Razi Journal of Medical Sciences

fa بررسی ارتباط کمال‌گرایی با افکار و رفتار خودکشی در نوجوانان- مطالعه مروری Examining the Relationship between Perfectionism and Suicidal Thoughts and Attempt in Adolescent - A Review Study روانشناسی بالینی Clinical Psychiatry مروري review article <div style="text-align: justify;">زمینه و هدف: یکی از مشکلات روانشناختی نوجوانان که در طول چند سال اخیر در حال افزایش بوده، خودکشی است. هدف از پژوهش حاضر بررسی ارتباط کمال‌گرایی با افکار و رفتار خودکشی در میان نوجوانان بود. روش کار: پژوهش حاضر از نوع توصیفی با روش مروری بود که جهت دستیابی به مطالعات مرتبط کلید واژه‌های کمال‌گرایی، کمال‌طلبی، کمال‌خواهی با خودکشی نوجوانان، افکار خودکشی نوجوانان، رفتار خودکشی نوجوانان و خودآسیبی نوجوانان در پایگاه‌های بین‌المللیWEB OF SCIENCE، SCIENCEDIRECT، SCOPUS، SPRINGER، GOOGLE.SCHOLAR و پایگاه‌های داخلیSID،NOORMAGS ،MAGIRAN  وISC ، تا تاریخ 20 فروردین 1402 جست و جو شد. تعداد 14 مطالعه از 241مطالعه پس برآورده کردن ملاک‌های ورود به پژوهش انتخاب شدند. یافته‌ها: نتایج نشان داد که میان کمال‌گرایی با افکار خودکشی در نوجوانان ارتباط وجود دارد ولی کمال‌گرایی از طریق نقش تسریع‌کننده اختلالات روانی مرتبط با خودکشی مانند افسردگی و ناامیدی ممکن است با رفتار خودکشی نوجوانان ارتباط داشته باشد. همچنین مطالعات محدودی نشان داد که میان کمال‌گرایی سخت کوشانه با افکار و رفتار خودکشی نوجوانان ارتباطی یافت نشد. نتیجه‌گیری: اگرچه مطالعات مختلف نشان داد که کمال‌گرایی به روش مستقیم و غیر مستقیم می‌تواند با خودکشی نوجوانان ارتباط داشته باشد، اما مطالعات دیگری نیز نشان داد که همه انواع کمال‌گرایی با خودکشی نوجوانان ارتباط ندارند. جهت کاهش آمار خودکشی و بهبود بهداشت روانی نوجوانان، پیشنهاد می‌شود که متخصصان سلامت روان در درمان نوجوان خودکشی‌گرا به کمال‌گرایی آن‌ها توجه ویژه‌ای داشته باشند.</div> <div style="text-align: justify;">Background & Aims: Suicide is one of the most complex human phenomena, which according to the fifth diagnostic manual of mental disorders (DSM-5), is defined as a behavior in which a person commits suicide with the aim of killing himself, and suicide without the intention of killing himself and usually to get attention and points (1). It is from others, it is distinguished (3). According to the statistics published by the health organization, about 1 million people die each year due to suicide, which is called suicide leading to death. But if we want to consider the statistics related to suicide attempts, usually the statistics of suicide attempts are 20 to 50 times higher than suicides leading to death (6). In justifying this statistic, it can be said that since women commit suicide about 2 to 3 times more than men, suicide leads to death in men 2 to 3 times more than women, so in societies where women commit suicide more, the rate of suicide is Slaughter of pigs can lead to death many times more than suicide (9). People with perfectionist traits have ambitious, vague and unattainable goals. Perfectionism is a motivational component and includes the individual's efforts to achieve the perfect self. These people are very precise and critical (14), so that they cannot accept their faults, mistakes and failures in different aspects. In addition, it has been found that perfectionism is related to a wide range of mental disorders related to suicide, such as obsession (15), anxiety (16), depression (17) and bipolar disorder (18). Therefore, it seems that perfectionism can be related to suicide. Previous studies have also shown that perfectionism has a significant relationship with imposter syndrome and suicidal thoughts, that the higher the level of perfectionism in a person, the more likely that person feels unworthy and has suicidal thoughts (19). Also, it seems that perfectionism is more prevalent in girls than in men, and media and advertisements, by portraying successful and attractive people, have also played an important role in increasing perfectionism among different people, especially young people and teenagers (19). Therefore, the purpose of the present study was to investigate the relationship between perfectionism and suicidal thoughts and behavior among teenagers. Methods: The method of this study is descriptive and according to the implementation method, it is a type of review articles. Review studies are a type of qualitative research that is used to investigate phenomena and identify important categories based on previous research sources. This method is useful when research sources are rich in the field of the phenomenon in question. In such a situation, by using review studies, the underlying categories of the studied phenomenon can be