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Li S, Ni X, Luo X, Jin X, Song L, Fan T, Zhang L, Shen Y. Investigating the Impact of Traditional Bullying and Cyberbullying on Suicidal Attempts in Chinese Youth: A Prospective Cohort Study. Depress Anxiety 2024; 2024:5860093. [PMID: 40226701 PMCID: PMC11919161 DOI: 10.1155/2024/5860093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2024] [Accepted: 10/25/2024] [Indexed: 04/15/2025] Open
Abstract
Aims: It is unknown whether bullying exposure is independently associated with suicide attempts incidence. This study aims to investigate the association between traditional bullying, cyberbullying, and subsequent risk of suicide attempts among Chinese adolescents. Methods: In this prospective cohort study, 1162 participants (mean age, 12.59, 54.5% male) were recruited from November 2020 to December 2020 in Changsha Hunan Province. In total, 782 of them completed the follow-up in May and June 2021 and were included in the final analysis. Logistic regression was utilized to calculate the odds ratio (OR) with 95% confidence intervals (95% CIs). Gender differences in these associations were further explored by stratified analysis. Results: Adolescents who engaged in bullying perpetration (BP) and experienced cyberbullying victimization (CV) were significantly associated with an increased risk of suicide attempts in the 6-month follow-up even after adjusting for age, ethnicity, single child, depression, anxiety, and stress in the baseline (BP: adjusted OR [aOR] = 3.337, 95% CI: 1.463-7.611, p=0.004; CV: aOR = 3.338, 95% CI: 1.468-7.590, p=0.004). Furthermore, the association between BP and suicide attempts was found to be statistically significant only among male adolescents (aOR = 6.692, 95% CI: 1.566-28.601, p=0.01), while CV was significantly associated with a heightened risk of suicide attempts among female adolescents (aOR = 4.452, 95% CI: 1.684-11.771, p=0.003). Conclusions: BP and CV were longitudinally associated with an increased risk of suicide attempts in Chinese youth, and these associations vary across genders.
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Affiliation(s)
- Sihong Li
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, No.139, Renmin Middle Road, Furong District, Changsha, Hunan, China
| | - Xi Ni
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, No.139, Renmin Middle Road, Furong District, Changsha, Hunan, China
| | - Xuerong Luo
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, No.139, Renmin Middle Road, Furong District, Changsha, Hunan, China
| | - Xingyue Jin
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, No.139, Renmin Middle Road, Furong District, Changsha, Hunan, China
| | - Lintong Song
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, No.139, Renmin Middle Road, Furong District, Changsha, Hunan, China
| | - Tianqing Fan
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, No.139, Renmin Middle Road, Furong District, Changsha, Hunan, China
| | - Leyin Zhang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, No.139, Renmin Middle Road, Furong District, Changsha, Hunan, China
| | - Yanmei Shen
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, No.139, Renmin Middle Road, Furong District, Changsha, Hunan, China
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Branjerdporn G, McCosker LK, Jackson D, Gillespie KM, McDowell S, Chand S, Joshi H, Pisani AR, Stapelberg NJC, Welch M, Turner K, Woerwag-Mehta S. Descriptive analysis of 1,048 presentations in the first five years of a zero-suicide framework in a child and youth mental health service in Australia. Front Psychiatry 2024; 15:1437016. [PMID: 39429528 PMCID: PMC11487345 DOI: 10.3389/fpsyt.2024.1437016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2024] [Accepted: 08/05/2024] [Indexed: 10/22/2024] Open
Abstract
Introduction Suicide in children is a significant and unacceptable global phenomenon. This paper provides a descriptive overview of the children presenting in the first five years (2016-2021) of the implementation of the Zero Suicide Framework (ZSF) and Suicide Prevention Pathway (SPP) at a Child and Youth Mental Health Service in Queensland, Australia. Methods Basic demographic variables (sex, age, socioeconomic status), and changes in presentations over time, are presented for 1,048 children. Completeness of selected SPP components relating to care planning and universal interventions are examined as an indicator of fidelity to the SPP model of care. The paper then focuses on the cohort of children who received care through the SPP in 2020, describing their demographic characteristics and baseline clinical scores. Result There was an increase in admissions each year and children presented with a diverse range of clinical needs. The SPP greatly increased the provision of first line interventions for patients. Discussion A standardized approach to suicide prevention improves consistency in management. These findings may inform the use of the ZSF/SPP in child mental health settings globally.
