Investigating the relationship between lifestyle, emotion regulation, and negative perfectionism with suicidal ideation

Document Type : Research Paper

Authors

1 MA. in clinical psychology, Department of Psychology, Islamic Azad University, Bushehr Branch, Bushehr, Iran.

2 Assistant professor, Department of Psychology, Payame Noor University, Bushehr Branch, Bushehr, Iran.

Abstract

Introduction: Suicide is known as one of the main causes of death. Identifying its antecedents is important. Therefore, this study aimed to investigate the relationship between lifestyle, emotion regulation, and negative perfectionism with suicidal ideation.
Materials and Methods: The statistical population of the present study consisted of all the married women of Bushehr, Iran. A total of 100 participants were selected through the convenient sampling method. The research instruments included the Miller-Smith Lifestyle Assessment Inventory (LSI), the Cognitive Emotion Regulation Questionnaire (CERQ), the Positive and Negative Perfectionism Scale, and the Beck Scale for Suicide Ideation (BSI). Data analyzed by the descriptive statistics, Pearson correlation coefficient, and SPSS software.
Results: Based on the findings, the independent variables could predict 41% of the variance of suicidal ideation (P< 0.05). Also, negative perfectionism, lifestyle, and emotion regulation can predict suicidal ideation (P< 0.05). Among the independent variables, the adaptive emotion regulation has the most impact. Negative perfectionism is also in the next order, and for every unit added to its standard deviation, suicide tendency is increased by 0.267 standard deviations (P< 0.05).
Conclusion: According to the findings, lifestyle, emotion regulation, and negative perfectionism can predict suicide ideation in women. So, healthy lifestyles trainings, adaptive emotion regulation strategies, and reducing negative perfectionism can reduce suicide attempts among women.

