Suicidal Thinking and Behavior Among Youth Involved in Verbal and Social Bullying: Risk and Protective Factors
Suicidal Thinking and Behavior Among Youth Involved in Verbal and Social Bullying: Risk and Protective Factors
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DOI：
10.1016/j.jadohealth.2012.10.280
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发表时间：
2013-07-01
影响因子：
7.6
通讯作者：
McMorris, Barbara J.
中科院分区：
文献类型：
--
作者：
Borowsky, Iris Wagman;Taliaferro, Lindsay A.;McMorris, Barbara J.
目的：探讨言语和社会欺凌青少年中自杀念头或企图自杀的相关风险因素和保护因素。方法：我们分析了130,908名六年级、九年级和十二年级学生的数据，这些学生参与了2010年明尼苏达州学生调查。在经常受到欺凌的学生中（过去30天内每周一次或更多次），我们比较了在过去一年中有过自杀意念或自杀企图的学生和没有报告过的学生。分别对施暴者、受害者和欺凌受害者进行了分析。结果：总体而言，只有6.1%的学生报告经常犯罪，9.6%的学生报告经常受害，3.1%的学生报告两者都有。只有22%的施暴者、29%的受害者和38%的欺凌受害者报告有自杀念头或自杀企图。在控制人口统计学和其他风险和保护因素的logistic回归模型中，自残史和情绪困扰是三个欺凌参与群体的交叉风险因素。身体虐待、性虐待、精神健康问题和离家出走只是加害者和受害者的额外风险因素。父母联系是一个横切保护因素，而来自朋友和非父母成年人的更强的感知关怀对某些群体来说是额外的保护因素。结论：一系列风险和保护因素与言语和社会欺凌青少年的自杀意念和自杀企图有关。研究结果可能有助于确定自杀想法和行为风险增加的青少年，并促进关键的保护因素。(C) 2013年青少年健康和医学协会。版权所有。
Purpose: To identify risk and protective factors associated with thinking about or attempting suicide among youth involved in verbal and social bullying.Methods: We analyzed data on 130,908 students in the sixth, ninth, and twelfth grades responding to the 2010 Minnesota Student Survey. Among students involved in frequent bullying (once a week or more during the past 30 days), we compared those who did and did not report suicidal ideation or a suicide attempt during the past year. Separate analyses were conducted for perpetrators only, victims only, and bully-victims.Results: Overall, 6.1% of students reported frequent perpetration only, 9.6% frequent victimization only, and 3.1% both. Suicidal thinking or a suicide attempt was reported by 22% of perpetrators only, 29% of victims only, and 38% of bully-victims. In logistic regression models controlling for demographic and other risk and protective factors, a history of self-injury and emotional distress were risk factors that cross-cut the three bullying involvement groups. Physical abuse, sexual abuse, a mental health problem, and running away from home were additional risk factors for perpetrators only and victims only. Parent connectedness was a crosscutting protective factor, whereas stronger perceived caring by friends and by nonparental adults were additional protective factors for some groups.Conclusions: A range of risk and protective factors were associated with suicidal ideation and a suicide attempt among youth involved in verbal and social bullying. Findings may assist in identifying youth at increased risk for suicidal thinking and behavior and in promoting key protective factors. (C) 2013 Society for Adolescent Health and Medicine. All rights reserved.