The Effectiveness of Self-Compassion Training on Suicidal Ideation and Criticism Sensitivity among First Lower Secondary School Female Students with Feelings of Loneliness

Authors

    Shahnaz Rastgoo PhD student in Psychology, Department of Psychology, Isf.C., Islamic Azad University, Isfahan, Iran
    Zahra Yousefi * Assistance Professor, Department of Cilinical Psychology, Isf.C., Islamic Azad University, Isfahan, Iran. Dr_yousefi@iau.ac.ir
    Mohsen Golparvar Professor, Department of Psychology, Isf.C., Islamic Azad University, Isfahan, Iran / Research Center for Behavioral and Psychological Science, Department of Dsychology, Isf.C., Islamic Azad University, Isfahan, Iran
https://doi.org/10.61838/

Keywords:

Suicide, criticism sensitivity, compassion therapy, loneliness

Abstract

Objective: The present study aimed to examine the effectiveness of compassion-focused therapy in reducing suicidal ideation and sensitivity to criticism among first lower secondary school female students experiencing feelings of loneliness.

Methods and Materials: This study employed a quasi-experimental design with pretest, posttest, and follow-up assessments, including an experimental group and a control group. The statistical population consisted of first lower secondary school female students who reported feelings of loneliness. A total of 40 eligible students were selected using convenience sampling based on predefined inclusion and exclusion criteria and were randomly assigned to the experimental and control groups. Participants in the experimental group received a structured compassion-focused therapy program delivered in 12 group sessions, while the control group was placed on a waiting list. Data were collected using standardized self-report measures of suicidal ideation and criticism sensitivity at three time points. Repeated-measures analysis of variance and Bonferroni post hoc tests were conducted using SPSS version 26 to analyze the data.

Findings: The results of repeated-measures analysis of variance indicated a significant time × group interaction effect for suicidal ideation and criticism sensitivity, demonstrating that changes over time differed significantly between the experimental and control groups (p < .001). Significant between-group effects were also observed for both variables, indicating lower levels of suicidal ideation and criticism sensitivity in the compassion-focused therapy group compared with the control group at posttest and follow-up (p < .001). Bonferroni post hoc comparisons confirmed that the reductions in both outcomes in the intervention group were statistically significant at posttest and maintained at follow-up.

Conclusion: Compassion-focused therapy appears to be an effective and sustainable psychological intervention for reducing suicidal ideation and sensitivity to criticism among lonely early adolescent girls, suggesting its potential value for school-based prevention and early intervention programs.

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References

Abdulsalam, A., & Alhothali, A. (2024). Suicidal ideation detection on social media: A review of machine learning methods. Social Network Analysis and Mining, 14(1), 1-16. https://doi.org/10.1007/s13278-024-01348-0

Agin-Liebes, G., Nielson, E. M., Zingman, M., Kim, K., Haas, A., Owens, L. T., & Bogenschutz, M. (2024). Reports of self-compassion and affect regulation in psilocybin-assisted therapy for alcohol use disorder: An interpretive phenomenological analysis. Psychology of Addictive Behaviors, 38(1), 101-101. https://doi.org/10.1037/adb0000935

Berlanga, P., Ndounga-Diakou, L. A., Aerts, I., Corradini, N., Ducassou, S., Strullu, M., & Vassal, G. (2023). Measuring safety and outcomes for the use of compassionate and off-label therapies for children, adolescents, and young adults with cancer in the SACHA-France study. JAMA Network Open, 6(7), e2321568-e2321568. https://doi.org/10.1001/jamanetworkopen.2023.21568

Bohon, C., Flanagan, K., Welch, H., Rienecke, R. D., Le Grange, D., & Lock, J. (2024). Expressed emotion and early treatment response in family-based treatment for adolescent anorexia nervosa. Eating Disorders, 32(2), 153-168. https://doi.org/10.1080/10640266.2023.2277054

Bosacki, S., Talwar, V., & Castellanos, M. (2023). Longitudinal Exploration of Mindreading and Self-Conscious Emotions in Early Adolescents. Psychological studies, 68(3), 342-358. https://doi.org/10.1007/s12646-023-00727-5

Cepni, A. B., Ma, H. Y., Irshad, A. M., Yoe, G. K., & Johnston, C. A. (2025). Addressing shame through self compassion. American Journal of Lifestyle Medicine, 19(2), 194-197. https://doi.org/10.1177/15598276241292993

