Li Sihong, Ni Xi, Luo Xuerong, Jin Xingyue, Song Lintong, Fan Tianqing, Zhang Leyin, Shen Yanmei
Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, No.139, Renmin Middle Road, Furong District, Changsha, Hunan, China.
Depress Anxiety. 2024 Nov 21;2024:5860093. doi: 10.1155/2024/5860093. eCollection 2024.
It is unknown whether bullying exposure is independently associated with suicide attempts incidence. This study aims to investigate the association between traditional bullying, cyberbullying, and subsequent risk of suicide attempts among Chinese adolescents. In this prospective cohort study, 1162 participants (mean age, 12.59, 54.5% male) were recruited from November 2020 to December 2020 in Changsha Hunan Province. In total, 782 of them completed the follow-up in May and June 2021 and were included in the final analysis. Logistic regression was utilized to calculate the odds ratio (OR) with 95% confidence intervals (95% CIs). Gender differences in these associations were further explored by stratified analysis. Adolescents who engaged in bullying perpetration (BP) and experienced cyberbullying victimization (CV) were significantly associated with an increased risk of suicide attempts in the 6-month follow-up even after adjusting for age, ethnicity, single child, depression, anxiety, and stress in the baseline (BP: adjusted OR [aOR] = 3.337, 95% CI: 1.463-7.611, =0.004; CV: aOR = 3.338, 95% CI: 1.468-7.590, =0.004). Furthermore, the association between BP and suicide attempts was found to be statistically significant only among male adolescents (aOR = 6.692, 95% CI: 1.566-28.601, =0.01), while CV was significantly associated with a heightened risk of suicide attempts among female adolescents (aOR = 4.452, 95% CI: 1.684-11.771, =0.003). BP and CV were longitudinally associated with an increased risk of suicide attempts in Chinese youth, and these associations vary across genders.
遭受欺凌是否与自杀未遂发生率独立相关尚不清楚。本研究旨在调查中国青少年中传统欺凌、网络欺凌与随后自杀未遂风险之间的关联。在这项前瞻性队列研究中，2020年11月至2020年12月期间从湖南省长沙市招募了1162名参与者（平均年龄12.59岁，男性占54.5%）。其中共有782人在2021年5月和6月完成了随访并被纳入最终分析。采用逻辑回归计算比值比（OR）及95%置信区间（95%CI）。通过分层分析进一步探讨这些关联中的性别差异。即使在对基线时的年龄、种族、独生子女情况、抑郁、焦虑和压力进行调整后，实施欺凌行为（BP）和经历网络欺凌受害（CV）的青少年在6个月随访中与自杀未遂风险增加显著相关（BP：调整后OR[aOR]=3.337，95%CI：1.463 - 7.611，P=0.004；CV：aOR=3.338，95%CI：1.468 - 7.590，P=0.004）。此外，仅在男性青少年中发现BP与自杀未遂之间的关联具有统计学意义（aOR=6.692，95%CI：1.566 - 28.601，P=0.01），而CV与女性青少年自杀未遂风险增加显著相关（aOR=4.452，95%CI：1.684 - 11.771，P=0.003）。BP和CV与中国青少年自杀未遂风险增加存在纵向关联，且这些关联存在性别差异。