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Affiliation(s)
- Grace Branjerdporn
- Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD, Australia
- Faculty of Health Sciences and Medicine, Bond University, Robina, QLD, Australia
| | - Laura K. McCosker
- Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD, Australia
| | - Derek Jackson
- Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD, Australia
| | - Kerri M. Gillespie
- Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD, Australia
| | - Sarah McDowell
- Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD, Australia
| | - Sandeep Chand
- Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD, Australia
| | - Hitesh Joshi
- Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD, Australia
| | - Anthony R. Pisani
- Departments of Psychiatry and Pediatrics, Center for the Study and Prevention of Suicide, University of Rochester, Rochester, NY, United States
| | - Nicolas J. C. Stapelberg
- Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD, Australia
| | - Matthew Welch
- Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD, Australia
| | - Kathryn Turner
- Mental Health and Specialist Services, Metro North Hospital and Health Service, Brisbane, QLD, Australia
| | - Sabine Woerwag-Mehta
- Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD, Australia
- Faculty of Health Sciences and Medicine, Bond University, Robina, QLD, Australia
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Palmu R, Partonen T. Childhood Bullying as a Predictor of Suicidality in Young Adults in a Nationwide Population-Based Health Examination Study. Arch Suicide Res 2024; 28:1380-1389. [PMID: 38279827 DOI: 10.1080/13811118.2024.2307891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2024]
Abstract
OBJECTIVE Having been bullied at school in childhood links to suicidality. We aimed at verifying earlier findings and delivering diverse data from a representative population-based sample of young adults to characterize the impacts beyond childhood. METHOD A random sample of adults, aged 18-28 years and representative of the general population living in Finland, participated in a nationwide health examination study. Adverse childhood experiences before the age of 16 years were analyzed for 779 participants in relation to lifetime suicidality (suicidal ideation, suicide attempts), current suicidal thoughts (HSCL-25), mental disorders (self-reports for lifetime, M-CIDI for DSM-IV during the past 12 months), current usage of mental health services, current usage of prescription medicines (ATC codes), current psychological distress (GHQ-12), and current work capacity and work ability. RESULTS Having been bullied in childhood contributed to greater suicidality (p < 0.001), more frequent current usage of antipsychotics (p < 0.001) as well as antidepressants (p < 0.001), greater current psychological distress (p < 0.001), and poorer current work capacity (p < 0.001) as well as work ability (p < 0.001). Of the self-reported mental disorders on lifetime basis, psychosis had the strongest association (p = 0.03) with having been bullied, whereas the interview-based diagnosis of mental disorders during the past 12 months had no significant association. CONCLUSIONS Having been bullied at school before the age of 16 years was independently associated not only with suicidality, but also with the self-report of psychosis as well as a range of indicators of poorer mental health at the age of 18-28 years.
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Sakuma T, Muratsubaki T, Kano M, Kanazawa M, Fukudo S. Association between disturbance of self-organization and irritable bowel syndrome in Japanese population using the international trauma questionnaire. Sci Rep 2024; 14:18412. [PMID: 39117720 PMCID: PMC11310398 DOI: 10.1038/s41598-024-68196-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 07/22/2024] [Indexed: 08/10/2024] Open
Abstract
Disturbance of self-organization (DSO) is defined by affective dysregulation, negative self-concept, and disturbances in relationships. Along with post-traumatic stress disorder (PTSD), DSO is a part of complex post-traumatic stress disorder (CPTSD), which often results from childhood trauma and has life-long consequences. We investigated the association between CPTSD, PTSD, DSO, childhood adversity, and irritable bowel syndrome (IBS). Individuals with IBS exhibited markedly higher prevalences of DSO, CPTSD, and PTSD symptoms and higher trauma scores compared with healthy individuals. The odds of having IBS were 3.718 and 1.924 times greater for those with DSO symptoms (p < .001) and CPTSD symptoms (p = .005), respectively. IBS severity was highest in the DSO group, followed by the CPTSD, PTSD, and non-DSO/CPTSD/PTSD groups. DSO symptoms mediate the impact of childhood adversity on IBS symptoms, explaining half of this effect, whereas PTSD symptoms do not. These findings suggest a significant role of DSO in the development of IBS.
