The DOI matches its Crossref record; 70 of the 72 references it cites were found in a registry or an index.
Social Anxiety Symptoms and Suicidal Ideation in a Clinical Sample of Early Adolescents: Examining Loneliness and Social Support as Longitudinal Mediators
Open accessAbstract
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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“Of the three studies (4 results) which recruited exclusively from psychiatric inpatient populations only Gallagher et al. (2014, T2-T3) found that loneliness was a significant predictor of later SIB.”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Gallagher et al. (2014, T2-T3)
In the citing paper
“Unadjusted: Loneliness did not predict suicidal ideation 18 months later.”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Gallagher et al. (2014; T2- T3)
In the citing paper
“Unadjusted: Loneliness significantly predicted suicidal ideation 9 months later (p<0.05)”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Gallagher et al. (2014; T1- T3)
In the citing paper
“The association between loneliness and suicidality supports the theory [32] that thwarted belongingness and perceived burdensomeness are major determinants of suicidality (see also [33]).”
From Loneliness in the general population: prevalence, determinants and relations to mental health (2017) · cites this paper as [33]
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Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532
Preacher, K. J., & Hayes, A. F. (2008) · Behavior Research Methods · doi:10.3758/brm.40.3.879 · Cited by 34,117 · cited 3×
“A multiple mediation model was used in lieu of individual mediation models due to its ability to: (a) test competing theories within a single model, and (b) reduce parameter bias due to omitted variables, i.e., other possible mediators (Preacher and Hayes 2008).”
BackgroundMethodInfluentialMacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007) · Annual Review of Psychology · doi:10.1146/annurev.psych.58.110405.085542 · Cited by 5,688 · cited 2×
“Recent literature suggests it may not be necessary to show a direct relationship between the independent variable and outcome in order to establish mediation (MacKinnon et al. 2007).”
The interpersonal theory of suicide.
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010) · Psychological Review · doi:10.1037/a0018697 · Cited by 5,292 · cited 5×
“[PubMed: 20438238] Van Zalk N, Van Zalk M, Kerr M, Ståttin H. Social anxiety as a basis for friendship selection and socialization in adolescents’ social networks.”
BackgroundInfluentialEnders, C., & Bandalos, D. (2001) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1207/s15328007sem0803_5 · Cited by 4,978 · cited 2×
“In order to avoid biased estimates resulting from listwise deletion or other ad hoc missing data procedures, analyses were conducted with all available data using full information maximum likelihood procedures, a method that has been shown to produce efficient, unbiased estimates under both missing completely at rando…”
MethodStructural Equation Modeling With AMOS: Basic Concepts, Applications, and Programming, Third Edition
Byrne, B. M. (2016) · doi:10.4324/9781315757421 · Cited by 4,653
Cole, D. A., & Maxwell, S. E. (2003) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.112.4.558 · Cited by 3,605 · cited 3×
“As is recommended for longitudinal mediation, the study used multiple time lags (Cole and Maxwell 2003).”
BackgroundMethodInfluentialSHAFFER, D., FISHER, P., LUCAS, C. P., DULCAN, M. K., & SCHWAB-STONE, M. E. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200001000-00014 · Cited by 3,505 · cited 6×
“** p<0.01 a Equal variances not assumed b Symptoms measured with the Diagnostic Interview Schedule for Children (DISC-IV-Adolescent Report; Shaffer et al. 2000) c Number of baseline DISC-IV psychiatric diagnoses (excludes social phobia and major depression) J Abnorm Child Psychol.”
MethodInfluentialPsychological Assessment Resources
Abidin, R. R. (1995) · Medical Entomology and Zoology · Cited by 3,141
Research works printed but not linked: 2
- Arbuckle, J. (2010). IBM SPSS Amos 19 user’s guide. Crawfordville: Amos Development Corporation.
- Harter, S. (1985). Manual for the social support scale for children. Denver: University of Denver.
Cited by
Sorted by citations
Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research
Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017) · Psychological Bulletin · doi:10.1037/bul0000084 · Cited by 3,784
Loneliness in the general population: prevalence, determinants and relations to mental health
Beutel, M. E., Klein, E. M., Brähler, E., Reiner, I., Jünger, C., Michal, M., Wiltink, J., Wild, P. S., Münzel, T., Lackner, K. J., et al. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1262-x · Cited by 1,223
“The association between loneliness and suicidality supports the theory [32] that thwarted belongingness and perceived burdensomeness are major determinants of suicidality (see also [33]).”
BackgroundRueger, S. Y., Malecki, C. K., Pyun, Y., Aycock, C., & Coyle, S. (2016) · Psychological Bulletin · doi:10.1037/bul0000058 · Cited by 946
Annual Research Review: Suicide among youth – epidemiology, (potential) etiology, and treatment
Cha, C. B., Franz, P. J., M. Guzmán, E., Glenn, C. R., Kleiman, E. M., & Nock, M. K. (2018) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12831 · Cited by 602
“…select cases where loneliness plays a more central role, such as mediating the relationship between social anxiety and subsequent suicidal ideation during adolescence (Gallagher et al., 2014), or the prediction of suicide attempt later in life, specifically early adulthood (Johnson et al., 2002).”
BackgroundMcClelland, H., Evans, J. J., Nowland, R., Ferguson, E., & O'Connor, R. C. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.004 · Cited by 466
“participants (Fulginiti et al, 2018; Gallagher et al. 2014; Hom et al. 2019; Joiner and Rudd, 1996; Kleiman et al., 2017 Study 1; Kleiman et al., 2017, Study 2; Pietrzak et al., 2017; Schinka et al., 2013) while Salzinger (2007) recruited predominantly Hispanic participants (54%).”
Background
Metadata
- Authors
- Gallagher, M., Prinstein, M. J., Simon, V., & Spirito, A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Wayne State University (US)
- Brown University (US)
- Corresponding author
- Gallagher, Michelle
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2014-01-05
- Volume
- 42
- Issue
- 6
- Pages
- 871-883
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- PMC
- PMC5496444
- OpenAlex
- W2015309860
- Cited by
- 162
- References
- 72
- Citations by year
- 2026: 8 · 2025: 16 · 2024: 23 · 2023: 14 · 2022: 18 · 2021: 19 · 2020: 11 · 2019: 17 · 2018: 10 · 2017: 10 · 2016: 11 · 2015: 2 · 2014: 2
- FWCI
- 9.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- Centers for Disease Control and Prevention
- National Institute of Mental Health (R01MH085505, R01-MH85505, R01MH059766, R01 MH 59766)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K01HD061230)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- social anxiety, suicidal ideation, loneliness, perceived social support, early adolescents, depression, psychiatric inpatients, mediation
- MeSH terms
- Adolescent, Child, Female, Humans, Interpersonal Relations, Loneliness, Longitudinal Studies, Male, Phobic Disorders, Surveys and Questionnaires, Risk Factors, Social Support, Friends, Suicidal Ideation
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