Abstract
In the present study, we examined perfectionism and loneliness as predictors of suicidal risk (viz., depressive symptoms & suicide ideation) in a sample of 288 (170 females and 118 males) Turkish college students. Results of conducting hierarchical regression analyses indicated that certain dimensions of perfectionism, namely, doubts about actions and parental criticism, accounted for significant variance in both depressive symptoms and suicide ideation. The inclusion of loneliness as a predictor was found to predict additional unique variance in both suicidal risk measures, beyond what was accounted for by perfectionism. Results of predicting suicide ideation, controlling for depressive symptoms, indicated that parental criticism was the only significant perfectionism dimension to emerge. However, loneliness continued to account for a significant amount of additional unique variance. Some implications of the present findings for understanding suicidal risk in Turkish students are discussed.
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References
Batıgün, A. D. (2005). Suicide probability: A study on reasons for living, hopelessness, and loneliness. Türk Psikiyatri Dergisi [Turkish Psychiatry Journal], 16, 1–10.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. K. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
Brislin, R. W. (1970). Back-translation for cross-cultural research. Journal of Cross-Cultural Psychology, 1, 185–216.
Cacioppo, J. T., & Patrick, W. (2008). Loneliness: Human nature and the need for social connection. New York, NY: W. W. Norton & Company.
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.
Chang, E. C. (2006). Conceptualization and measurement of adaptive and maladaptive aspects of performance perfectionism: Relations to personality, psychological functioning, and academic achievement. Cognitive Therapy and Research, 30, 677–697.
Chang, E. C. (2013). Perfectionism and loneliness as predictors of depressive and anxious symptoms in Asian and European Americans: Do self-construal schemas also matter? Cognitive Therapy and Research, 37, 1179–1188.
Chang, E. C., & Asakawa, K. (2003). Cultural variations on optimistic and pessimistic bias for self versus a sibling: Is there evidence for self-enhancement in the West and for self-criticism in the East when the referent group is specified? Journal of Personality and Social Psychology, 84, 569–581.
Chang, E. C., & Chang, O. D. (2015). Development of the frequency of suicidal ideation inventory: Evidence for the validity and reliability of a brief measure of suicidal ideation frequency in a college student population. Manuscript submitted for publication.
Chang, E. C., Hirsch, J. K., Sanna, L. J., Jeglic, E. L., & Fabian, C. G. (2011). A preliminary study of perfectionism and loneliness as predictors of depressive and anxious symptoms in Latinas: A top-down test of a model. Journal of Counseling Psychology, 58, 441–448.
Chang, E. C., Yu, E. A., & Lin, E. Y. (2014). An examination of ethnic variations in perfectionism and interpersonal influences as predictors of eating disturbances: A look at Asian and European American females. Asian American Journal of Psychology, 5, 243–251.
Cohen, J. (1977). Statistical power analysis for the behavioral sciences (rev ed.). New York: Academic Press.
Demir, A. (1989). UCLA Yalnızlık Ölçeğinin geçerlik ve güvenirliği [Validity and reliability of UCLA Loneliness Scale]. Psikoloji Dergisi [Journal of Psychology], 7, 14–18.
Demir, A., & Fişiloğlu, H. (1999). Loneliness and marital adjustment of Turkish couples. The Journal of Psychology: Interdisciplinary and Applied, 133, 230–240.
Devrimci-Ozguven, H., & Sayil, I. (2003). Suicide attempts in Turkey: Results of the WHO-EURO multicentre study on suicidal behaviour. Canadian Journal of Psychiatry, 48, 324–329.
Durkheim, E. (1951). Suicide (J. A. Spaulding & G. Simpson, Trans.). Glencoe, IL: Free Press. (Original work published, 1897)
Duru, E., & Poyrazli, S. (2011). Perceived discrimination, social connectedness, and other predictors of adjustment difficulties among Turkish international students. International Journal of Psychology, 46, 446–454.
Egan, S. J., Wade, T. D., Shafran, R., & Antony, M. M. (2014). Cognitive-behavioral treatment of perfectionism. New York, NY: The Guilford Press.
Enginyurt, O., Ozer, E., Gumus, B., Demir, E. Y., & Cankaya, S. (2014). Evaluation of suicide cases in Turkey, 2007–2012. Medical Science Monitor, 20, 614–623.
Erozkan, A., Karakas, Y., Ata, S., & Ayberk, A. (2011). The relationship between perfectionism and depression in Turkish high school students. Social Behavior and Personality, 39, 451–464.
Eskin, M., Kaynak-Demir, H., & Demir, S. (2005). Same-sex sexual orientation, childhood sexual abuse, and suicidal behavior in university students in Turkey. Archives of Sexual Behavior, 34, 185–195.
Fikret Pasa, S., Kabasakal, H., & Bodur, M. (2001). Society, organisations, and leadership in Turkey. Applied Psychology, 50, 559–589.
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.
Gençöz, T., & Or, P. (2006). Associated factors of suicide among university students: Importance of family environment. Contemporary Family Therapy, 28, 261–268.
Gençöz, F., Vatan, S., Walker, R. L., & Lester, D. (2007). Hopelessness and suicidality in Turkish and American respondents. OMEGA: Journal of Death and Dying, 55, 311–319.
Hawkley, L. C., & Cacioppo, J. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40, 218–227.
Hawton, K., & van Heeringen, K. (2009). Suicide. Lancet, 373, 1372–1381.
Heinrich, L. M., & Gullone, E. (2006). The clinical significance of loneliness: A literature review. Clinical Psychology Review, 26, 695–718.
