@article{ref1,
title="Self-harm, suicidal ideation, and suicide attempts in Chinese adolescents involved in different sub-types of bullying: a cross-sectional study",
journal="Frontiers in psychiatry",
year="2020",
author="Peng, Chang and Hu, Wenzhu and Yuan, Shanshan and Xiang, Jingjing and Kang, Chun and Wang, Mengni and Rong, Fajuan and Huang, Yunxiang and Yu, Yizhen",
volume="11",
number="",
pages="e565364-e565364",
abstract="BACKGROUND: Bullying tends to peak during adolescence, and it is an important risk factor of self-harm and suicide. However, research on the specific effect of different sub-types of bullying is limited. <br><br>OBJECTIVE: The purpose of this study is to examine the associations between four common forms of bullying (verbal, physical, relational, and cyber) and self-harm, suicidal ideation (SI), and suicide attempts (SA). <br><br>METHOD: This was a cross-sectional study of a sample including 4,241 Chinese students (55.8% boys) aged 11 to 18 years. Bullying involvement, self-harm, SI, and SA were measured via The Juvenile Campus Violence Questionnaire (JCVQ). The association was examined through multinomial logistic regression analysis, adjusted for demographic characteristics and psychological distress. <br><br>RESULTS: Bullying victimization and perpetration were reported by 18.0 and 10.7% of participants. The prevalence of self-harm, SI, and SA were 11.8, 11.8, and 7.1%, respectively. Relational bullying victimization and perpetration were significantly associated with SI only, SI plus self-harm, and SA. Physical bullying victimization and perpetration were risk factors of self-harm only and SA. Verbal victimization was significantly associated with SI only. Cyber perpetration was a risk factor of SA. <br><br>CONCLUSIONS: The findings highlight the different effects of sub-types of bullying on self-harm and suicidal risk. Anti-bullying intervention and suicide prevention efforts should be prior to adolescents who are involved in physical and relational bullying.<p /> <p>Language: en</p>",
language="en",
issn="1664-0640",
doi="10.3389/fpsyt.2020.565364",
url="http://dx.doi.org/10.3389/fpsyt.2020.565364"
}