Shireen Farhat, Janapana Himani, Rehmatullah Sanila, Temuri Hoor, Azim Fatima
FarhatShireen, M.D.M.P.H, MentalHealthResearcher, BrookdaleHospitalandMedicalCenter Brooklyn,NewYork,USA.
Himani Janapana, MD, Director of Clinical Education, Brookdale Hospital and Medical Center Brooklyn, NewYork, USA.
Pak J Med Sci. 2014 Jan;30(1):206-10. doi: 10.12669/pjms.301.4072.
This study examines the association between suicide and bullying among teenagers and adolescents in school besides exploring strategies to prevent acts of bullying. "Bullying" is a risk factor that is linked to suicidal ideation and attempts among school-age children and teenagers. Since youth suicide is an urgent and serious problem, we conducted a systematic review of 28 previous studies conducted in children and adolescents which examined the connection between bullying experiences and suicide.
A literature search was carried out using 4 databases, without date description including: PubMed, PsychInfo, Medline and Google Scholar. The search terms contained: bullying, suicide and bullying, suicide in teens, school bullying, and peer victimization. An initial search generated about 97 articles; however, only 28 articles were appropriate for inclusion in the current review. Inclusion criteria was (1) Cross-sectional studies published from 1997-2013. (2) Study based on school bullying and suicidal risk in adolescents and teens 18 years or less (3) Studies had enough information to calculate effect sizes that did include a control group. (4) Studies based on gender discrimination. Papers that focused on specific populations, that did not include quantitative data, that did not use a control group of non-bullied subjects and studies based on cyber bullying, studies with longitudinal design were excluded. The risk of suicide attempts was higher in girls, who were involved in bullying, either as the victim or perpetrator, than in boys. Depression, feelings of hopelessness and loneliness can develop in the child after being bullied for long periods of time; these feelings are indirectly related to suicidal ideation and attempts. Involvement in bullying increases the likelihood of suicidal ideation and attempts in children and teenagers.
本研究除了探索预防欺凌行为的策略外,还考察了青少年在学校中自杀与欺凌之间的关联。“欺凌”是与学龄儿童和青少年自杀意念及自杀未遂相关的一个风险因素。由于青少年自杀是一个紧迫且严重的问题,我们对之前针对儿童和青少年开展的28项研究进行了系统综述,这些研究考察了欺凌经历与自杀之间的联系。
使用4个数据库进行文献检索,检索无日期限制,包括:PubMed、PsychInfo、Medline和谷歌学术。检索词包括:欺凌、自杀与欺凌、青少年自杀、校园欺凌和同伴受害。初步检索产生了约97篇文章;然而,只有28篇文章适合纳入当前综述。纳入标准为:(1)1997年至2013年发表的横断面研究。(2)基于18岁及以下青少年校园欺凌和自杀风险的研究。(3)研究有足够信息计算效应量,且确实包括一个对照组。(4)基于性别歧视的研究。聚焦特定人群、未包括定量数据、未使用非受欺凌受试者对照组的论文以及基于网络欺凌的研究、纵向设计的研究均被排除。参与欺凌的女孩,无论是作为受害者还是施害者,自杀未遂的风险都高于男孩。儿童在长期遭受欺凌后可能会出现抑郁、绝望和孤独感;这些感受与自杀意念和自杀未遂间接相关。参与欺凌会增加儿童和青少年自杀意念及自杀未遂的可能性。