Bang Young Rong, Park Jae Hong
Fellow. Department of Psychiatry, Seoul National University Bundang Hospital, Seoungnam, Korea.
Assistant Professor, Department of Psychiatry, College of Medicine, Dong-A University, Busan, Korea.
Australas Psychiatry. 2017 Aug;25(4):376-380. doi: 10.1177/1039856217715987. Epub 2017 Jul 4.
We conducted a cross-sectional school-based study to investigate psychiatric disorders and suicide risk among adolescents victimized by bullying.
The study was designed in two stages. In the screening stage, 33,038 middle school students were screened for psychopathology. Next, in the face-to-face interview stage, 1196 participants were assessed for psychiatric disorders using a structured diagnostic instrument. We also collected information about the participants' experiences of bullying and history of suicidal ideation/attempts.
The results indicate that adolescents with a history of bullying victimization were more likely to be diagnosed with depression and psychosis than those without such a history. Multivariate logistic regression models revealed that bullying victimization was significantly associated with suicide attempts even after adjusting for demographic characteristics, depression and psychosis.
Bullying victimization is a risk factor for depression, psychosis, and suicide ideation and attempts. The findings warrant an early intervention and suicide prevention program for victimized students and anti-bullying policies in schools.
我们开展了一项基于学校的横断面研究,以调查受欺凌青少年的精神障碍和自杀风险。
该研究分两个阶段进行。在筛查阶段,对33038名中学生进行了精神病理学筛查。接下来,在面对面访谈阶段,使用结构化诊断工具对1196名参与者进行了精神障碍评估。我们还收集了参与者的受欺凌经历以及自杀意念/企图史的信息。
结果表明,有受欺凌史的青少年比没有此类历史的青少年更有可能被诊断为抑郁症和精神病。多变量逻辑回归模型显示,即使在调整了人口统计学特征、抑郁症和精神病因素后,受欺凌与自杀企图仍显著相关。
受欺凌是抑郁症、精神病以及自杀意念和企图的一个风险因素。这些发现表明有必要为受欺凌学生制定早期干预和自杀预防计划,并在学校推行反欺凌政策。