Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, Taiwan.
Department of Psychology, National Taiwan University, Taipei, Taiwan.
J Affect Disord. 2022 Nov 15;317:46-51. doi: 10.1016/j.jad.2022.08.073. Epub 2022 Aug 25.
Problematic online behaviors, including sexting, cyberbullying, and Internet gaming disorder (IGD), were associated with a higher risk of self-harm among adolescents. However, the independent effect on self-harm brought by each problematic online behavior remains unknown.
This cross-sectional nationwide survey investigated a representative sample of 8446 Taiwanese adolescents (49.7 % female, mean age = 15.4 ± 1.8, ranging from 10 to 18) in the summer of 2021. We used self-reported questionnaires to assess adolescents' problematic online behaviors. 18-item Risk-Taking and Self-Harm Inventory was applied to evaluate their self-harm risks. Adolescents with score ≥ 7 were considered self-harm identified. Multivariate regression analyses were performed to investigate the association between problematic online behaviors and self-harm risks.
The prevalence of sexting, cyberbullying victimization, cyberbullying perpetration, and IGD was 1.3 %, 1.1 %, 0.9 %, and 0.7 %, respectively. Adolescents with sexting were associated with higher self-harm scores (β = 4.30, 95 % CI [3.35, 5.25]), so did adolescents with IGD (β = 3.33, 95 % CI [1.96, 4.71]), cyberbullying perpetration (β = 2.61, 95 % CI [1.03, 4.20]), and cyberbullying victimization (β = 1.40, 95 % CI [0.04, 2.76]). Also, sexting (OR = 5.16, 95 % CI [3.26, 8.07]) and IGD (OR = 3.11, 95 % CI [1.50, 6.15]) were associated with increased odds of identified self-harm behaviors.
Sexting, cyberbullying victimization, cyberbullying perpetration, and IGD were all independently associated with an increased self-harm risk among adolescents. Among them, sexting was shown to be the most robust risk factor of identified self-harm behaviors. To prevent self-harm among adolescents, it is important to identify youth involved in problematic online behaviors, especially sexting.
包括发色情短信、网络欺凌和网络游戏障碍（IGD）在内的网络问题行为与青少年自残风险增加有关。然而，每种网络问题行为对自残的独立影响尚不清楚。
本横断面全国性调查研究了 2021 年夏季 8446 名台湾青少年（49.7%为女性，平均年龄为 15.4±1.8，年龄 10-18 岁）的代表性样本。我们使用自我报告问卷评估青少年的网络问题行为。使用 18 项风险行为和自伤量表评估他们的自伤风险。得分≥7 分的青少年被认为是自伤识别者。采用多变量回归分析探讨网络问题行为与自伤风险之间的关系。
发色情短信、网络欺凌受害、网络欺凌加害和 IGD 的流行率分别为 1.3%、1.1%、0.9%和 0.7%。发色情短信的青少年与较高的自伤评分相关（β=4.30，95%CI[3.35，5.25]），IGD（β=3.33，95%CI[1.96，4.71]）、网络欺凌加害（β=2.61，95%CI[1.03，4.20]）和网络欺凌受害（β=1.40，95%CI[0.04，2.76]）的青少年也与较高的自伤评分相关。此外，发色情短信（OR=5.16，95%CI[3.26，8.07]）和 IGD（OR=3.11，95%CI[1.50，6.15]）与自伤行为识别的几率增加有关。
发色情短信、网络欺凌受害、网络欺凌加害和 IGD 均与青少年自残风险增加独立相关。其中，发色情短信是识别自伤行为的最有力风险因素。为预防青少年自残，识别涉及网络问题行为的青少年，尤其是发色情短信的青少年非常重要。
