Self-Harm, Suicidal Behaviours, and Cyberbullying in Children and Young People: Systematic Review.
Self-Harm, Suicidal Behaviours, and Cyberbullying in Children and Young People: Systematic Review.
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DOI：
10.2196/jmir.9044
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发表时间：
2018-04-19
影响因子：
7.4
通讯作者：
Hawton K
中科院分区：
文献类型：
--
作者：
John A;Glendenning AC;Marchant A;Montgomery P;Stewart A;Wood S;Lloyd K;Hawton K
考虑到对儿童和青少年通过电子通信进行欺凌及其可能导致自我伤害的担忧，我们回顾了儿童和青少年网络欺凌参与与自我伤害或自杀行为（如自杀意念，自杀计划和自杀企图）之间的关联证据。本研究的目的是系统地回顾目前的证据，检查网络欺凌作为受害者或肇事者参与儿童和青少年（25岁以下）的自我伤害和自杀行为之间的关联，并在可能的情况下，对相关数据进行荟萃分析。对1996年1月1日至2017年2月3日期间发表的所有研究进行了电子文献检索，包括MEDLINE、科克伦和PsycINFO。如果研究检查了网络欺凌参与与自我伤害或自杀行为之间的任何关联，并报告了25岁以下样本的经验数据，则纳入文章。对纳入的论文进行质量评估，并提取数据。对数据进行荟萃分析。共纳入了来自26项独立研究的33篇合格文章，涵盖了156，384名儿童和青少年。共有25篇文章（20项独立研究，n= 115，056）确定了网络受害与自我伤害或自杀行为之间或网络欺凌与自杀行为之间的关联（负面影响）。另外三项研究，其中网络欺凌，自我伤害或自杀行为措施与其他措施（如传统欺凌和心理健康问题）相结合，也显示出负面影响（n= 44，526）。共有5项研究显示无显著相关性（n=5646）。荟萃分析，产生比值比（OR）作为效应量的汇总指标（例如，经历过SH的网络受害者与经历过SH的非受害者的比值）显示，与非受害者相比，经历过网络受害的人的OR为2.35（95% CI 1.65-3.34）倍的可能性自残，或2.10（95% CI 1.73-2.55）倍的可能性表现出自杀行为，或2.57（95% CI 1.69-3.90）倍的可能性企图自杀，或2.15（95% CI 1.70-2.71）倍的可能性有自杀的想法。网络欺凌施暴者比非施暴者表现出自杀行为的可能性高1.21倍（95%CI 1.02-1.44），自杀意念的可能性高1.23倍（95%CI 1.10-1.37）。网络欺凌的受害者比非受害者有更大的自我伤害和自杀行为的风险。在较小程度上，网络欺凌的肇事者与非肇事者相比，有自杀行为和自杀意念的风险。政策制定者和学校应优先考虑将网络欺凌纳入防止传统欺凌的计划。网络欺凌的参与类型，频率和性别应在未来的研究中进行评估。
Given the concerns about bullying via electronic communication in children and young people and its possible contribution to self-harm, we have reviewed the evidence for associations between cyberbullying involvement and self-harm or suicidal behaviors (such as suicidal ideation, suicide plans, and suicide attempts) in children and young people. The aim of this study was to systematically review the current evidence examining the association between cyberbullying involvement as victim or perpetrator and self-harm and suicidal behaviors in children and young people (younger than 25 years), and where possible, to meta-analyze data on the associations. An electronic literature search was conducted for all studies published between January 1, 1996, and February 3, 2017, across sources, including MEDLINE, Cochrane, and PsycINFO. Articles were included if the study examined any association between cyberbullying involvement and self-harm or suicidal behaviors and reported empirical data in a sample aged under 25 years. Quality of included papers was assessed and data were extracted. Meta-analyses of data were conducted. A total of 33 eligible articles from 26 independent studies were included, covering a population of 156,384 children and young people. A total of 25 articles (20 independent studies, n=115,056) identified associations (negative influences) between cybervictimization and self-harm or suicidal behaviors or between perpetrating cyberbullying and suicidal behaviors. Three additional studies, in which the cyberbullying, self-harm, or suicidal behaviors measures had been combined with other measures (such as traditional bullying and mental health problems), also showed negative influences (n=44,526). A total of 5 studies showed no significant associations (n=5646). Meta-analyses, producing odds ratios (ORs) as a summary measure of effect size (eg, ratio of the odds of cyber victims who have experienced SH vs nonvictims who have experienced SH), showed that, compared with nonvictims, those who have experienced cybervictimization were OR 2.35 (95% CI 1.65-3.34) times as likely to self-harm, OR 2.10 (95% CI 1.73-2.55) times as likely to exhibit suicidal behaviors, OR 2.57 (95% CI 1.69-3.90) times more likely to attempt suicide, and OR 2.15 (95% CI 1.70-2.71) times more likely to have suicidal thoughts. Cyberbullying perpetrators were OR 1.21 (95% CI 1.02-1.44) times more likely to exhibit suicidal behaviors and OR 1.23 (95% CI 1.10-1.37) times more likely to experience suicidal ideation than nonperpetrators. Victims of cyberbullying are at a greater risk than nonvictims of both self-harm and suicidal behaviors. To a lesser extent, perpetrators of cyberbullying are at risk of suicidal behaviors and suicidal ideation when compared with nonperpetrators. Policy makers and schools should prioritize the inclusion of cyberbullying involvement in programs to prevent traditional bullying. Type of cyberbullying involvement, frequency, and gender should be assessed in future studies.
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影响因子：
3.8
作者：
Bauman, Sheri;Toomey, Russell B.;Walker, Jenny L.
通讯作者：
Walker, Jenny L.
DOI：
10.1177/070674371506001003
发表时间：
2015-10-01
影响因子：
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通讯作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
105.7
作者：
Higgins, JPT;Thompson, SG;Altman, DG
通讯作者：
Altman, DG