a Department of Paediatrics , The University of Melbourne, Murdoch Children's Research Institute , Parkville , VIC , Australia.
b The University of Melbourne, Murdoch Children's Research Institute , Deakin University , Parkville , VIC , Australia.
Arch Suicide Res. 2019 Jul-Sep;23(3):353-381. doi: 10.1080/13811118.2018.1472690. Epub 2018 Nov 16.
This study sought to appraise internationally published literature investigating bullying in its association with deliberate self-harm (DSH). A systematic review and series of meta-analyses using random effects models were conducted. A total of 68 effect sizes, analyzing data from 156,284 adolescents aged 11-19 years were examined. Results showed significant associations between both traditional bullying perpetration (OR 1.81, 95% CI [1.33, 2.47], p < .0001) and victimization (OR 2.34, 95% CI [1.89, 2.89], p < .0001) and DSH. Cyber-bullying victimization (OR 3.55, 95% CI [2.71, 4.65], p < .0001) and the co-occurrence of traditional and cyber-bullying victimization (OR 3.39, 95% CI [1.56, 7.37], p = .002) were also associated with DSH. Moderator analyses showed variation in results based on methodological- and sample-level variables. Findings suggested that exposure to bullying, either as perpetrators or victims, poses risks for DSH.
本研究旨在评估国际上发表的有关欺凌与故意自伤（DSH）关联的文献。采用随机效应模型进行了系统评价和一系列荟萃分析。共检查了 68 个效应量，分析了来自 11-19 岁的 156284 名青少年的数据。结果表明，传统欺凌行为（OR 1.81，95%CI [1.33, 2.47]，p <.0001）和受害（OR 2.34，95%CI [1.89, 2.89]，p <.0001）与 DSH 之间存在显著关联。网络欺凌受害（OR 3.55，95%CI [2.71, 4.65]，p <.0001）和传统欺凌与网络欺凌共同受害（OR 3.39，95%CI [1.56, 7.37]，p =.002）也与 DSH 相关。调节分析表明，基于方法学和样本水平变量的结果存在差异。研究结果表明，无论是作为欺凌者还是受害者，暴露于欺凌行为都会增加 DSH 的风险。
