Hopelessness and future thinking in parasuicide: The role of perfectionism

TLDR

The study aimed to replicate the future‑thinking deficit in parasuicides, assess whether positive future thinking and socially prescribed perfectionism differentiate them from controls beyond affective measures, and examine the relationship between future thinking and perfectionism. A cross‑sectional study compared 22 parasuicide patients with 22 hospital controls and 21 community controls, assessing hopelessness, depression, anxiety, perfectionism, and future‑thinking measures. Results confirmed the future‑thinking deficit, showed that social perfectionism and positive future thinking discriminate parasuicides from controls beyond affective symptoms, and highlighted the role of social perfectionism in the suicidal process.

Abstract

Objectives: This study had three aims: (1) to independently replicate the future thinking effect, that parasuicides, when compared with controls, show a deficit in positive future thinking but no increase in negative future thinking; (2) to determine whether positive future thinking and socially prescribed perfectionism discriminate general hospital parasuicides from controls beyond measures of affect and; (3) to explore the relationship between future thinking and perfectionism. Design: A cross‐sectional design was employed. Three groups of participants took part: hospital parasuicide patients ( N = 22), hospital controls ( N = 22) and community controls ( N = 21). Methods: Parasuicide patients admitted, via accident and emergency, to a general hospital were matched with hospital and community controls and assessed on measures of hopelessness, depression, anxiety, perfectionism, and future thinking. Results: There was evidence to support the future thinking effect. A discriminant function analysis revealed that social perfectionism and positive future thinking did indeed discriminate parasuicides from controls beyond the effects of hopelessness, depression, and anxiety. Exploratory relationships between perfectionism and positive future thinking were also reported. Conclusions: The results reinforce the importance of future thinking in parasuicide. Moreover, the role of social perfectionism in the suicidal process was elucidated and ought to be replicated within a prospective design.