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Affiliation(s)
- Tomoko Sakuma
- Department of Behavioral Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8575, Japan
| | - Tomohiko Muratsubaki
- Department of Behavioral Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8575, Japan
| | - Michiko Kano
- Department of Behavioral Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8575, Japan
| | - Motoyori Kanazawa
- Department of Behavioral Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8575, Japan
| | - Shin Fukudo
- Department of Behavioral Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8575, Japan.
- Department of Psychosomatic Medicine, Tohoku University Hospital, Sendai, Japan.
- Research Center for Accelerator and Radioisotope Science, Tohoku University, Sendai, Japan.
- Department of Psychosomatic Medicine, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Japan.
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Augustine L, Bjereld Y, Turner R. The Role of Disability in the Relationship Between Mental Health and Bullying: A Focused, Systematic Review of Longitudinal Studies. Child Psychiatry Hum Dev 2024; 55:893-908. [PMID: 36273388 PMCID: PMC11245418 DOI: 10.1007/s10578-022-01457-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/05/2022] [Indexed: 11/03/2022]
Abstract
Having both a disability and being bullied increases the risk of later mental health issues. Children with disabilities are at greater risk of being bullied and therefore at greater risk of adverse mental health outcomes. We conducted a limited systematic review of longitudinal studies focusing on the role of disability in relation to bullying and mental health problems. Twelve studies with an initial measure of mental health or disorder, measured no later than 10 years of age, were found. Ten of these twelve studies suggested that having a disability before victimisation increased the impact of mental health problems measured after bullying experiences. The conclusion is that children with a disability, such as behavioural problems, have an increased risk of later mental health problems through bullying victimization. Children with two risk factors had significantly worse mental health outcomes. These additional mental health problems may be alleviated through reduced bullying victimisation.
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Affiliation(s)
- Lilly Augustine
- CHILD, School for Learning and Communication, Jönköping University, Jönköping, Sweden.
| | - Ylva Bjereld
- Department of Behavioural Sciences and Learning (IBL), Linköping University, Linköping, Sweden
| | - Russell Turner
- Department of Social Work, University of Gothenburg, Gothenburg, Sweden
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Bolhuis K, Ghirardi L, Kuja-Halkola R, Lång U, Cederlöf M, Metsala J, Corcoran P, O’Connor K, Dodd P, Larsson H, Kelleher I. Risk of Psychosis Among Individuals Who Have Presented to Hospital With Self-harm: A Prospective Nationwide Register Study in Sweden. Schizophr Bull 2024; 50:881-890. [PMID: 38243843 PMCID: PMC11283185 DOI: 10.1093/schbul/sbae002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2024]
Abstract
BACKGROUND AND HYPOTHESIS Recent research showed that young people who presented to hospital with self-harm in Finland had a significantly elevated risk of later psychosis. We investigated the prospective relationship between hospital presentation for self-harm and risk of psychosis in an unprecedentedly large national Swedish cohort. STUDY DESIGN We used inpatient and outpatient healthcare registers to identify all individuals born between 1981 and 1993 who were alive and living in Sweden on their 12th birthday and who presented to hospital one or more times with self-harm. We compared them with a matched cohort, followed up for up to 20 years, and compared the cumulative incidence of psychotic disorders. Furthermore, we examined whether the strength of the relationship between hospital presentation for self-harm and later psychosis changed over time by examining for cohort effects. STUDY RESULTS In total, 28 908 (2.0%) individuals presented to hospital with self-harm without prior psychosis diagnosis during the follow-up. For individuals who presented to hospital with self-harm, the cumulative incidence of diagnosed psychosis was 20.7% at 20 years follow-up (hazard radio = 13.9, 95% CI 13.3-14.6, P-value <5 × 10-308). There was no evidence of a dilution of the effect over time: while the incidence of hospital self-harm presentation increased, this did not result in an attenuation over time of the strength of the relationship between hospital self-harm presentation and subsequent psychosis. CONCLUSIONS Individuals who present to hospital with self-harm in their teens and 20s represent an important risk group for psychosis prediction and prevention.
