.51
42. Flett, G. L., Hewitt, P. L. (2002). Perfectionism and maladjustment: An overview of theoretical, definitional, and treatment issues. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 5-31). Washington, DC: American Psychological Association. doi: 10.1037/10458-001
43. Flett, G. L., Hewitt, P. L. (2013). Disguised distress in children and adolescents "Flying under the radar": Why psychological problems are underestimated and how schools must respond. Canadian Journal of School Psychology, 28, 12-27.
44. Flett, G. L., Hewitt, P. L. (In press). A proposed framework for preventing perfectionism and promoting resilience and mental health among vulnerable children and adolescents. Psychology in the Schools.
45. Flett, G. L., Hewitt, P. L., Blankstein, K. R., Gray, L. (1998). Psychological distress and the frequency of perfectionistic thinking. Journal of Personality and Social Psychology, 75, 1363-1381. doi:10.1037/0022- 3514.75.5.1363
46. Forintos, D. P., Sallai, J., Rozsa, S. (2010). Adaptation of the Beck Hopelessness Scale in Hungary. Psychological Topics, 19, 307-321.
47. French, D. (2011). American legal education and professional despair. Academic Questions, 24, 157-166. doi:10.1007/s12129-011-9217-z
48. Freudenstein, O., Valevski, A., Apter, A., Zohar, A., Shoval, G., Nahshoni, E., Zalsman, G. (2012). Perfectionism, narcissism, and depression in suicidal and nonsuicidal adolescent inpatients. Comprehensive Psychiatry, 53, 746-752. doi:10.1016/j.comppsych.2011.08.011
49. Friedlander, A., Nazem, S., Fiske, A., Nadorff, M. R., Smith, M. D. (2012). Self-concealment and suicidal behaviors. Suicide and Life- Threatening Behavior, 42, 332-340. doi:10.1111/j.1943-278X.2012 .00094.x
50. Friedman, R. A. (2006). Uncovering an epidemic-Screening for mental illness in teens. The New England Journal of Medicine, 355, 2717-2719. doi:10.1056/NEJMp068262
51. Froedge, C. (2006, March 8). Suicide numbers troubling. Jackson Hole News and Guide. Retrieved from http://www.jhnewsandguide.com/ article.php?art_id=470
52. Frost, R., DiBartolo, P. M. (2002). Perfectionism, anxiety, and obsessive-compulsive disorder. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 341-371). Washington, DC: American Psychological Association.
53. Frost, R., Marten, P., Lahart, C., Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449-468. doi: 10.1007/BF01172967
54. Gillett, E., Stenfert-Kroese, B. (2003). Investigating organizational culture: A comparison of a "high" and a "low" performing residential unit for people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 16, 279-284. doi:10.1046/j.1468-3148.2003 .00170.x
55. Graham, A. R., Sherry, S. B., Stewart, S. H., Sherry, D. L., McGrath, D. S., Fossum, K. M., Allen, S. L. (2010). The existential model of perfectionism and depressive symptoms: A short-term, four-wave longitudinal study. Journal of Counseling Psychology, 57, 423-438. doi:10.1037/ a0020667
56. Halpin, K., Lester, D. (2001). Hopelessness and perfectionism. Psychological Reports, 88, 252. doi:10.2466/pr0.2001.88.1.252
57. Harter, S., Marold, D. B., Whitesell, N. R., Cobbs, G. (1996). A model of the effect of perceived parent and peer support on adolescent false self behavior. Child Development, 67, 360-374.
