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澳大利亚中学生中的欺凌受害、精神障碍、自杀意念和自残行为:来自全国性数据的证据。

Bullying victimization, mental disorders, suicidality and self-harm among Australian high schoolchildren: Evidence from nationwide data.

机构信息

Centre for Health Research and School of Commerce, University of Southern Queensland, West Street, Darling Heights, Toowoomba, Queensland 4350, Australia; Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh.

Centre for Health Research and School of Commerce, University of Southern Queensland, West Street, Darling Heights, Toowoomba, Queensland 4350, Australia.

出版信息

Psychiatry Res. 2020 Oct;292:113364. doi: 10.1016/j.psychres.2020.113364. Epub 2020 Aug 3.

DOI:10.1016/j.psychres.2020.113364
PMID:32771835
Abstract

The effects of bullying on mental health among adolescents are of major public health concern, especially following modern bullying methods that technologically victimize adolescents. However, the independent effects of different forms of bullying (traditional, cyberbullying or both) on different types of mental disorders, suicidality and self-harm are not clear. Using a cross-sectional study design, involving 2166 Australian high schoolchildren (1131 Boys and 1035 Girls) aged 12-17 years, this study examined the associations of bullying victimization (traditional, cyber and both) with mental disorders, suicidality (ideation, plan and attempt) and self-harm. Both bivariate and multivariate analyses were employed to assess the associations. Victims of traditional bullying and cyberbullying incurred a significantly higher risk of major depressive disorder, suicidality and self-harm compared to those who had not encountered such threats. Findings also indicated the need for early identification of bullying victims to prevent the risk of mental disorders, suicidality and self-harm in schoolchildren. Furthermore, this evidence can be utilized to inform decisions regarding the provision of resources to address this important health issue in the context of any developed countries like Australia.

摘要

欺凌对青少年心理健康的影响是一个主要的公共卫生关注点,尤其是在现代欺凌手段利用技术伤害青少年之后。然而,不同形式的欺凌(传统的、网络的或两者兼有的)对不同类型的精神障碍、自杀意念和自残的独立影响尚不清楚。本研究采用横断面研究设计,涉及 2166 名 12-17 岁的澳大利亚高中生(1131 名男生和 1035 名女生),调查了欺凌受害(传统的、网络的或两者兼有的)与精神障碍、自杀意念(想法、计划和尝试)和自残之间的关联。本研究采用了双变量和多变量分析来评估关联。与未遭遇此类威胁的青少年相比,传统欺凌和网络欺凌的受害者患重度抑郁障碍、自杀意念和自残的风险显著更高。研究结果还表明,需要早期识别欺凌受害者,以防止儿童出现精神障碍、自杀意念和自残的风险。此外,这一证据可用于为解决澳大利亚等发达国家这一重要健康问题提供资源的决策提供参考。

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