Grimland Meytal, Mori Yuko, Lesinskiene Sigita, Li Liping, Ong Say How, Praharaj Samir Kumar, Wiguna Tjhin, Zamani Zahra, Heinonen Emmi, Gilbert Sonja, Brunstein Klomek Anat, Sourander Andre
INVEST Research Flagship Center, University of Turku, 20014 Turku, Finland.
Research Centre for Child Psychiatry, Department of Child Psychiatry, University of Turku, 20014 Turku, Finland.
Int J Environ Res Public Health. 2025 Mar 6;22(3):385. doi: 10.3390/ijerph22030385.
The widespread use of the Internet among teenagers has raised concerns about cyberbullying and its impact on adolescent well-being. This study examined the association between cyberbullying victimization and suicide attempts among adolescents in high-income and low/middle-income countries. Data from six countries (Singapore, China, Iran, Indonesia, India, and Lithuania) were collected as part of the Eurasian Child Mental Health Study. A total sample of 9892 adolescents aged 13-15 years old (51.9% girls) was analyzed. Generalized estimating equation models with school-wise clusters were conducted. The prevalence of suicide attempts was 4.8%, with higher rates among girls. Cyberbullying victimization only was reported by 5.4% of the participants, while traditional bullying victimization only was reported by 19.2%. The study found that being a victim of combined (both traditional and cyberbullying) had the highest odds of suicide attempt in both high-income and low/middle-income countries. Emotional symptoms were identified as a moderator, influencing the association between combined bullying victimization and suicide attempt. These findings highlight the urgent need for global efforts to prevent and intervene in cyberbullying and its detrimental effects on adolescent mental health. The study emphasizes the importance of examining regional risk factors and implementing targeted interventions to address this growing public health concern.
青少年中互联网的广泛使用引发了对网络欺凌及其对青少年幸福感影响的担忧。本研究调查了高收入国家和低收入/中等收入国家青少年中网络欺凌受害情况与自杀未遂之间的关联。作为欧亚儿童心理健康研究的一部分，收集了来自六个国家（新加坡、中国、伊朗、印度尼西亚、印度和立陶宛）的数据。对9892名13 - 15岁的青少年（51.9%为女孩）的总样本进行了分析。采用了具有学校层面聚类的广义估计方程模型。自杀未遂的患病率为4.8%，女孩中的患病率更高。仅报告遭受网络欺凌的参与者占5.4%，而仅报告遭受传统欺凌的参与者占19.2%。研究发现，在高收入国家和低收入/中等收入国家，同时遭受（传统欺凌和网络欺凌）的受害者自杀未遂的几率最高。情绪症状被确定为一个调节因素，影响着混合欺凌受害与自杀未遂之间的关联。这些发现凸显了全球亟需努力预防和干预网络欺凌及其对青少年心理健康的有害影响。该研究强调了审视区域风险因素并实施针对性干预措施以应对这一日益严重的公共卫生问题的重要性。