58. Hawley, L. L., Ho, M. H. R., Zuroff, D. C., Blatt, S. J. (2006). The relationship of perfectionism, depression, and therapeutic alliance during treatment for depression: Latent difference score analysis. Journal of Consulting and Clinical Psychology, 74, 930-942. doi:10.1037/0022- 006X.74.5.930
59. Heisel, M. J., Flett, G. L. (2004). Purpose in life, satisfaction with life, and suicide ideation in a clinical sample. Journal of Psychopathology and Behavioral Assessment, 26, 127-135. doi:10.1023/B:JOBA .0000013660.22413.e0
60. Heisel, M. J., Flett, G. L. (2006). The development and initial validation of the Geriatric Suicide Ideation Scale. The American Journal of Geriatric Psychiatry, 14, 742-751. doi:10.1097/01.JGP.0000218699 .27899.f9
61. Heisel, M. J., Flett, G. L. (2014). Do meaning in life and purpose in life protect against suicide ideation among community-residing older adults? In A. Batthyany & P. Russo-Netzer (Eds.), Meaning in existential and positive psychology (pp. 303-324). New York, NY: Springer. doi: 10.1007/978-1-4939-0308-5_18
62. Hewitt, P. L., Blasberg, J. S., Flett, G. L., Besser, A. Sherry, S., Caelian, C.M., Birch, S. (2011). Perfectionistic self-presentation in children and adolescents: Development and validation of the Perfectionistic Self- Presentation-Junior form. Psychological Assessment, 23, 125-142. doi: 10.1037/a0021147
63. Hewitt, P. L., Caelian, C. F., Chen, C., Flett, G. L. (2014). Perfectionism, stress, daily hassles, hopelessness, and suicide potential in depressed psychiatric adolescents. Journal of Psychopathology and Behavioral Assessment. Advance online publication. doi:10.1007/s10862-014- 9427-0
64. 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, 456-470. doi:10.1037/0022-3514.60.3.456
65. 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 (pp. 247-263). Arlington, VA: American Psychological Association. doi:10.1037/10500-013
66. 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). Washington, DC: American Psychological Association. doi:10.1037/ 11377-010
67. Hewitt, P. L., Flett, G. L., Sherry, S. B., Habke, M., Parkin, M., Lam, R. W., Stein, M. B. (2003). The interpersonal expression of perfectionism: Perfectionistic self-presentation and psychological distress. Journal of Personality and Social Psychology, 84, 1303-1325. doi:10.1037/0022-3514.84.6.1303
68. Hewitt, P. L., Flett, G. L., Turnbull-Donovan, W. (1992). Perfectionism and suicide potential. British Journal of Clinical Psychology, 31, 181-190. doi:10.1111/j.2044-8260.1992.tb00982.x
69. Hewitt, P. L., Flett, G. L., Weber, C. (1994). Perfectionism, hopelessness, and suicide ideation. Cognitive Therapy and Research, 18, 439-460. doi:10.1007/BF02357753
70. Hewitt, P. L., Newton, J., Flett, G. L., Callander, L. (1997). Perfectionism and suicide ideation in adolescent psychiatric patients. Journal of Abnormal Child Psychology, 25, 95-101. doi:10.1023/A: 1025723327188
71. Hewitt, P. L., Norton, G. R., Flett, G. L., Callander, L., Cowan, T. (1998). Dimensions of perfectionism, hopelessness, and attempted suicide in a sample of alcoholics. Suicide and Life-Threatening Behavior, 28, 395-406.
72. Higgins, E. T. (1987). Self-discrepancy: A theory relating self and affect. Psychological Review, 94, 319-340. doi:10.1037/0033-295X.94.3.319
73. Holden, R. R., Mehta, K., Cunningham, E. J., McLeod, E. D. (2001). Development and preliminary validation of a scale of psychache. Canadian Journal of Behavioural Science/Revue Canadienne des Sciences du Comportement, 33, 224-232. doi:10.1037/h0087144
74. Horesh, N., Apter, A. (2006). Self-disclosure, depression, anxiety, and suicidal behavior in adolescent psychiatric inpatients. Crisis, 27, 66-71. doi:10.1027/0227-5910.27.2.66
75. Horesh, N., Levi, Y., Apter, A. (2012). Medically serious versus nonserious suicide attempts: Relationships of lethality and intent to clinical and interpersonal characteristics. Journal of Affective Disorders, 136, 286-293. doi:10.1016/j.jad.2011.11.035
