Loneliness and suicidal ideation in drug-using college students.

The college years are marked by social changes and behavioral experimentation which may increase risk of suicidal ideation. We propose a novel pathway for the development of suicidal thoughts between two established suicide risk factors, loneliness and drug use, which have not been examined in a nonclinical sample. Data were collected from 207 undergraduate drug-using students at a large southeastern university. As hypothesized, suicidal ideation was positively correlated with both loneliness (r = .40) and drug use (r = .29). After controlling for several demographic variables, social desirability, and anxiety sensitivity, drug use was tested as a potential mediator in the loneliness-suicidal ideation link using a single-mediator model. Results indicated a significant indirect (mediated) effect of loneliness on suicidal ideation via drug use (ab = 0.09, 95% CI: 0.02-0.18), suggesting that loneliness may contribute to suicidal ideation through increased drug use among college students. Identification of and intervention with students reporting loneliness and drug use may be a promising suicide prevention strategy on college campuses.

[1]  E. Wish,et al.  Suicide Ideation Among College Students: A Multivariate Analysis , 2009, Archives of suicide research : official journal of the International Academy for Suicide Research.

[2]  T. Joiner Why People Die by Suicide , 2005 .

[3]  Letitia Anne Peplau,et al.  LONELINESS RESEARCH: A SURVEY OF EMPIRICAL FINDINGS , 1984 .

[4]  R. Schwartz,et al.  Suicide attempts among adolescent drug users. , 1990, American journal of diseases of children.

[5]  T. B. Üstün,et al.  Age of onset of mental disorders: a review of recent literature , 2007, Current opinion in psychiatry.

[6]  David P. MacKinnon,et al.  Statistical Mediation Analysis , 2012 .

[7]  Kelly C. Cukrowicz,et al.  Suicide Ideation Among College Students Evidencing Subclinical Depression , 2011, Journal of American college health : J of ACH.

[8]  Danielle I. Moreggi,et al.  College Student Drug Use: Patterns, Concerns, Consequences, and Interest in Intervention , 2012, Journal of college student development.

[9]  D. Mackinnon,et al.  Equivalence of the Mediation, Confounding and Suppression Effect , 2000, Prevention Science.

[10]  A. Rokach,et al.  Determinants of Loneliness of Young Adult Drug Users , 2002, The Journal of psychology.

[11]  M. Silverman,et al.  Aspects of suicidal behavior, depression, and treatment in college students: results from the spring 2000 national college health assessment survey. , 2005, Suicide & life-threatening behavior.

[12]  J. Strang,et al.  Understanding reasons for drug use amongst young people: a functional perspective. , 2001, Health education research.

[13]  O. Aasland,et al.  Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. , 1993, Addiction.

[14]  A. Preti,et al.  Suicide ideation and social desirability among school-aged young people. , 2008, Journal of adolescence.

[15]  T. Joiner,et al.  Suicide attempts among individuals with opiate dependence: the critical role of belonging. , 2007, Addictive behaviors.

[16]  E. Shneidman A psychological approach to suicide. , 1987 .

[17]  N. Brener,et al.  Suicidal ideation among college students in the United States. , 1999 .

[18]  W. Reynolds Development of reliable and valid short forms of the marlowe-crowne social desirability scale , 1982 .

[19]  J. Sareen,et al.  The association between social isolation and DSM-IV mood, anxiety, and substance use disorders: wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. , 2011, The Journal of clinical psychiatry.

[20]  Kelly C. Cukrowicz,et al.  The interpersonal theory of suicide. , 2010, Psychological review.

[21]  K. Zullig,et al.  The association between non-medical prescription drug use, depressive symptoms, and suicidality among college students. , 2012, Addictive behaviors.

[22]  Louise C Hawkley,et al.  Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. , 2010, Psychology and aging.

[23]  Chiungjung Huang,et al.  Internet Use and Psychological Well-being: A Meta-Analysis , 2009, Cyberpsychology Behav. Soc. Netw..

[24]  Daniel W Capron,et al.  Role of anxiety sensitivity subfactors in suicidal ideation and suicide attempt history , 2012, Depression and anxiety.

[25]  Gillian M. Pinchevsky,et al.  Prevalence and predictors of persistent suicide ideation, plans, and attempts during college. , 2010, Journal of affective disorders.

[26]  F. Zaldívar,et al.  Evaluation of alcohol and other drug use and the influence of social desirability: Direct and camouflaged measures. , 2009 .

[27]  Tricia L. Orzeck,et al.  Men who abuse drugs and their experience of loneliness , 2004 .

[28]  K. O’grady,et al.  Discontinuous college enrollment: associations with substance use and mental health. , 2013, Psychiatric services.

[29]  D. Mackinnon Introduction to Statistical Mediation Analysis , 2008 .

[30]  Patrick M O'Malley,et al.  Epidemiology of alcohol and other drug use among American college students. , 2002, Journal of studies on alcohol. Supplement.

[31]  N. Brener,et al.  Suicide Ideation Among US College Students Associations With Other Injury Risk Behaviors , 2000, Journal of American college health : J of ACH.

