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Recent research has shown that social anxiety may be related to increased risk for suicidal ideation in teens, although this research largely has been cross-sectional and has not examined potential mediators of this relationship. A clinical sample of 144 early adolescents (72 % female; 12–15 years old) was assessed during psychiatric inpatient hospitalization and followed up at 9 and 18 months post-baseline. Symptoms of social anxiety, depression, suicidal ideation, loneliness, and perceived social support were assessed via structured interviews and self-report instruments. Structural equation modeling revealed a significant direct relationship between social anxiety symptoms at baseline and suicidal ideation at 18 months post-baseline, even after controlling for baseline depressive symptoms and ideation. A second multiple mediation model revealed that baseline social anxiety had a significant indirect effect on suicidal ideation at 18 months post-baseline through loneliness at 9 months post-baseline. Social anxiety did not have a significant indirect effect on suicidal ideation through perceived social support from either parents or close friends. Findings suggest that loneliness may be particularly implicated in the relationship between social anxiety and suicidality in teens. Clinicians should assess and address feelings of loneliness when treating socially anxious adolescents.
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Adams, G. R., Openshaw, D. K., Bennion, L., Mills, T., & Noble, S. (1988). Loneliness in late adolescence: a social skills training study. Journal of Adolescent Research, 3, 81–96. CrossRef
Alfano, C. A., Pina, A. A., Villalta, I. K., Beidel, D. C., Ammerman, R. T., & Crosby, L. E. (2009). Mediators and moderators of outcome in the behavioral treatment of childhood social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 945–953. PubMedCentralPubMedCrossRef
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: Author.
Arbuckle, J. (2010). IBM SPSS Amos 19 user’s guide. Crawfordville: Amos Development Corporation.
Asher, S. R., Hymel, S., & Renshaw, P. D. (1984). Loneliness in children. Child Development, 55, 1456–1464. CrossRef
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 6, 1173–1182. CrossRef
Beidel, D. B., Turner, S. M., Young, B. J., Ammerman, R. T., Sallee, F. R., & Crosby, L. (2007). Psychopathology of adolescent social phobia. Journal of Psychopathology and Behavioral Assessment, 29, 47–54. CrossRef
Boergers, J., & Spirito, A. (2003). Follow-up studies of child and adolescent suicide attempters. In R. A. King & A. Apter (Eds.), Suicide in children and adolescents (pp. 271–293). New York: Cambridge University Press. CrossRef
Byrne, B. M. (2009). Structural equation modeling with AMOS: Basic concepts, applications, and programming (2nd ed.). New York: Routledge.
Calsyn, R. J., Winter, J. P., & Burger, G. K. (2005). The relationship between social anxiety and social support in adolescents: a test of competing causal models. Adolescence, 40, 103–113. PubMed
Centers for Disease Control and Prevention. (2011). WISQARS fatal injury reports. Retrieved November 26, 2011, from http://www.cdc.gov/injury/wisqars/fatal_injury_reports.html.
Davidson, C. L., Wingate, L. R., Grant, D. M., Judah, M. R., & Mills, A. C. (2011). Interpersonal suicide risk and ideation: the influence of depression and social anxiety. Journal of Social and Clinical Psychology, 30, 842–855. CrossRef
Enders, C. K., & Bandalos, D. L. (2001). The relative performance of full information maximum likelihood estimation for missing data in structural equation models. Structural Equation Modeling, 8, 430–457. CrossRef
Gould, M. S., King, R., Greenwald, S., Fisher, P., Schwab-Stone, M., Kramer, R., . . . & Shaffer, D. (1998). Psychopathology associated with suicidal ideation and attempts among children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 915–923.
Harter, S. (1985). Manual for the social support scale for children. Denver: University of Denver.
Heisel, M. J., Flett, G. L., & Hewitt, P. L. (2011). Social hopelessness and college student suicide ideation. Archives of Suicide Research, 7, 221–235. CrossRef
Joiner, T. E. (2005). Why people die by suicide. Cambridge: Harvard University Press.