76. Hunter, E. C., O'Connor, R. C. (2003). Hopelessness and future thinking in parasuicide: The role of perfectionism. British Journal of Clinical Psychology, 42, 355-365. doi:10.1348/014466503322528900
77. Hyatt, L. A. (2010). A case study of the suicide of a gifted female adolescent: Implications for prediction and prevention. Journal for the Education of the Gifted, 33, 514 -535. doi:10.1177/ 016235321003300404
78. Jacobs, R. H., Silva, S. G., Reinecke, M. A., Curry, J. F., Ginsburg, G. S., Kratochvil, C. J., March, J. S. (2009). Dysfunctional Attitudes Scale perfectionism: A predictor and partial mediator of acute treatment outcome among clinically depressed adolescents. Journal of Clinical Child and Adolescent Psychology, 38, 803-813. doi:10.1080/ 15374410903259031
79. Jeglic, E. L., Pepper, C. M., Vanderhoff, H. A., Ryabchenko, K. A. (2007). An analysis of suicide ideation in a college sample. Archives of Suicide Research, 11, 41-56. doi:10.1080/13811110600897176
80. Johnson, J., Wood, A. M., Gooding, P., Taylor, P. J., Tarrier, N. (2011). Resilience to suicidality: The buffering hypothesis. Clinical Psychology Review, 31, 563-591. doi:10.1016/j.cpr.2010.12.007
81. Jones, J., Ramirez, R. R., Davies, M., Canino, G., Goodwin, R. D. (2008). Suicidal behaviors among adolescents in Puerto Rico: Rates and correlates in clinical and community samples. Journal of Clinical Child and Adolescent Psychology, 37, 448-455. doi:10.1080/ 15374410801955789
82. Kawamura, K. Y., Frost, R. O. (2004). Self-concealment as a mediator in the relationship between perfectionism and psychological distress. Cognitive Therapy and Research, 28, 183-191. doi:10.1023/B:COTR .0000021539.48926.c1
83. Kessler, R. C., Borges, G., Walters, E. E. (1999). Prevalence of and risk factors for suicide attempts in the National Comorbidity Survey. Archives of General Psychiatry, 56, 617-626.
84. King, R. A., Apter, A., Zohar, A. (2007). Toward a typology of late adolescent suicide. In L. Mayes, P. Fonagy, & M. Target (Eds.), Developmental science and psychoanalysis: Integration and innovation (pp. 313-324). London, UK: Karnac Books.
85. Kral, M. J. (1998). Suicide and the internalization of culture: Three questions. Transcultural Psychiatry, 35, 221-233. doi:10.1177/ 136346159803500203
86. Krug, E. G., Dahlberg, L. L., Mercy, J. A., Zwi, A. B., Lozano, R. (2002). World report on violence and health. Geneva, Switzerland: World Health Organization.
87. Legha, R. K. (2012). A history of physician suicide in America. Journal of Medical Humanities, 33, 219-244. doi:10.1007/s10912-012-9182-8
88. Lloyd, S., Schmidt, U., Khondoker, M., Tchanturia, K. (2014). Can psychological interventions reduce perfectionism? A systematic review and meta-analysis. Behavioural and Cognitive Psychotherapy. Advance online publication. doi:10.1017/S1352465814000162.
89. Meichenbaum, D. (2005). 35 years of working with suicidal patients: Lessons learned. Canadian Psychology/Psychologie Canadienne, 46, 64-72. doi:10.1037/h0087006
90. Möller-Leimkühler, A. M. (2003). The gender gap in suicide and premature death or: Why are men so vulnerable? European Archives of Psychiatry and Clinical Neuroscience, 253, 1-8. doi:10.1007/s00406- 003-0397-6
91. Moore, S. L. (1997). Meaning in life in suicidal older adults. Archives of Psychiatric Nursing, 11, 29-36. doi:10.1016/S0883-9417(97)80047-7
92. Nobel, R., Manassis, K., Wilansky-Traynor, P. (2012). The role of perfectionism in relation to an intervention to reduce anxious and depressive symptoms in children. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 30, 77-90. doi:10.1007/s10942-011- 0133-5
93. Nock, M. K., Kessler, R. C. (2006). Prevalence of and risk factors for suicide attempts versus suicide gestures: Analysis of the National Comorbidity Survey. Journal of Abnormal Psychology, 115, 616-623.
