“…Finally, simply by acknowledging and addressing the phenomena of teen depression and suicide, SOS may weaken feelings of "differentness" and loneliness that depressed youths often feel (Groholt, Ekeberg, Wichstrom, & Haldorsen, 2005). Such cognitive changes in vulnerable adolescents might engender a greater sense of integration into their social systems that, in turn, might lessen feelings of isolation which play an important role in the suicidal desire to die (Joiner, Hollar, & Van Orden, 2006;Ribeiro & Joiner, 2009). Future SOS evaluations should expand the assessment of mediating mechanisms in an effort to identify the "active ingredients" of the program.…”