Nguyen Tran H, Shah Gulzar, Muzamil Maham, Ikhile Osaremhen, Ayangunna Elizabeth, Kaur Ravneet
Department of Interdisciplinary Health Sciences, College of Allied Health, Augusta University, Augusta, GA 30912, USA.
Department of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA 30460, USA.
Children (Basel). 2023 Apr 21;10(4):755. doi: 10.3390/children10040755.
Suicide-related behaviors increasingly contribute to behavioral health crises in the United States (U.S.) and worldwide. The problem was worsened during the COVID-19 pandemic, especially for youth and young adults. Existing research suggests suicide-related behaviors are a consequence of bullying, while hopelessness is a more distal consequence. This study examines the association of in-school and electronic bullying with suicide-related behavior and feelings of despair among adolescents, adjusted for sociodemographic characteristics, abuse experience, risk-taking behaviors, and physical appearance/lifestyles.
Using Chi-square, logistic regression, and multinomial logistic regression, we analyzed the US 2019 Youth Risk Behavior Surveillance System (YRBSS) national component. The YRBSS includes federal, state, territorial, and freely associated state, tribal government, and local school-based surveys of representative sample middle and high school students in the US. The 2019 YRBSS participants comprised 13,605 students aged 12 to 18 years and roughly equal proportions of males and females (50.63% and 49.37%, respectively).
We observed a significant association ( < 0.05) between being bullied and depressive symptoms, and the association was more vital for youth bullied at school and electronically. Being bullied either at school or electronically was associated with suicidality, with a stronger association for youth who experienced being bullied in both settings.
Our findings shed light on assessing early signs of depression to prevent the formation of suicidality among bullied youth.
在美国和全球范围内,与自杀相关的行为对行为健康危机的影响日益增大。在新冠疫情期间,这一问题更加恶化,尤其是对青少年和青年而言。现有研究表明,与自杀相关的行为是欺凌的后果,而绝望感则是一个更为间接的后果。本研究在对社会人口学特征、虐待经历、冒险行为以及外貌/生活方式进行调整后,考察了校内欺凌和电子欺凌与青少年自杀相关行为及绝望感之间的关联。
我们使用卡方检验、逻辑回归和多项逻辑回归分析了美国2019年青少年风险行为监测系统(YRBSS)的全国部分数据。YRBSS包括对美国具有代表性的样本初中和高中学生进行的联邦、州、领地及自由联合州、部落政府和地方学校层面的调查。2019年YRBSS的参与者包括13605名12至18岁的学生,男女比例大致相等(分别为50.63%和49.37%)。
我们观察到受欺凌与抑郁症状之间存在显著关联(<0.05),并且这种关联在校内受欺凌和电子受欺凌的青少年中更为显著。在校内或电子环境中受欺凌均与自杀倾向相关,在两种环境中都经历过受欺凌的青少年的关联更强。
我们的研究结果为评估抑郁的早期迹象以预防受欺凌青少年自杀倾向的形成提供了启示。