TY  - JOUR
PY  - 2020//
TI  - Direct and indirect associations between loneliness and thoughts of self-harm among a clinical sample of older adults with serious mental illness
JO  - Journal of nervous and mental disease
A1  - Dell, Nathaniel A.
A1  - Huang, Jin
A1  - Buttafuoco, Kayla A.
A1  - Vidovic, Kristina R.
A1  - Murphy, Allison M.
A1  - Farrar, Leon A.
SP  - 828
EP  - 832
VL  - 208
IS  - 10
N2  - This cross-sectional study examines the relationships of loneliness and depressive symptoms to thoughts of self-harm among a clinical sample (n = 150) of older adults (M = 58.42 years, SD = 5.86 years; male, 55.3%; African American, 61.3%) with serious mental illness (SMI) receiving publicly funded, community-based psychiatric rehabilitation services. Participants completed the De Jong Gierveld Loneliness Scale, Multidimensional Scale of Perceived Social Support, Patient Health Questionnaire 9, and Geriatric Depression Scale-Short Form. Mediation analyses tested the association of loneliness with thoughts of self-harm through depressive symptoms and were adjusted for social support and demographic variables. The direct association of loneliness with thoughts of self-harm was mediated by depressive symptoms; indirect associations of overall and emotional loneliness to thoughts of self-harm were significant. <br><br>FINDINGS suggest the need for clinicians to reduce feelings of loneliness among older adults with SMI as a means of partially ameliorating depressive symptoms and thoughts of self-harm.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-3018
UR  - http://dx.doi.org/10.1097/NMD.0000000000001213
ID  - ref1
ER  -