94. O'Connor, R. C. (2007). The relations between perfectionism and suicidality: A systematic review. Suicide and Life-Threatening Behavior, 37, 698-714. doi:10.1521/suli.2007.37.6.698
95. O'Connor, R. C., Forgan, G. (2007). Suicidal thinking and perfectionism: The role of goal adjustment and behavioral inhibition/activation systems (BIS/BAS). Journal of Rational-Emotive & Cognitive-Behavior Therapy, 25, 321-341. doi:10.1007/s10942-007-0057-2
96. O'Connor, R. C., O'Connor, D. B. (2003). Predicting hopelessness and psychological distress: The role of perfectionism and coping. Journal of Counseling Psychology, 50, 362-372. doi:10.1037/0022-0167.50.3.362
97. O'Connor, R. C., O'Connor, D. B., O'Connor, S. M., Smallwood, J., Miles, J. (2004). Hopelessness, stress, and perfectionism: The moderating effects of future thinking. Cognition and Emotion, 18, 1099-1120. doi:10.1080/02699930441000067
98. O'Connor, R. C., Rasmussen, S., Hawton, K. (2012). Distinguishing adolescents who think about self-harm from those who engage in selfharm. The British Journal of Psychiatry, 200, 330-335. doi:10.1192/bjp .bp.111.097808
99. O'Connor, R. C., Whyte, M. C., Fraser, L., Masterson, G., Miles, J., MacHale, S. (2007). Predicting short-term outcome in well-being following suicidal behaviour: The conjoint effects of social perfectionism and positive future thinking. Behaviour Research and Therapy, 45, 1543-1555. doi:10.1016/j.brat.2006.11.006
100. Ohtani, Y., Sakurai, S. (1995). Relationship of perfectionism to depression and hopelessness in college students. Shinrigaku Kenkyu: The Japanese Journal of Psychology, 66, 41-47. doi:10.4992/jjpsy.66.41
101. Orbach, I. (1997). A taxonomy of factors related to suicidal behavior. Clinical Psychology: Science and Practice, 4, 208-224. doi:10.1111/j .1468-2850.1997.tb00110.x
102. Orbach, I., Mikulincer, M., Stein, D., Cohen, O. (1998). Selfrepresentation of suicidal adolescents. Journal of Abnormal Psychology, 107, 435-439. doi:10.1037/0021-843X.107.3.435
103. O'Riley, A. A., Fiske, A. (2012). Emphasis on autonomy and propensity for suicidal behavior in younger and older adults. Suicide and Life- Threatening Behavior, 42, 394-404. doi:10.1111/j.1943-278X.2012 .00098.x
104. Owens, C., Lambert, H., Lloyd, K., Donovan, J. (2008). Tales of biographical disintegration: How parents make sense of their sons' suicides. Sociology of Health & Illness, 30, 237-254. doi:10.1111/j .1467-9566.2007.01034.x
105. Pacht, A. (1984). Reflections on perfection. American Psychologist, 39, 386-390. doi:10.1037/0003-066X.39.4.386
106. Peruzzi, N., Bongar, B. (1999). Assessing risk for completed suicide in patients with major depression: Psychologists' views of critical factors. Professional Psychology: Research and Practice, 30, 576-580. doi: 10.1037/0735-7028.30.6.576
107. Pisetsky, E. M., Thornton, L. M., Lichtenstein, P., Pedersen, N. L.,& Bulik, C. M. (2013). Suicide attempts in women with eating disorders. Journal of Abnormal Psychology, 122, 1042-1056. doi:10.1037/a0034902
108. Rasmussen, K. A., Slish, M. L., Wingate, L. R., Davidson, C. L., Grant, D. M. (2012). Can perceived burdensomeness explain the relationship between suicide and perfectionism? Suicide and Life-Threatening Behavior, 42, 121-128. doi:10.1111/j.1943-278X.2011.00074.x
109. Rasmussen, S. A., Elliott, M. A., O'Connor, R. C. (2012). Psychological distress and perfectionism in recent suicide attempters: The role of behavioral inhibition and activation. Personality and Individual Differences, 52, 680-685. doi:10.1016/j.paid.2011.12.011
110. Rasmussen, S. A., O'Connor, R. C., Brodie, D. (2008). The role of perfectionism and autobiographical memory in a sample of parasuicide patients: An exploratory study. Crisis, 29, 64-72. doi:10.1027/0227- 5910.29.2.64
111. Rice, K. G., Leever, B. A., Christopher, J., Porter, D. (2006). Perfectionism, stress, and social (dis)connection: A short-term study of hopelessness, depression, and academic adjustment among honors students. Journal of Counseling Psychology, 53, 524-534. doi:10.1037/0022- 0167.53.4.524
112. Rousseau, D. M. (1990). Normative beliefs in fund-raising organizations: Linking culture to organizational performance and individual responses. Group & Organizational Management, 15, 448-460. doi:10.1177/ 105960119001500408
113. Roxborough, H. M., Hewitt, P. L., Kaldas, J., Flett, G. L., Caelian, C., 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, 217-233. doi:10.1111/j.1943-278X.2012.00084.x
114. Sakurai, S., Ohtani, Y. (1997). Relations of "self-oriented perfectionism" to depression and hopelessness. Shinrigaku Kenkyu: The Japanese Journal of Psychology, 68, 179-186. doi:10.4992/jjpsy.68.179
115. Shneidman, E. (1993). Suicide as psychache: A clinical approach to self-destructive behavior. Lanham, MD: The Rowman & Littlefield Publishing Group, Inc.
