The Effects of Social Anxiety, Self-Esteem, and Depression on Suicidal Ideation in Korean Adolescents

Yoo Suk An, Seong-Hoon Jeong, Ji Ae Nam, Jeong-Eun Kim, Dong-Dae Seo, Chang Hwa Lee, Kyeong-Sook Choi
2016 Journal of Korean Neuropsychiatric Association  
ObjectivesZZThe purpose of this study was to investigate the manner by which social anxiety symptoms, self-esteem, and depression influence suicidal ideation in adolescents. MethodsZZThis study involved 1320 middle school students. All participants completed several self-assessment questionnaires. Correlations among variables were assessed, and multiple regression analysis was performed to evaluate the relationships between variables and suicidal ideation. Finally, a structural equation model
more » ... al equation model was used to determine the pathways by which the tested variables can influence suicidal ideation. ResultsZZSymptoms of social anxiety were positively correlated with depression and suicidal ideation, but were negatively correlated with self-esteem. Additionally, multiple regression analysis revealed that social anxiety symptoms, depression, and self-esteem were significantly related to suicidal ideation. The influence of social anxiety symptoms on suicidal ideation was associated with an increase in depression, whereas self-esteem acted as an intermediary between social anxiety symptoms and depression. ConclusionZZThe results of the present study demonstrate that social anxiety symptoms can directly increase depression and lower self-esteem, which in turn can increase the risk of suicidal ideation. Thus, it may be possible to prevent depression and ultimately lower the risk of suicide in adolescents by pursuing programs designed for the early detection of social anxiety symptoms and by using intervention programs that improve self-esteem. J Korean Neuropsychiatr Assoc 2016;55(4):450-457 KEY WORDSZZ Adolescent · Social anxiety · Self-esteem · Depression · Suicidal ideation.
doi:10.4306/jknpa.2016.55.4.450 fatcat:wyfgag5kwfgkhoey4ckvwi24iu