Alavi Nazanin, Roberts Nasreen, Sutton Chloe, Axas Nicholas, Repetti Leanne
Psychiatry Resident, Department of Psychiatry, Queen's University, Kingston, Ontario.
Head and Chair, Department of Child and Adolescent Psychiatry, Queen's University, Kingston, Ontario.
Can J Psychiatry. 2015 Oct;60(10):427-31. doi: 10.1177/070674371506001003.
To examine the prevalence of bullying victimization among adolescents referred for urgent psychiatric consultation, to study the association between bullying victimization and suicidality, and to examine the relation between different types of bullying and suicidality.
A retrospective chart review was conducted for all adolescents referred to a hospital-based urgent consultation clinic. Our study sample consisted of adolescents with a history of bullying victimization. The Research Ethics Board of Queen's University provided approval. Data analysis was conducted using SPSS (IBM SPSS Inc, Armonk, NY). Chi-square tests were used for sex, suicidal ideation, history of physical and sexual abuse, and time and type of bullying, and an independent sample t test was used for age.
The prevalence of bullying victimization was 48.5% (182 of 375). There was a significant association between being bullied and suicidal ideation (P = 0.01), and between sex and suicidal ideation (P ≤ 0.001). Victims of cyberbullying reported more suicidal ideation than those who experienced physical or verbal bullying (P = 0.04).
Bullying victimization, especially cyberbullying, is associated with increased risk of suicidal ideation among adolescents referred for psychiatric risk assessment. The detailed history of the type and duration of bullying experienced by the victims should be considered when conducting a psychiatric risk assessment.
调查因紧急精神科会诊前来就诊的青少年中受欺凌受害情况的发生率，研究受欺凌受害与自杀倾向之间的关联，并探讨不同类型欺凌与自杀倾向之间的关系。
对所有转诊至一家医院紧急会诊诊所的青少年进行回顾性病历审查。我们的研究样本包括有受欺凌受害史的青少年。女王大学研究伦理委员会批准了此项研究。使用SPSS（IBM SPSS公司，纽约州阿蒙克）进行数据分析。卡方检验用于分析性别、自杀意念、身体和性虐待史以及欺凌的时间和类型，独立样本t检验用于分析年龄。
受欺凌受害情况的发生率为48.5%（375例中有182例）。受欺凌与自杀意念之间存在显著关联（P = 0.01），性别与自杀意念之间也存在显著关联（P≤0.001）。网络欺凌受害者报告的自杀意念比遭受身体或言语欺凌的受害者更多（P = 0.04）。
在因精神科风险评估前来就诊的青少年中，受欺凌受害，尤其是网络欺凌，与自杀意念风险增加有关。在进行精神科风险评估时，应考虑受害者所经历欺凌的类型和持续时间的详细病史。