[32]  D. Lamis,et al.  Alcohol Use and Suicidal Behaviors among Adults: A Synthesis and Theoretical Model. , 2012, Suicidology online.

[33]  R. Loo,et al.  Confirmatory Factor Analyses of the Full and Short Versions of the Marlowe-Crowne Social Desirability Scale , 2000, The Journal of social psychology.

[34]  M. Rimsza,et al.  Substance abuse on the college campus. , 2005, Pediatric clinics of North America.

[35]  David P Mackinnon,et al.  Explanation of Two Anomalous Results in Statistical Mediation Analysis , 2012, Multivariate behavioral research.

[36]  John T. Cacioppo,et al.  Loneliness: Human Nature and the Need for Social Connection , 2008 .

[37]  D. Russell UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. , 1996, Journal of personality assessment.

[38]  Bo Zhou,et al.  The risk of adolescent suicide across patterns of drug use: a nationally representative study of high school students in the United States from 1999 to 2009 , 2013, Social Psychiatry and Psychiatric Epidemiology.

[39]  W. Berman,et al.  Parental attachment and emotional distress in the transition to college , 1991, Journal of youth and adolescence.

[40]  James G. Murphy,et al.  Prevention and treatment of college student drug use: A review of the literature. , 2013, Addictive behaviors.

[41]  A. Spirito,et al.  Adolescent substance use and suicidal behavior: a review with implications for treatment research. , 2004, Alcoholism, clinical and experimental research.

[42]  W. Pedersen,et al.  Does cannabis use lead to depression and suicidal behaviours? A population‐based longitudinal study , 2008, Acta psychiatrica Scandinavica.

[43]  D. Healy,et al.  Routine use of the Beck Scale for Suicide Ideation in a psychiatric emergency department. , 2006, General hospital psychiatry.

[44]  T. Brown,et al.  Hierarchical structure and general factor saturation of the Anxiety Sensitivity Index : Evidence and implications , 1997 .

[45]  L. Johnston,et al.  Monitoring the Future national survey results on drug use, 1975-2019: Volume II, college students and adults ages 19-60 , 2000 .

[46]  Bethany A. Koestner,et al.  Depression, desperation, and suicidal ideation in college students: results from the American Foundation for Suicide Prevention College Screening Project at Emory University , 2008, Depression and anxiety.

[47]  L. Johnston,et al.  Monitoring the Future national survey results on drug use, 1975-2018: Volume II, college students and adults ages 19-60 , 2005 .

[48]  Kristopher J Preacher,et al.  Effect size measures for mediation models: quantitative strategies for communicating indirect effects. , 2011, Psychological methods.

[49]  J. Anthony,et al.  The development of suicide ideation and attempts: an epidemiologic study of first graders followed into young adulthood. , 2004, Drug and alcohol dependence.

[50]  J. Buckner,et al.  Anxiety Sensitivity As a Prospective Predictor of Alcohol Use Disorders , 2007, Behavior modification.

[51]  E. Wish,et al.  The occurrence of cannabis use disorders and other cannabis-related problems among first-year college students. , 2008, Addictive behaviors.

[52]  J. Marsden,et al.  Perceived functions predict intensity of use and problems in young polysubstance users. , 2003, Addiction.

[53]  M. Swahn,et al.  Psychosocial predictors and outcomes of loneliness trajectories from childhood to early adolescence. , 2013, Journal of adolescence.

[54]  J. Arnett Emerging adulthood. A theory of development from the late teens through the twenties. , 2000, The American psychologist.

[55]  A. H. Berman,et al.  Evaluation of the Drug Use Disorders Identification Test (DUDIT) in Criminal Justice and Detoxification Settings and in a Swedish Population Sample , 2004, European Addiction Research.

[56]  S. Hollon,et al.  Depression and Suicidal Ideation in College Students , 2012, Psychopathology.

[57]  M. Dennis,et al.  Suicidal Ideation, Self-Harm And Attempted Suicide: Results From The British Psychiatric Morbidity Survey 2000 , 2010, European Psychiatry.

[58]  E. Wish,et al.  Drug Exposure Opportunities and Use Patterns among College Students: Results of a Longitudinal Prospective Cohort Study , 2008, Substance abuse.

[59]  Peter C. Britton,et al.  Suicide attempts within 12 months of treatment for substance use disorders. , 2010, Suicide & life-threatening behavior.

[60]  S. Reiss,et al.  Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. , 1986, Behaviour research and therapy.

[61]  L. Goossens,et al.  Loneliness, Depressive Symptomatology, and Suicide Ideation in Adolescence: Cross-Sectional and Longitudinal Analyses , 2011, Journal of abnormal child psychology.

[62]  D. Marlowe,et al.  A new scale of social desirability independent of psychopathology. , 1960, Journal of consulting psychology.

[63]  D. Segal,et al.  A comparison of suicidal thinking and reasons for living among younger and older adults. , 2001, Death studies.

[64]  Edward R. Simco,et al.  Psychometric properties of the Drug Use Disorders Identification Test (DUDIT) with substance abusers in outpatient and residential treatment. , 2012, Addictive behaviors.

[65]  K. Conner,et al.  Social connections and suicidal thoughts and behavior. , 2011, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.