identified, classified and summarized. The research community includes all the articles with the English keywords Perfectionism, perfect, sense of perfection along with suicide, suicide attempt, suicide ideation, self-harm, self-injury in foreign databases Scopus, Springer, Web of Science, Google-Scholar, Science Direct and the keywords of perfectionism, perfectionism, perfectionism, perfectionism and perfectionism along with suicide, suicidal thoughts, attempted suicide, self-harm, self-injury and self-harm in adolescents in SID, Normags, Magiran, Civilica, ISC, Google -Scholar, which was published between 2003 and 2023. In order to select relevant studies, the Prism guide was used for review studies (22). Initially, 241 articles were selected using the above keywords in internal and external search engines. After that, 187 studies were excluded due to non-relevance, 29 due to duplicates in search engines. From the remaining 25 studies, after fully reading the articles and applying the inclusion and exclusion criteria, 11 more studies were excluded and 14 studies were selected for the final sample selection Results: The results of this study showed that out of 14 studies conducted, 5 studies were conducted in Canada, 3 studies were conducted in America, 2 studies were conducted in Israel and China, South Korea, Hungary, and England each conducted 1 study. Also, only three studies were related to before 2000, 3 studies were between 2000 and 2010, and most of the studies were related to the last decade and 5 studies were related to the last 5 years. Also, out of the 14 selected studies, most of the studies used the Children and Adolescents Perfectionism Questionnaire (CAPS) to measure perfectionism (9 studies out of 14 studies). However, different tools have been used to measure suicidal thoughts and behavior. Among the conducted studies, 5 studies have less than 100 participants, 5 studies have between 100 and 200, three have between 200 and 1000 and only one study has more than 1000 subjects. Conclusion: The results of the research showed that there is a very strong possibility that perfectionism is related to suicidal thoughts and it seems that perfectionism can increase the possibility of suicidal behavior in teenagers by intensifying mental disorders, especially depression, despair, eating and sleeping disorders in teenagers, but not all types of perfectionism seem to be negative. Limited studies have shown that hard-working perfectionist teenagers show very low levels of suicidal thoughts and behavior, so it can be said that perfectionism that is passive and accompanied by procrastination increases the likelihood of suicidal thoughts and behavior. Gives. Therefore, in order to reduce the suicide rate and prevent and treat suicidal people, health professionals should pay more attention to their perfectionism, so that in addition to improving the mental health of adolescents and the possibility of developing their talents, the society also does not lose its dynamic and youthful force. be your own development.</div> خودکشی, افکار خودکشی, رفتار خودکشی, نوجوانان, کمال‌گرایی Suicide, Suicide ideation, Suicide attempt, Adolescent, Perfectionism 176 186 http://rjms.iums.ac.ir/browse.php?a_code=A-10-7446-1&slc_lang=fa&sid=1 Faegheh Rezvani Chamanzamin فائقه رضوانی چمن زمین 3900319475328460077284 0009-0006-0093-7217 No Master of Clinical Psychology, Eslamshahr Branch, Islamic Azad University, Eslamshahr, Iran کارشناسی ارشد روانشناسی بالینی، واحد اسلامشهر، دانشگاه آزاد اسلامی، اسلامشهر، ایران Zahra Mehravar زهرا مهرآور 3900319475328460077285 3900319475328460077285 No Master of Clinical Psychology, Allameh Tabataba’i University, Tehran, Iran کارشناسی ارشد روانشناسی بالینی، دانشگاه علامه طباطبائی، تهران، ایران Moslem Akbari مسلم اکبری 3900319475328460077286 3900319475328460077286 Yes Master of Clinical Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran کارشناسی ارشد روانشناسی بالینی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران Fatemeh Gharibi Tabbar فاطمه غریبی تبار 3900319475328460077287 3900319475328460077287 No Master of Clinical Psychology, Tabriz University, Aras International Campus, Tabriz, Iran کارشناسی ارشد روانشناسی بالینی، دانشگاه تبریز، پردیس بین المللی ارس، تبریز، ایران Seyyedeh Maryam Ziafati Bagherzadeh سیده مریم ضیافتی باقرزاده 3900319475328460077288 0009-0009-5634-552X No Master of School Psychology, Torbat jam Branch, Islamic Azad University, Torbat Jaam, Iran کارشناسی ارشد روانشناسی تربیتی، واحد تربت جام، دانشگاه آزاد اسلامی، تربت جام، ایران