Peng Chang, Hu Wenzhu, Yuan Shanshan, Xiang Jingjing, Kang Chun, Wang Mengni, Rong Fajuan, Huang Yunxiang, Yu Yizhen
Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
First Clinical School, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Psychiatry. 2020 Dec 3;11:565364. doi: 10.3389/fpsyt.2020.565364. eCollection 2020.
Bullying tends to peak during adolescence, and it is an important risk factor of self-harm and suicide. However, research on the specific effect of different sub-types of bullying is limited. The purpose of this study is to examine the associations between four common forms of bullying (verbal, physical, relational, and cyber) and self-harm, suicidal ideation (SI), and suicide attempts (SA). This was a cross-sectional study of a sample including 4,241 Chinese students (55.8% boys) aged 11 to 18 years. Bullying involvement, self-harm, SI, and SA were measured via The Juvenile Campus Violence Questionnaire (JCVQ). The association was examined through multinomial logistic regression analysis, adjusted for demographic characteristics and psychological distress. Bullying victimization and perpetration were reported by 18.0 and 10.7% of participants. The prevalence of self-harm, SI, and SA were 11.8, 11.8, and 7.1%, respectively. Relational bullying victimization and perpetration were significantly associated with SI only, SI plus self-harm, and SA. Physical bullying victimization and perpetration were risk factors of self-harm only and SA. Verbal victimization was significantly associated with SI only. Cyber perpetration was a risk factor of SA. The findings highlight the different effects of sub-types of bullying on self-harm and suicidal risk. Anti-bullying intervention and suicide prevention efforts should be prior to adolescents who are involved in physical and relational bullying.
欺凌行为往往在青少年时期达到顶峰，并且是自我伤害和自杀的一个重要风险因素。然而，关于不同类型欺凌行为的具体影响的研究有限。本研究的目的是探讨四种常见欺凌形式（言语、身体、关系和网络欺凌）与自我伤害、自杀意念（SI）和自杀未遂（SA）之间的关联。这是一项横断面研究，样本包括4241名年龄在11至18岁的中国学生（55.8%为男生）。通过《青少年校园暴力问卷》（JCVQ）对欺凌行为的参与情况、自我伤害、自杀意念和自杀未遂进行测量。通过多项逻辑回归分析来检验这种关联，并对人口统计学特征和心理困扰进行了调整。18.0%的参与者报告遭受过欺凌，10.7%的参与者报告实施过欺凌。自我伤害、自杀意念和自杀未遂的发生率分别为11.8%、11.8%和7.1%。关系欺凌的受害和实施仅与自杀意念、自杀意念加自我伤害以及自杀未遂显著相关。身体欺凌的受害和实施仅是自我伤害和自杀未遂的风险因素。言语欺凌受害仅与自杀意念显著相关。网络欺凌实施是自杀未遂的一个风险因素。研究结果凸显了不同类型欺凌行为对自我伤害和自杀风险的不同影响。反欺凌干预和自杀预防措施应优先针对那些遭受身体和关系欺凌的青少年。