Chen, Q., Bonduelle, S. L. B., Wu, G. R., Vanderhasselt, M. A., De Raedt, R., & Baeken, C. (2024). Unraveling how the adolescent brain deals with criticism using dynamic causal modeling. NeuroImage, 286, 120510-120510. https://doi.org/10.1016/j.neuroimage.2024.120510

Erekson, D. M., Griner, D., & Beecher, M. E. (2024). Compassion focused therapy for groups: Transdiagnostic treatment for turbulent times. International Journal of Group Psychotherapy, 74(2), 149-176. https://doi.org/10.1080/00207284.2024.2314278

Farangis, D., Sardari, Z., & Saeedmanesh, M. (2022). The effectiveness of acceptance and commitment therapy enriched with compassion on psychological well-being and suicidal ideation in adolescents with parents suffering from chronic psychological disorders. Quarterly Journal of Social Work, 10(4), 37-47. http://socialworkmag.ir/browse.php?a_id=658&sid=1&slc_lang=fa

Farrell, A. H., Vitoroulis, I., Eriksson, M., & Vaillancourt, T. (2023). Loneliness and well-being in children and adolescents during the COVID-19 pandemic: A systematic review. Children, 10(2), 279. https://doi.org/10.3390/children10020279

Germer, C. (2025). A model of self-compassion-based therapy.

Geulayov, G., Mansfield, K., Jindra, C., Hawton, K., & Fazel, M. (2024). Loneliness and self-harm in adolescents during the first national COVID-19 lockdown: results from a survey of 10,000 secondary school pupils in England. Current Psychology, 43(15), 14063-14074. https://doi.org/10.1007/s12144-022-03651-5

Ghavami, M., Kazemiyan Moghadam, K., Gholamzadeh Jafreh, M., & Shahbazi, M. (2023). Comparing the effectiveness of compassion-focused therapy and emotion regulation training on cognitive flexibility and feelings of loneliness in substance-dependent individuals self-referred to the Welfare Organization. Scientific Quarterly Journal of Addiction Research, 17(67), 153-180. https://doi.org/10.52547/etiadpajohi.17.67.153

Hang, S., Jost, G. M., Guyer, A. E., Robins, R. W., Hastings, P. D., & Hostinar, C. E. (2024). Understanding the development of chronic loneliness in youth. Child Development Perspectives, 18(1), 44-53. https://doi.org/10.1111/cdep.12496

Jabari, N., & Aghili, S. M. (2023). The effectiveness of compassion-focused therapy and emotion-focused therapy on self-harming behaviors and interpersonal needs in adolescent girls with suicidal thoughts. Quarterly Journal of New Psychological Research, 18(69), 61-70. https://doi.org/10.22034/jmpr.2023.16242

Lee, H. L., & Huang, C. M. (2024). Development and validation of nursing students' moral sensitivity questionnaire in Taiwan. Nagoya Journal of Medical Science, 86(1), 110-110. https://pmc.ncbi.nlm.nih.gov/articles/PMC10945222/

Mahdavi, H. A.-S., Agha Abasi, A., Zangi Daristani, F., & Manzari Tavakkoli, R. (2024). The effect of therapeutic compassion on psychological resilience and suicidal thoughts in elderly individuals with depression.

McEwan, K., & Minou, L. (2023). Defining compassion: A Delphi study of compassion therapists' experiences when introducing patients to the term 'compassion'. Psychology and Psychotherapy: Theory, Research and Practice, 96(1), 16-24. https://doi.org/10.1111/papt.12423

Millard, L. A., Wan, M. W., Smith, D. M., & Wittkowski, A. (2023). The effectiveness of compassion focused therapy with clinical populations: A systematic review and meta-analysis. Journal of affective disorders, 326(0), 168-192. https://doi.org/10.1016/j.jad.2023.01.010

Mohammadi Kiani, Z., & Mahdad Ali, A. (2023). Predicting suicidal behavior through feelings of loneliness, distress tolerance, and parental bonds in individuals with a history of suicide attempts in Isfahan.