Keywords


  1. Lutz J, Van Orden KA, Bruce ML, Conwell Y. Social disconnection in late life suicide: A NIMH workshop on state of the research in identifying mechanisms, treatment targets, and interventions. Am J Geriatr Psychiatry 2021; 29(8): 731-44.
  2. Liu Y, Lan Z, Yin Y, Liu NH, Tong Y. Trends in suicide rates and the case-fatality of pesticide self-poisoning in an agricultural county in China, 2009 to 2014. J Affect Disord 2021; 283: 52-9.‏
  3. Levi-Belz Y, Aisenberg D. Interpersonal predictors of suicide ideation and complicated-grief trajectories among suicide bereaved individuals: A four-year longitudinal study. J Affect Disord 2021; 282: 1030-35.‏
  4. Dalam H, Bazrafshan MF. [Suicide attempt by adolescents: A qualitative study]. Payesh 2021; 19(2): 159-66. (Persian)
  5. Elzinga E, De Beurs D, Beekman A, Berkelmans G, Gilissen R. Who didn't consult the doctor? Understanding sociodemographic factors in relation to health care uptake before suicide. J Affect Disord 2021; 287 (15): 158-64.
  6. Kordrostami R, Akhgari M, Ameri M, Ghadipasha M, Aghakhani K. Forensic toxicology analysis of self-poisoning suicidal deaths in Tehran, Iran; trends between 2011-2015. DARU 2017; 25(1): 15.‏
  7. Lin W, Wang H, Gong L, Lai G, Zhao X, Ding H, et al. Work stress, family stress, and suicide ideation: A cross-sectional survey among working women in Shenzhen, China. J Affect Disord 2020; 277: 747-54.‏
  8. Chen Y, Chen S, Arayasirikul S, Wilson E, McFarland W, Lu J, et al. A cross-sectional study of mental health, suicidal ideation and suicide attempt among transgender women in Jiangsu province, China. J Affect Disord 2020; 277: 869-74.‏
  9. Shahnaz A, Saffer BY, Klonsky ED. The relationship of perfectionism to suicide ideation and attempts in a large online sample. Pers Individ Dif 2018; 130: 117-21.‏
  10. Edmonds WA, Craig LL, Christopher R, Kennedy TD, Mann DT. Adolescent athletes and suicide: A model for treatment and prevention. Aggress Viol Behav 2021; 101: 580.‏
  11. Ying J, You J, Liu S, Wu R. The relations between childhood experience of negative parenting practices and nonsuicidal self-injury in Chinese adolescents: The mediating roles of maladaptive perfectionism and rumination. Child Abuse Negl 2021; 115: 104992.‏
  12. Simon PD. Parent autonomy support as moderator: Testing the expanded perfectionism social disconnection model. Pers Individ Dif 2021; 168: 110401.‏
  13. Jones EJ, Howell JA, Tonta KE, Egan SJ, Hasking PA, Boyes ME, et al. Guided Internet-delivered cognitive behaviour therapy for perfectionism in a non-clinical sample of adolescents: A study protocol for a randomized controlled trial. Internet Interv 2020; 21: 100342.‏
  14. Rufino KA, Ward-Ciesielski EF, Webb CA, Nadorff MR. Emotion regulation difficulties are associated with nightmares and suicide attempts in an adult psychiatric inpatient sample. Psychiatry Res 2020; 293: 113437.‏
  15. Hatkevich C, Penner F, Sharp C. Difficulties in emotion regulation and suicide ideation and attempt in adolescent inpatients. Psychiatry Res 2019; 271: 230-38.‏
  16. Grattan RE, Tryon VL, Carter CS, Niendam TA. Suicide behavior is associated with childhood emotion dysregulation but not trait impulsivity in first episode psychosis. Psychiatry Res 2020; 294: 113517.‏
  17. Chang EC, Sánchez-Álvarez N, Rey L, Extremera N, Chang OD. Chronic negative mood and emotional strengths: Some evidence for using emotions as a specific buffer to the problem of suicide. Pers Individ Dif 2021; 168: 110384.‏
  18. Xiao Y, Romanelli M, Lindsey MA. A latent class analysis of health lifestyles and suicidal behaviors among US adolescents. J Affect Disord 2019; 255: 116-26.‏
  19. Song HB, Lee SA. Socioeconomic and lifestyle factors as risks for suicidal behavior among Korean adults. J Affect Disord 2016; 197: 21-28. ‏
  20. El Ibrahimi S, Xiao Y, Bergeron CD, Beckford NY, Virgen EM, Smith ML. Suicide distribution and trends among male older adults in the US, 1999–2018. Am J Prev Med 2021; 60(6): 802-11.
  21. Wyrwa JM, Shirel TM, Hostetter TA, Schneider AL, Hoffmire CA, Stearns-Yoder KA, et al. Suicide following stroke in the United States veterans health administration population. Arch Phys Med Rehabil 2021; 102(9): 1729-34.
  22. Kline R. Data preparation and psychometrics review. Principles and practice of structural equation modeling. 4th New York, NY: Guilford; 2016: 64-96.
  23. Beck A, Steer R. Manual for the beck scale for suicide ideation. 5th San Antonio: Psychological Publication; 1991: 230-39.
  24. Garnefski N, Kraaij V, Spinhoven P. Manual for the use of the Cognitive Emotion Regulation Questionnaire. Leiderdorp, The Netherlands: DATEC; 2002.
  25. Miller LH, Smith AD. The Miller-Smith Lifestyle Assessment Brookline: Biobehavioral Associates; 1988.
  26. Fazel A, Haghshenas H, Keshavarz Z. [Personality traits and life style and the prediction of marital satisfaction among woman nurses].‏ Journal of woman and society 2011; 2(3): 139-61. (Persian)
  27. Terry-Short LA, Owens RG, Slade PD, Dewey ME. Positive and negative perfectionism. Pers Individ Dif 1995; 18(5): 663-8.‏
  28. Besharat MA, Nadali H, Zebardast A, Salehi [Perfectionism and coping styles with stress]. Developmental psychology 2008; 5(17): 7-17.‏ (Persian)
  29. Anisi J, Fathi AA, Salimi S, Ahmadi NK. [Validity and reliability of Beck suicide scale ideation among soldiers].‏ Developmental psychology 2005; 5(17): 7-17. (Persian)