LaGreca, A. M., & Lopez, N. (1998). Social anxiety among adolescents: linkages with peer relations and friendships. Journal of Abnormal Child Psychology, 26, 83–94. CrossRef
Lasgaard, M., Goossens, L., Bramsen, R. H., Trillingsgaard, T., & Elklit, A. (2011a). Different sources of loneliness are associated with different forms of psychopathology in adolescence. Journal of Research in Personality, 45, 233–237. CrossRef
Mazza, J. J., & Reynolds, W. M. (1998). A longitudinal investigation of depression, hopelessness, social support, and major and minor life events and their relation to suicidal ideation in adolescents. Suicide and Life-Threatening Behavior, 28, 358–374. PubMed
McWhirter, B. T., & Horan, J. J. (1996). Cognitive-behavioral treatment for intimate and social loneliness. Current Psychology: Developmental, Learning, Personality, Social, 15, 42–52. CrossRef
Mesa, F., Nieves, M. M., & Beidel, D. C. (2011). Clinical presentation of social anxiety disorder in adolescents and young adults. In C. A. Alfano & D. C. Beidel (Eds.), Social anxiety in adolescents and young adults: Translating developmental science into practice (pp. 11–27). Washington: American Psychological Association.
Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., et al. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry, 9, 1–11. doi: 10.1001/2013.jamapsychiatry.55. Advance online publication.
Page, R. M. (1991). Loneliness as a risk factor in adolescent hopelessness. Journal of Research in Personality, 25, 189–195. CrossRef
Parkhurst, J. T., & Asher, S. R. (1992). Peer rejection in middle school: subgroup differences in behavior, loneliness, and interpersonal concerns. Developmental Psychology, 28, 231–241. CrossRef
Perlman, D., & Landolt, M. A. (1999). Examination of loneliness in children–adolescents and in adults: Two solitudes or a unified enterprise? In K. J. Rotenberg & S. Hymel (Eds.), Loneliness in childhood and adolescence (pp. 325–347). Cambridge: Cambridge University Press. CrossRef
Pinto, A., Whisman, M. A., & McCoy, K. J. M. (1997). Suicidal ideation in adolescents: psychometric properties of the suicidal ideation questionnaire in a clinical sample. Psychological Assessment, 9, 63–66. CrossRef
Preacher, K. J., & Selig, J. P. (2012). Advantages of Monte Carlo confidence intervals for indirect effects. Communication Methods and Measures, 6, 77–98. CrossRef
Reynolds, W. M. (1985). Suicidal ideation questionnaire. Odessa: Psychological Assessment Resources.
Rigby, K., & Slee, P. (1999). Suicidal ideation among adolescent school children, involvement in bully-victim problems, and perceived social support. Suicide and Life-Threatening Behavior, 29, 119–130. PubMed
Rork, K. E., & Morris, T. L. (2009). Childhood social anxiety: direct observation of parental warmth and control. Child and Family Behavior Therapy, 31, 220–235. CrossRef
Rossow, I., & Wichstrom, L. (1994). Parasuicide and use of intoxicants among Norwegian adolescents. Suicide and Life-Threatening Behavior, 24, 174–183. PubMed
Schinka, K. C., Van Dulmen, M. H. M., Bossarte, R., & Swahn, M. (2012). Association between loneliness and suicidality during middle childhood and adolescence: longitudinal effects and the role of demographic characteristics. The Journal of Psychology: Interdisciplinary and Applied, 146, 105–118. CrossRef
Shaffer, D., Fisher, P., Lucas, C., Dulcan, M., & Schwab-Stone, M. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38. PubMedCrossRef
Stopa, L., & Clark, D. M. (2000). Social phobia and interpretation of social events. Behavior Research & Therapy, 38, 273–283. CrossRef
Strauss, J., Birmaher, B., Bridge, J., Axelson, D., Chiappetta, L., Brent, D., et al. (2000). Anxiety disorders in suicidal youth. Canadian Journal of Psychiatry, 45, 739–745.
Valentiner, D. P., Gutierrez, P. M., & Blacker, D. (2002). Anxiety measures and their relationship to adolescent suicidal ideation and behavior. Anxiety Disorders, 16, 11–32. CrossRef
Vernberg, E. M., Abwender, D. A., Ewell, K. K., & Beery, S. H. (1992). Social anxiety and peer relationships in early adolescence: a prospective analysis. Journal of Clinical Child Psychology, 21, 189–196. CrossRef
Yuen, N., Andrade, N., Nahulu, N., Makini, G., McDermott, J. F., Danko, G., . . . Waldron, J. (1996). The rate and characteristics of suicide attempters in the Native Hawaiian adolescent population. Suicide and Life-Threatening Behavior, 26, 27–36.
- Social Anxiety Symptoms and Suicidal Ideation in a Clinical Sample of Early Adolescents: Examining Loneliness and Social Support as Longitudinal Mediators
Mitchell J. Prinstein
- Springer US