Bullying Victimization and Self-Harm Among Adolescents from Diverse Inner-City Schools: Variation by Bullying Sub-Types and the Role of Sex.

IF 2.5 3区 医学 Q2 PSYCHIATRY
Emma Wilson-Lemoine, Colette Hirsch, Gemma Knowles, Stephanie Smith, Rachel Blakey, Samantha Davis, Katie Chamberlain, Daniel Stanyon, Aisha Ofori, Alice Turner, Esther Putzgruber, Holly Crudgington, Rina Dutta, Vanessa Pinfold, Ulrich Reininghaus, Seeromanie Harding, Charlotte Gayer-Anderson, Craig Morgan
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Abstract

Objective: Bullying has consistently been highlighted as a risk factor for youth self-harm. Less is known about associations by bullying sub-type (i.e., physical, verbal, relational, cyberbullying), among boys and girls in diverse urban populations. This study aimed to explore: (1) prevalence of bullying and lifetime self-harm; (2) cross-sectional associations between bullying and self-harm. Both aims investigated bullying sub-types and the role of sex.

Method: Baseline data on bullying victimization and lifetime self-harm were drawn from REACH (Resilience, Ethnicity and AdolesCent Mental Health), an accelerated cohort study of adolescent mental health in London, United Kingdom. Data on baseline self-harm and sex were available for 3,060 adolescents aged 11-14 years (Mage=12.4, 50.6% girls, >80% ethnic minority groups) from 10 schools.

Results: Prevalence of bullying in the past six months was 22.3% and lifetime self-harm was 16.9%. Both were more common in girls than boys (adjusted risk ratios: bullying, 1.13 [1.02,1.25]; self-harm, 1.45 [1.03,1.86]). By bullying sub-type, prevalence estimates ranged from 4.1% (cyberbullying) to 16.6% (physical bullying). Bullying was associated with self-harm (aRR 3.35 [2.89,3.82]) for both girls (aRR 3.61 [3.07,4.14]) and boys (aRR 2.96 [2.27,3.65]), independent of sex, age, free school meals and ethnic group. All sub-types were associated with self-harm (aRRs 3.16-4.34), for girls and boys.

Conclusions: These baseline findings underline the importance of exploring nuances between bullying sub-types and self-harm, by sex or gender.

来自不同城市内学校的青少年遭受欺凌和自残的情况:欺凌子类型的差异和性别的作用。
目的:欺凌一直被认为是青少年自我伤害的风险因素之一。关于不同城市人口中男孩和女孩之间的欺凌亚型(即肢体、语言、关系、网络欺凌)之间的关联,人们知之甚少。本研究旨在探讨:(1) 欺凌和终生自残的发生率;(2) 欺凌和自残之间的横断面关联。这两个目标都调查了欺凌的子类型和性别的作用:有关欺凌受害和终生自残的基线数据来自 REACH(复原力、种族和青少年心理健康),这是一项在英国伦敦进行的青少年心理健康加速队列研究。来自10所学校的3060名11-14岁青少年(年龄=12.4岁,50.6%为女孩,超过80%为少数民族)的基线自残和性别数据均已获得:结果显示:过去六个月中遭受欺凌的比例为 22.3%,终生自我伤害的比例为 16.9%。这两种情况在女生中的发生率均高于男生(调整风险比:欺凌,1.13 [1.02,1.25];自残,1.45 [1.03,1.86])。按欺凌子类型划分,发生率估计值从 4.1%(网络欺凌)到 16.6%(身体欺凌)不等。女生(aRR 3.61 [3.07,4.14])和男生(aRR 2.96 [2.27,3.65])受欺凌与自我伤害(aRR 3.35 [2.89,3.82])有关,与性别、年龄、免费学校膳食和种族群体无关。女孩和男孩的所有亚型都与自我伤害有关(aRRs 3.16-4.34):这些基线研究结果强调了按性别探讨欺凌亚型与自我伤害之间细微差别的重要性。
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来源期刊
CiteScore
6.10
自引率
7.10%
发文量
69
期刊介绍: Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.
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