Nazari, H., Raiesifar, Z., Darabiyan, P., Zarea, K., Ghanbari, S., & Chan, S. W. C. (2024). Epidemiology and Related Factors of Internet Addiction with Emphasizing the Role of Feeling Loneliness and Interpersonal Problems in University Students. Jundishapur Journal of Chronic Disease Care, 13(2). https://doi.org/10.5812/jjcdc-142334

Neff, K., & Germer, C. (2022). The role of self-compassion in psychotherapy. World Psychiatry, 21(1), 58-58. https://doi.org/10.1002/wps.20925

Neff, K. D. (2023). Self-compassion: Theory, method, research, and intervention. Annual review of psychology, 74(1), 193-218. https://doi.org/10.1146/annurev-psych-032420-031047

Nikbakht, N., Donyavi, R., & Mosavi, S. M. (2022). The effectiveness of compassion-focused therapy on thought fusion, ambivalence over emotional expression, and impulsivity in married individuals with a history of suicide. Journal of Research in Psychopathology, 3(9), 28-36. https://jrp.uma.ac.ir/article_1614.html

Nikbakht, N., Donyavi, R., & Mousavi, S. M. (2023). The effectiveness of compassion-focused therapy on ambivalence in emotional expression and impulsivity in individuals with a history of suicide attempts. Ibn Sina, 25(2), 70-77. https://ebnesina.ajaums.ac.ir/article-1-1170-en.html

Ribeiro, O., Freitas, M., Rubin, K. H., & Santos, A. J. (2023). Loneliness profiles in adolescence: Associations with sex and social adjustment to the peer group. Journal of Child and Family Studies, 32(4), 1204-1217. https://doi.org/10.1007/s10826-022-02472-1

Riera-Serra, P., Navarra-Ventura, G., Castro, A., Gili, M., Salazar-Cedillo, A., Ricci-Cabello, I., & Roca, M. (2024). Clinical predictors of suicidal ideation, suicide attempts and suicide death in depressive disorder: a systematic review and meta-analysis. European Archives of Psychiatry and Clinical Neuroscience, 274(7), 1543-1563. https://doi.org/10.1007/s00406-023-01716-5

Santona, A., Lionetti, F., Tognasso, G., Fusco, C., Maccagnano, G., Barreca, D., & Gorla, L. (2023). Sensitivity and attachment in an italian sample of hikikomori adolescents and young adults. International journal of environmental research and public health, 20(12), 6148-6148. https://doi.org/10.3390/ijerph20126148

Schiltz, H., Gohari, D., Park, J., & Lord, C. (2024). A longitudinal study of loneliness in autism and other neurodevelopmental disabilities: Coping with loneliness from childhood through adulthood. Autism, 28(6), 1471-1486. https://doi.org/10.1177/13623613231217337

Schnepf, S. V., Boldrini, M., & Blaskó, Z. (2023). Adolescents' loneliness in European schools: a multilevel exploration of school environment and individual factors. BMC public health, 23(1), 1917-1917. https://doi.org/10.1186/s12889-023-16797-z

Turner, S., Fulop, A., & Woodcock, K. A. (2024). Loneliness: Adolescents' perspectives on what causes it, and ways youth services can prevent it. Children and Youth Services Review, 157(0), 107442-107442. https://doi.org/10.1016/j.childyouth.2024.107442

Vali Zadeh, H., Ahmadi, V., & Mirshakar, S. (2023). The effectiveness of compassion-based therapy on resilience, emotional awareness, and feelings of loneliness in female head of households. Quarterly Journal of New Psychological Research, 18(69), 257-265. https://doi.org/10.22034/jmpr.2023.16248

Verity, L., Yang, K., Nowland, R., Shankar, A., Turnbull, M., & Qualter, P. (2024). Loneliness from the adolescent perspective: A qualitative analysis of conversations about loneliness between adolescents and Childline counselors. Journal of Adolescent Research, 39(5), 1413-1443. https://doi.org/10.1177/07435584221111121

Wang, W., Volkow, N. D., Berger, N. A., Davis, P. B., Kaelber, D. C., & Xu, R. (2024). Association of semaglutide with risk of suicidal ideation in a real-world cohort. Nature medicine, 30(1), 168-176. https://doi.org/10.1038/s41591-023-02672-2

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Additional Files

Published

2026-02-10

Submitted

2025-10-03

Revised

2026-01-20

Accepted

2026-01-27

How to Cite

Rastgoo , S. ., Yousefi, Z., & Golparvar , M. . (2026). The Effectiveness of Self-Compassion Training on Suicidal Ideation and Criticism Sensitivity among First Lower Secondary School Female Students with Feelings of Loneliness. Journal of Adolescent and Youth Psychological Studies (JAYPS), 7(2), 1-12. https://doi.org/10.61838/

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