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Associations between Chinese adolescents subjected to traditional and cyber bullying and suicidal ideation, self-harm and suicide attempts.
BMC Psychiatry. 2019 10 28; 19(1):324.BP

Abstract

BACKGROUND

The incidence of bullying is high among adolescents. Adolescents who were victims of bullying have a higher risk of self-harm and suicidal behavior than adolescents who were non-victims. However, research on suicide and both traditional and cyber bullying was limited in China. Therefore, this study examined the associations between Chinese adolescents who were the victims of traditional and cyber bullying and the prevalence of suicidal ideation, self-harm and suicide attempts.

METHODS

This was a population-based study of 2647 students (51.2% girls) with a mean age of 13.6 ± 1.1 years from 10 junior high schools in Shantou, China. Information on bullying victimization, suicidal ideation, self-harm and suicide attempts were collected using a self-administered questionnaire and the psychopathology of the students was assessed using the Strengths and Difficulties Questionnaire (SDQ). The associations were examined with multinomial logistic regression, adjusted for covariates.

RESULTS

Traditional bullying victimization was reported by 16.7% of the adolescents, cyber bullying victimization by 9.0% and both by 3.5%. The prevalence of suicidal ideation was 23.5%, self-harm was 6.2% and suicide attempts was 4.2%. Psychopathology symptoms were risk factors for suicide ideation only, ideation plus self-harm, self-harm only and suicide attempts. Victims of both traditional and cyber bullying had the highest risk of suicidal ideation only, ideation plus self-harm and suicide attempts, compared to those reporting one form of bullying. Victims of cyber bullying only had the second highest risk of suicidal ideation only and suicidal ideation plus self-harm compared to non-victims.

CONCLUSIONS

Adolescents who were victims of both traditional and cyber bullying had greater risks of adverse outcomes of suicidal ideation only, suicidal ideation plus self-harm and suicide attempts. The results of the current study suggest that those exposed to both forms of bullying should be routinely screened for suicidal risk. In addition, school-based anti-bully interventions should also target cyber bullying.

Authors+Show Affiliations

Injury Prevention Research Center, Shantou University Medical College, 22 Xinling Road, Shantou, 515041, China.School of Psychology, Interdisciplinary Center (IDC), Herzliya, Israel.Injury Prevention Research Center, Shantou University Medical College, 22 Xinling Road, Shantou, 515041, China. lpli@stu.edu.cn.Injury Prevention Research Center, Shantou University Medical College, 22 Xinling Road, Shantou, 515041, China.Research Center for Child Psychiatry, University of Turku, Turku, Finland.Research Center for Child Psychiatry, University of Turku, Turku, Finland.Research Center for Child Psychiatry, University of Turku, Turku, Finland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31660917

Citation

Peng, Zhekuan, et al. "Associations Between Chinese Adolescents Subjected to Traditional and Cyber Bullying and Suicidal Ideation, Self-harm and Suicide Attempts." BMC Psychiatry, vol. 19, no. 1, 2019, p. 324.
Peng Z, Klomek AB, Li L, et al. Associations between Chinese adolescents subjected to traditional and cyber bullying and suicidal ideation, self-harm and suicide attempts. BMC Psychiatry. 2019;19(1):324.
Peng, Z., Klomek, A. B., Li, L., Su, X., Sillanmäki, L., Chudal, R., & Sourander, A. (2019). Associations between Chinese adolescents subjected to traditional and cyber bullying and suicidal ideation, self-harm and suicide attempts. BMC Psychiatry, 19(1), 324. https://doi.org/10.1186/s12888-019-2319-9
Peng Z, et al. Associations Between Chinese Adolescents Subjected to Traditional and Cyber Bullying and Suicidal Ideation, Self-harm and Suicide Attempts. BMC Psychiatry. 2019 10 28;19(1):324. PubMed PMID: 31660917.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associations between Chinese adolescents subjected to traditional and cyber bullying and suicidal ideation, self-harm and suicide attempts. AU - Peng,Zhekuan, AU - Klomek,Anat Brunstein, AU - Li,Liping, AU - Su,Xuefen, AU - Sillanmäki,Lauri, AU - Chudal,Roshan, AU - Sourander,Andre, Y1 - 2019/10/28/ PY - 2018/11/13/received PY - 2019/10/11/accepted PY - 2019/10/30/entrez PY - 2019/10/30/pubmed PY - 2020/5/12/medline KW - Adolescents KW - Bullying KW - Self-harm KW - Suicidal ideation KW - Suicide attempts KW - Victimization SP - 324 EP - 324 JF - BMC psychiatry JO - BMC Psychiatry VL - 19 IS - 1 N2 - BACKGROUND: The incidence of bullying is high among adolescents. Adolescents who were victims of bullying have a higher risk of self-harm and suicidal behavior than adolescents who were non-victims. However, research on suicide and both traditional and cyber bullying was limited in China. Therefore, this study examined the associations between Chinese adolescents who were the victims of traditional and cyber bullying and the prevalence of suicidal ideation, self-harm and suicide attempts. METHODS: This was a population-based study of 2647 students (51.2% girls) with a mean age of 13.6 ± 1.1 years from 10 junior high schools in Shantou, China. Information on bullying victimization, suicidal ideation, self-harm and suicide attempts were collected using a self-administered questionnaire and the psychopathology of the students was assessed using the Strengths and Difficulties Questionnaire (SDQ). The associations were examined with multinomial logistic regression, adjusted for covariates. RESULTS: Traditional bullying victimization was reported by 16.7% of the adolescents, cyber bullying victimization by 9.0% and both by 3.5%. The prevalence of suicidal ideation was 23.5%, self-harm was 6.2% and suicide attempts was 4.2%. Psychopathology symptoms were risk factors for suicide ideation only, ideation plus self-harm, self-harm only and suicide attempts. Victims of both traditional and cyber bullying had the highest risk of suicidal ideation only, ideation plus self-harm and suicide attempts, compared to those reporting one form of bullying. Victims of cyber bullying only had the second highest risk of suicidal ideation only and suicidal ideation plus self-harm compared to non-victims. CONCLUSIONS: Adolescents who were victims of both traditional and cyber bullying had greater risks of adverse outcomes of suicidal ideation only, suicidal ideation plus self-harm and suicide attempts. The results of the current study suggest that those exposed to both forms of bullying should be routinely screened for suicidal risk. In addition, school-based anti-bully interventions should also target cyber bullying. SN - 1471-244X UR - https://www.unboundmedicine.com/medline/citation/31660917/Associations_between_Chinese_adolescents_subjected_to_traditional_and_cyber_bullying_and_suicidal_ideation_self_harm_and_suicide_attempts_ L2 - https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-019-2319-9 DB - PRIME DP - Unbound Medicine ER -