Injury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu Province, China.
Yixing Center for Disease Control and Prevention, Yixing, Jiangsu Province, China.
J Affect Disord. 2024 Nov 15;365:518-526. doi: 10.1016/j.jad.2024.08.124. Epub 2024 Aug 26.
Research on the associations of type-specific bullying victimization and poly-bullying victimization with suicidal ideation is limited and contradictory. This study aimed to examine these associations among school-aged adolescents.
A total of 13,258 students from 3 middle schools and 4 high schools in a southern city in China completed a cross-sectional questionnaire in 2019. Multinomial logistic regressions were used to examine associations between type-specific bullying victimization and poly-victimization with suicidal ideation.
The latent class analysis identified three subgroups of suicidal ideation: low (70.0 %), moderate (24.0 %), and high (6.0 %). Compared with non-bullying victimization in the past year, the corresponding adjusted odds ratios [aOR] (95 % CI) of moderate and high suicidal ideation for only physical victimization were 1.74 (1.15, 2.63) and 2.51 (1.18, 5.38), respectively, for only relational victimization were 1.26 (0.97, 1.62) and 2.48 (1.65, 3.71), respectively, for only verbal victimization were 1.45 (1.17, 1.78) and 1.42 (0.90, 2.22), respectively, for only property victimization were 1.30 (1.03, 1.65) and 1.31 (0.80, 2.16), respectively, and for sexual victimization were 1.38 (1.03, 1.83) and 2.45 (1.50, 3.99), respectively. Poly-bullying victimization was associated with moderate (aOR = 1.45 (1.24, 1.70); aOR = 1.70 (1.41, 2.05), aOR = 2.03 (1.61, 2.58), aOR = 2.48 (1.74, 3.53)) and high suicidal ideation (aOR = 2.01 (1.49, 2.70), aOR = 3.87 (2.86, 5.25), aOR = 4.55 (3.20,6.46), aOR = 7.90 (5.06, 12.33)).
The research design is cross-sectional, and relevant data was based on self-reports.
Different types of bullying victimization were associated with suicidal ideation and poly-bullying victimization and suicidal ideation association shows a dose-response-relationship.
关于特定类型的欺凌受害和多种欺凌受害与自杀意念的关联的研究有限且存在矛盾。本研究旨在检验这些关联在学龄青少年中的表现。
2019 年，在中国南方一个城市的 3 所中学和 4 所高中，共有 13258 名学生完成了一项横断面问卷。使用多项逻辑回归检验特定类型的欺凌受害和多种欺凌受害与自杀意念之间的关联。
潜在类别分析确定了自杀意念的三个亚组：低（70.0%）、中（24.0%）和高（6.0%）。与过去一年无欺凌受害相比，仅身体受害、仅关系受害、仅言语受害、仅财产受害和性受害的中度和高度自杀意念的相应调整后比值比（aOR）（95%CI）分别为 1.74（1.15，2.63）和 2.51（1.18，5.38）、1.26（0.97，1.62）和 2.48（1.65，3.71）、1.45（1.17，1.78）和 1.42（0.90，2.22）、1.30（1.03，1.65）和 1.31（0.80，2.16）、1.38（1.03，1.83）和 2.45（1.50，3.99）。多种欺凌受害与中度（aOR=1.45（1.24，1.70）；aOR=1.70（1.41，2.05）；aOR=2.03（1.61，2.58）；aOR=2.48（1.74，3.53））和高度自杀意念（aOR=2.01（1.49，2.70）；aOR=3.87（2.86，5.25）；aOR=4.55（3.20，6.46）；aOR=7.90（5.06，12.33））相关。
研究设计为横断面，相关数据基于自我报告。
不同类型的欺凌受害与自杀意念相关，多种欺凌受害与自杀意念的关联呈剂量-反应关系。
