New York State Psychiatric Institute, New York, NY 10032, USA.
J Adolesc Health. 2013 Jul;53(1 Suppl):S37-42. doi: 10.1016/j.jadohealth.2012.12.008.
This is the first study to examine the extent to which frequent involvement in high-school bullying (as a bullying perpetrator, victim of bullying, or bully-victim) increases the risk for later depression and suicidality beyond other well-established risk factors of suicide. The study included 96 students who reported being a bully, a victim, or a bully-victim, and also reported depression, suicidality, or substance problems during an initial suicide screen. These students were interviewed 2 years later and were compared with 142 youth identified during the initial screen as "suicide-at-risk" by virtue of their depression, suicidal ideation, attempts, and substance problems, but who did not report any involvement in bullying behavior. Students who reported both bullying others and other suicide-related behaviors at baseline had higher suicide ideation and were more functionally impaired at follow-up than students who reported suicide-related behaviors but were not involved in bullying. Preventive efforts in high school should target those children who are characterized by both psychological disturbance and bullying, especially the frequent bullies.
这是第一项研究，旨在探讨在其他既定自杀风险因素之外，频繁参与高中欺凌（作为欺凌者、欺凌受害者或欺凌-受害者）会在多大程度上增加以后患抑郁症和自杀倾向的风险。该研究包括 96 名学生，他们报告在最初的自杀筛查中是欺凌者、受害者或欺凌-受害者，并且报告了抑郁、自杀意念或物质问题。这些学生在 2 年后接受了访谈，并与在最初的筛查中因抑郁、自杀意念、尝试和物质问题而被确定为“有自杀风险”的 142 名青少年进行了比较，但他们没有报告任何参与欺凌行为。与那些报告在基线时同时有欺凌他人和其他与自杀相关行为的学生相比，报告有自杀相关行为但没有参与欺凌行为的学生的自杀意念更高，并且在随访时功能受损更严重。高中的预防措施应该针对那些既有心理困扰又有欺凌行为的儿童，尤其是那些频繁的欺凌者。
