Self-harm, in-person bullying and cyberbullying in secondary school-aged children: A data linkage study in Wales.
Self-harm, in-person bullying and cyberbullying in secondary school-aged children: A data linkage study in Wales.
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中学生的自残、当面欺凌和网络欺凌：威尔士的一项数据关联研究。
DOI：
10.1002/jad.12102
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发表时间：
2023
影响因子：
3.8
通讯作者：
John A
中科院分区：
文献类型：
--
作者：
John A
尽管关于青少年欺凌行为和自我伤害的证据越来越多，但大多数研究都是横断式的，依赖于自我报告的未经验证的自我伤害测量，并且没有将面对面欺凌和网络欺凌的影响分开。本研究旨在评估学校当面欺凌后的自我伤害与网络欺凌受害之间的关系，并控制协变量。方法将2017年从威尔士39所中学收集的11至16岁学生的学校调查数据与常规收集的数据联系起来。为了避免选择偏差，进行了逆概率加权。结果35.0%的学生(加权N= 6813)报告遭受过欺负，其中仅在学校受欺负的占18.1%，仅受网络欺负的占6.4%，同时受欺负和网络欺凌的占10.5%。调整协变量后，仅在学校受到面对面欺凌(AHR = 2.2[1.1-4.3])、在学校受到面对面欺凌和网络欺凌(AHR = 2.2[1.0-4.7])但没有受到网络欺凌(AHR = 1.2[0.4-3.3])后，自我伤害的影响大小显著。在最近的暑假期间感到孤独也是一个强有力的预测因素(AHR = 2.2[1.2-4.0])。结论我们重申了面对面欺凌受害对自我伤害的作用。在受到当面欺凌后，学生自我伤害的可能性是没有受到欺凌的同龄人的两倍。针对年轻人的干预措施应包括防止孤独的战略，以最大限度地减少欺凌对自我伤害的潜在影响。
IntroductionAlthough the evidence base on bullying victimization and self‐harm in young people has been growing, most studies were cross‐sectional, relied on self‐reported non‐validated measures of self‐harm, and did not separate effects of in‐person and cyberbullying. This study aimed to assess associations of self‐harm following in‐person bullying at school and cyberbullying victimization controlling for covariates.MethodsSchool survey data from 11 to 16 years pupils collected in 2017 from 39 Welsh secondary schools were linked to routinely collected data. Inverse probability weighting was performed to circumvent selection bias. Survival analyses for recurrent events were conducted to evaluate relative risks (adjusted hazard ratios [AHR]) of self‐harm among bullying groups within 2 years following survey completion.ResultsA total of 35.0% (weightedN= 6813) of pupils reported being bullied, with 18.1%, 6.4% and 10.5% being victims of in‐person bullying at school only, cyberbullying only and both in‐person bullying at school and cyberbullying respectively. Adjusting for covariates, effect sizes for self‐harm were significant after being in‐person bullied at school only (AHR = 2.2 [1.1–4.3]) and being both in‐person bullied at school and cyberbullied (AHR = 2.2 [1.0–4.7]) but not being cyberbullied only (AHR = 1.2 [0.4–3.3]). Feeling lonely during recent summer holidays was also a robust predictor (AHR = 2.2 [1.2–4.0]).ConclusionsWe reaffirm the role of in‐person bullying victimization on self‐harm. Pupils were twice as likely to self‐harm following in‐person bullying as their nonvictimised peers. Interventions for young people that minimize the potential impacts of bullying on self‐harm should also include strategies to prevent loneliness.
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