Bezie Anmut Endalkachew, Yohannes Lamrot, Yirdaw Asmare Asrat, Sergindo Mihretu Tagesse, Begena Biniam Belete, Keleb Awoke
Department of Occupational Health and Safety, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Front Public Health. 2025 Sep 9;13:1556211. doi: 10.3389/fpubh.2025.1556211. eCollection 2025.
Bullying victimization through cyberbullying, verbal threats, insults, or nicknames, and physically, like stealing or exclusion from the peer group, is a significant challenge for schools and teachers in educational settings. It is a precursor for suicidal ideation and has an adverse effect on students' mental health. Therefore, we performed a systematic review and meta-analysis to investigate the association between bullying victimization and suicidal ideation among students in Africa.
A thorough search of literature was conducted through international electronic databases to identify relevant studies on the association between bullying victimization and suicidal ideation. Studies published up to October, 2024 were included. The recommended PRISMA guideline was used for reporting items for this systematic review and meta-analysis. To extract and analyze data, Microsoft Excel 16 and STATA 17 software were used, respectively. The quality of the included studies was examined using the Joanna Briggs Institute critical appraisal checklist. The funnel plot and Egger's regression test were applied to evaluate publication bias. To estimate the pooled association and heterogeneity, a random effects model and I test statistics were used, respectively.
This study included 16 articles that met the inclusion criteria, encompassing a total sample size of 34,007. Students with bullying victimization were 1.7-fold more prone to suicidal ideation than their counterparts (OR = 1.68, 95% CI: 1.56-1.81, I = 60.9%, < 0.001). Subgroup analyses demonstrate that moderate but slightly higher heterogeneity was found among secondary school students than tertiary students and moderate heterogeneity but a high odds ratio among tertiary students. In addition, higher heterogeneity was found from primary studies than that of studies using secondary data analysis. Sensitivity analyses confirmed the robustness of these findings.
The findings of this study demonstrated that students with bullying victimization were at higher risk of suicidal ideation than their counterparts who were not victimized. Therefore, interventions focused at school-based anti-bullying programs, counseling services, parental involvement, and improving social and peer supports were advised to mitigate the effect of bullying and reduce suicidal ideation.
网络欺凌、言语威胁、侮辱或起绰号，以及身体上的欺凌行为，如偷窃或被同龄人团体排斥，对教育环境中的学校和教师来说是一项重大挑战。它是自杀意念的先兆，对学生的心理健康有不利影响。因此，我们进行了一项系统评价和荟萃分析，以调查非洲学生中受欺凌受害与自杀意念之间的关联。
通过国际电子数据库对文献进行全面检索，以确定关于受欺凌受害与自杀意念之间关联的相关研究。纳入截至2024年10月发表的研究。本系统评价和荟萃分析的报告项目采用推荐的PRISMA指南。为了提取和分析数据，分别使用了Microsoft Excel 16和STATA 17软件。使用乔安娜·布里格斯研究所的批判性评价清单对纳入研究的质量进行检查。采用漏斗图和埃格回归检验来评估发表偏倚。为了估计合并关联和异质性，分别使用了随机效应模型和I检验统计量。
本研究纳入了16篇符合纳入标准的文章，总样本量为34,007。受欺凌受害的学生出现自杀意念的可能性是未受欺凌学生的1.7倍（比值比[OR]=1.68，95%置信区间[CI]：1.56 - 1.81，I²=60.9%，P<0.001）。亚组分析表明，中学生中的异质性中等但略高于大学生，大学生中的异质性中等但比值比高。此外，原始研究中的异质性高于使用二次数据分析的研究。敏感性分析证实了这些发现的稳健性。
本研究结果表明，受欺凌受害的学生比未受欺凌的学生有更高的自杀意念风险。因此，建议开展以学校为基础的反欺凌项目、咨询服务、家长参与以及改善社会和同伴支持等干预措施，以减轻欺凌的影响并减少自杀意念。
