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工作场所欺凌与自杀意念和行为:系统评价和荟萃分析。

Workplace bullying and suicidal ideation and behaviour: a systematic review and meta-analysis.

机构信息

Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region (West China Hospital Sichuan University Tibet Chengdu Branch Hospital), No. 20 Ximianqiao Hengjie, Chengdu 610041, China.

College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 610041, China.

出版信息

Public Health. 2023 Sep;222:166-174. doi: 10.1016/j.puhe.2023.07.007. Epub 2023 Aug 4.

DOI:10.1016/j.puhe.2023.07.007
PMID:37544128
Abstract

OBJECTIVES

Suicidal ideation and behaviour are potential outcomes of workplace bullying. This review aimed to determine the extent of the association between workplace bullying and suicidal ideation and behaviour.

STUDY DESIGN

The study incorporated a systematic review and meta-analysis.

METHODS

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was followed to conduct a comprehensive systematic review and meta-analysis. A combination of subject terms and free words was used to search nine electronic databases. Two reviewers independently screened articles and extracted information according to the inclusion criteria. A meta-analysis was performed with averaged weighted correlations across samples using the STATA software (version 16.0) from pooled estimates of the main results from all studies.

RESULTS

In total, 25 articles of high or medium quality were included in the systematic review; 15 of these were included in the meta-analysis. The prevalence of suicidal ideation and behaviour was 18% and 4%, respectively. Individuals who experienced workplace bullying had 2.03-times and 2.67-times higher odds of reporting suicidal ideation and behaviour, respectively, after adjustment for confounding factors. Moderating and mediating factors may help reduce the risk of suicidal ideation and behaviour for individuals experiencing workplace bullying.

CONCLUSION

This study indicated that exposure to workplace bullying significantly increased the risk of suicidal ideation and behaviour.

摘要

目的

自杀意念和行为是工作场所欺凌的潜在后果。本研究旨在确定工作场所欺凌与自杀意念和行为之间的关联程度。

研究设计

本研究采用系统评价和荟萃分析。

方法

本研究遵循系统评价和荟萃分析的首选报告项目声明,进行了全面的系统评价和荟萃分析。使用主题词和自由词的组合,在九个电子数据库中进行检索。两名评审员根据纳入标准独立筛选文章并提取信息。使用 STATA 软件(版本 16.0)对所有研究的主要结果进行汇总估计,对样本进行平均加权相关性的荟萃分析。

结果

共有 25 篇高质量或中等质量的文章被纳入系统评价,其中 15 篇被纳入荟萃分析。自杀意念和行为的发生率分别为 18%和 4%。在调整混杂因素后,经历工作场所欺凌的个体报告自杀意念和行为的几率分别高出 2.03 倍和 2.67 倍。调节和中介因素可能有助于降低经历工作场所欺凌的个体自杀意念和行为的风险。

结论

本研究表明,暴露于工作场所欺凌显著增加了自杀意念和行为的风险。

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