116. Sorotzkin, B. (1998). Understanding and treating perfectionism in religious adolescents. Psychotherapy: Theory, Research, Practice, Training, 35, 87-95. doi:10.1037/h0087792
117. Stanley, N., Mallon, N., Bell, J., Manthorpe, J. (2009). Trapped in transition: Findings from a UK study of student suicide. British Journal of Guidance & Counselling, 37, 419-433. doi:10.1080/ 03069880903161427
118. Statistics Canada. (2010). Suicides and rate of suicide according to sex and age. Ottawa, ON: Statistics Canada. Retrieved from http://www.40 .statcan.gc.ca/l01/cst01/hlth66a-eng.htm
119. Tangney, J. P. (2002). Perfectionism and the self-conscious emotions: Shame, guilt, embarrassment, and pride. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 199-215). Washington, DC: American Psychological Association. doi:10.1037/ 10458-008
120. Targum, S. D., Kitanaka, J. (2012). Overwork suicide in Japan: A national crisis. Innovations in Clinical Neuroscience, 9, 35-38.
121. Törnblom, A. W., Werbart, A., Rydelius, P.-A. (2013). Shame behind the masks: The parents' perspectives on their sons' suicides. Archives of Suicide Research, 17, 242-261. doi:10.1080/13811118.2013.805644
122. Troister, T., Holden, R. R. (2012). A two-year prospective study of psychache and its relationship to suicidality among high-risk undergraduates. Journal of Clinical Psychology, 68, 1019-1027. doi:10.1002/jclp .21869
123. Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S., Selby, E. A., Joiner, T. E., Jr. (2010). The interpersonal theory of suicide. Psychological Review, 117, 575-600. doi:10.1037/a0018697
124. Wang, K. T., Wong, Y. J., Fu, C.-C. (2013). Moderation effects of perfectionism and discrimination on interpersonal factors and suicide ideation. Journal of Counseling Psychology, 60, 367-378. doi:10.1037/ a0032551
125. Wei, M., Malinckrodt, B., Russell, D. W., Abraham, W. T. (2004). Maladaptive perfectionism as a mediator and moderator between adult attachment and depressive mood. Journal of Counseling Psychology, 51, 201-212. doi:10.1037/0022-0167.51.2.201
126. Wenzel, A., Beck, A. T. (2008). A cognitive model of suicidal behavior: Theory and treatment. Applied and Preventive Psychology, 12, 189-201. doi:10.1016/j.appsy.2008.05.001
127. Wheeler, H. A., Blankstein, K. R., Antony, M. M., McCabe, R. E., Bieling, P. J. (2011). Perfectionism in anxiety and depression: Comparisons across disorders, relations with symptom severity, and role of comorbidity. International Journal of Cognitive Therapy, 4, 66-91. doi:10.1521/ijct.2011.4.1.66
128. World Health Organization. (2007). Suicide prevention (SUPRE). Geneva, Switzerland: Author. Retrieved from http://www.who.int/mental_health/ prevention/suicide/suicideprevent/en/
129. York, J., Lamis, D. A., Friedman, L., Berman, A. L., Joiner, T. E., McIntosh, J. L., Pearson, J. (2013). A systematic review process to evaluate suicide prevention programs: A sample case of communitybased programs. Journal of Community Psychology, 41, 35-51. doi: 10.1002/jcop.21509