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.
Hisli, N. (1988). Beck Depresyon Envanteri’nin geçerliği üzerine bir çalışma [A study on the validity of Beck Depression Inventory]. Psikoloji Dergisi [Journal of Psychology], 6, 118–122.
Joiner, T. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
Kağan, M. (2011). Frost Çok Boyutlu Mükemmelliyetçilik Ölçeğinin Tükçe formunun psikometrik özellikleri [Psychometric properties of the Turkish version of the Frost Multidimensional Perfectionism Scale]. Anadolu Psikiyatri Dergisi [Anatolian Journal of Psychiatry], 12, 192–197.
Kağıtçıbaşı, Ç. (1996). Family and human development across cultures: A view from the other side. Mahwah, NJ: Lawrence Erlbaum Associates.
Levine, M. P. (2012). Loneliness and eating disorders. The Journal of Psychology, 146, 243–257.
Lykes, V. A., & Kemmelmeier, M. (2014). What predicts loneliness?: Cultural difference between individualistic and collectivistic societies in Europe. Journal of Cross-Cultural Psychology, 45, 468–490.
Masi, C. M., Chen, H. Y., Hawkley, L. C., & Cacioppo, J. T. (2011). A meta-analysis of interventions to reduce loneliness. Personality and Social Psychology Review, 15, 219–266.
Matsunaga, M. (2010). How to factor-analyze your data right: Do’s, don’ts, and how to’s. International Journal of Psychological Research, 3, 97–110.
Misirli-Tasdemir, Ö. (2004). Üstün yetenekli çocuklarda mükemmeliyetçilik, sınav kaygısı, benlik saygısı, kontrol odağı, öz-yeterlilik ve problem çözme becerileri arasındaki iliş-kinin incelenmesi [The examination of relationship among problem solving skills and self-efficacy, locus of control, self-esteem, test anxiety, perfectionism in gifted children]. (Unpublished master thesis). Karadeniz Technical University, Trabzon, Turkey.
O’Connor, R. C. (2007). The relations between perfectionism and suicidality: A systematic review. Suicide and Life-Threatening Behavior, 37, 698–714.
Oner, S., Yenilmez, C., Ayranci, U., Gunay, Y., & Ozdamar, K. (2007). Sexual differences in the completed suicides in Turkey. European Psychiatry, 22, 223–228.
Oyserman, D. (2011). Culture as situated cognition: Cultural mindsets, cultural fluency, and meaning making. European Review of Social Psychology, 22, 164–214.
Ozben, S. (2013). Social skills, life satisfaction, and loneliness in Turkish university students. Social Behavior and Personality, 41, 203–214.
Ozdel, O., Varma, G., Atesci, F. C., Oguzhanoglu, N. K., Karadag, F., & Amuk, T. (2009). Characteristics of suicidal behavior in a Turkish sample. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 30, 90–93.
Perera, M. J., & Chang, E. C. (2015). Ethnic variations between Asian and European Americans in interpersonal sources of socially prescribed perfectionism: It’s not just about parents! Asian American Journal of Psychology, 6, 31–37.
Russell, D., Peplau, L. A., & Cutrona, C. E. (1980). The revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39, 471–480.
Sayar, K., Kose, S., Acar, B., Ak, I., & Reeves, R. A. (2004). Predictors of suicidal behavior in a sample of Turkish suicide attempters. Death Studies, 28, 137–150.
Sayil, I., Berksun, O. E., Palabiyikoglu, R., Oral, A., Haran, S., Güney, S., et al. (1998). Attempted suicides in Ankara in 1995. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 19, 47–48.
Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: A cognitive-behavioural analysis. Behaviour Research and Therapy, 40, 773–791.
Shafran, R., & Mansell, W. (2001). Perfectionism and psychopathology: A review of research and treatment. Clinical Psychology Review, 21, 879–906.
Triandis, H. C. (1989). The self and social behavior in differing cultural contexts. Psychological Review, 96, 506–520.
Uzun Ozer, B., O’Callaghan, J., Bokszczanin, A., Ederer, E., & Essau, C. (2014). Dynamic interplay of depression, perfectionism and self-regulation on procrastination. British Journal of Guidance & Counselling, 42, 309–319.
Wang, K. T., Yuen, M., & Slaney, R. B. (2009). Perfectionism, depression, loneliness, and life satisfaction: A study of high school Students in Hong Kong. The Counseling Psychologist, 37, 249–274.
Wilcox, H. C., Arria, A. M., Caldeira, K. M., Vincent, K. B., Pinchevsky, G. M., & O’Grady, K. E. (2010). Prevalence and predictors of persistent suicide ideation, plans, and attempts during college. Journal of Affective Disorders, 127, 287–294.
World Health Organization (WHO). (2012). Depression: A global public health concern. Retrieved from http://www.who.int/mental_health/management/depression/who_paper_depression_wfmh_2012.pdf
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The second author would like to acknowledge Tae Myung-Sook and Chang Suk-Choon for their encouragement and support throughout this project.
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Mine Muyan and Edward C. Chang declare that they have no conflict of interest.
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All procedures followed were in accordance with the ethical standards of the Institutional Review Board at the university where the study was conducted.
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Informed consent was obtained from all individuals participating in the present study.
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Muyan, M., Chang, E.C. Perfectionism as a Predictor of Suicidal Risk in Turkish College Students: Does Loneliness Contribute to Further Risk?. Cogn Ther Res 39, 776–784 (2015). https://doi.org/10.1007/s10608-015-9711-7
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DOI: https://doi.org/10.1007/s10608-015-9711-7