Maladaptive Perfectionism: Understanding the Psychological Vulnerability to Suicide in Terms of Developmental History.

This study aimed to explore how the life history of suicide victims with no history of treatment in mental health care or of attempted suicide seemed to presdispose them to maladaptive perfectionism. The study is part of an ongoing psychological autopsy study. It aimed to produce a phenomenological understanding of the vulnerability to suicide related to perfectionism, based on the life history of six male suicide victims aged 22 to 58. Interpretative Phenomenological Analysis was used to analyze the interview data of 41 key informants. Three main themes emerged: (a) exposure to high expectations combined with little recognition and warmth; (b) reduced ability to cope with failures and weaknesses; and (c) fear of emotional rejection. Together these themes illustrate that feelings of shame, mainly resulting from an unfulfilled need for attachment, a desire for love and recognition may relate to maladaptive perfectionism, which influences the suicidal process. The results may have important implications for suicide prevention programs.

From a cracking façade to a total escape: maladaptive perfectionism and suicide.

This study explored the final stages of the suicide process among six men characterized as maladaptive perfectionists. These men, aged 22 to 58, had no history of suicide attempts or mental health treatment. In-depth interviews with 5 to 9 informants for each person were analyzed by using interpretative phenomenological analysis. Three themes emerged from the analysis: (a) a cracking façade; (b) a total loss of coping ability; and (c) a total escape. Suicide was related to a shameful defeat that was not reversible, and a loss of the ability to handle such feelings of defeat and shame.

Suicide and perfectionism: a psychological autopsy study of non-clinical suicides.

This study explores suicide in relation to perfectionism among individuals who died by suicide with no history of treatment in mental health care or of suicide attempts. The study is part of an ongoing psychological autopsy study (PA-study). It aimed to produce a phenomenological understanding of the dynamics/processes from perfectionism to suicide among 6 men aged 22 to 58. Interpretative Phenomenological Analysis (IPA) was used to analyze the interview data of 41 key informants. Based on the informants' narratives, it seemed that perfectionism left these men less able to cope with their (self-perceived) inability to meet their high expectations. Four themes emerged from analysis: 1) striving for success; 2) fear of failure; 3) keeping up the façade; and 4) rigidity. The results may be important in the prevention of nonclinical suicides, a group that is particularly difficult to identify, especially if the deceased have been regarded as very successful in many areas.