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Affiliation(s)
- Koen Bolhuis
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Centre-Sophia Children’s Hospital, Rotterdam, The Netherlands
- Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Laura Ghirardi
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
- MediNeos Observational Research—IQVIA, Data Management & Statistics, Modena, Italy
| | - Ralf Kuja-Halkola
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Ulla Lång
- Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
- Finnish Institute for Health and Welfare, Helsinki, Finland
- University of Oulu, School of Medicine, Oulu, Finland
| | - Martin Cederlöf
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
- School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Johanna Metsala
- Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
- Finnish Institute for Health and Welfare, Helsinki, Finland
| | - Paul Corcoran
- National Suicide Research Foundation, University College Cork, Cork, Ireland
- School of Public Health, University College Cork, Cork, Ireland
| | - Karen O’Connor
- Rise, South Lee Mental Health Services, Cork & Department of Psychiatry, University College Cork, Cork, Ireland
- National Clinical Programme for Early Intervention in Psychosis, Health Service Executive Dublin, Dublin, Ireland
| | - Philip Dodd
- National Office for Suicide Prevention, Health Service Executive Dublin, Dublin, Ireland
| | - Henrik Larsson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
- School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Ian Kelleher
- Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
- University of Oulu, School of Medicine, Oulu, Finland
- University College Dublin, School of Medicine, Dublin, Ireland
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Andrews JL, Astle DE, Jones JS, Blakemore SJ. Mapping the role of sexuality in adolescent mental health and substance use. ROYAL SOCIETY OPEN SCIENCE 2024; 11:230955. [PMID: 39092144 PMCID: PMC11293798 DOI: 10.1098/rsos.230955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 03/12/2024] [Accepted: 05/01/2024] [Indexed: 08/04/2024]
Abstract
Individuals who belong to a sexual minority are at greater risk of adverse health and social outcomes. These effects are observed during adolescence when many mental health problems, such as depression, first emerge. Here, we used a network analytic approach to better understand the role that sexual minority status plays in the association between depression, interpersonal difficulties and substance use in a large sample of mid-adolescents. In doing so, we used data from 8017 fourteen year olds from the UK's Millennium Cohort Study, of which 490 self-identified as belonging to a sexual minority. We found that sexual minority status was highly central in the network and connected to multiple adverse outcomes, sometimes directly and sometimes indirectly. The largest single association was between sexual minority status and depression, and this link mediated multiple negative associations with being in a sexual minority. The shortest path to drinking, poor social support and closeness with parents and victimization occurred via depression. The shortest path to smoking and drug use occurred via conduct problems. We also identified three distinct profiles of adverse outcomes among those belonging to a sexual minority, highlighting the heterogeneous nature of this group.
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Affiliation(s)
- Jack L. Andrews
- Department of Experimental Psychology, University of Oxford, Oxford, UK
- University College, University of Oxford, Oxford, UK
| | - Duncan E. Astle
- MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - Jonathan S. Jones
- MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
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Richardson R, Connell T, Foster M, Blamires J, Keshoor S, Moir C, Zeng IS. Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis. J Youth Adolesc 2024; 53:1301-1322. [PMID: 38564099 PMCID: PMC11045640 DOI: 10.1007/s10964-024-01969-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 03/02/2024] [Indexed: 04/04/2024]
Abstract
Suicide remains the second most common cause of death in young people aged 10-24 years and is a growing concern globally. The literature reports a vast number of factors that can predispose an adolescent to suicidality at an individual, relational, community, or societal level. There is limited high-level research identifying and understanding these risk and protective factors of adolescent suicidality. The present study used an umbrella review and meta-analysis to synthesize evidence from the review literature in the past 20 years on risk and protective factors of self-harm and suicidality (behavior and ideation) in adolescents. The umbrella review included 33 quantitative reviews with 1149 individual studies on suicidality and self-harm. Based on the data synthesis, it compared the public health impact of exposure on the population of the identified exposure. Bullying victimization was the most attributed environmental exposure for suicidality. The other identified significant school and individual factors were sleeping disturbance, school absenteeism, and exposure to antidepressants. Several significant vulnerable young populations were identified with significantly higher prevalence of suicidality, including lesbian, gay, bisexual, transgender, queer (or questioning) youth and those with mental health disorders, problem behaviors, previous suicidality, self-harm, and gender (female). A person-centered approach emphasizing connectedness and bully-free school environments should be a priority focus for schools, health professionals, and public health policymakers.
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Affiliation(s)
- Rebecca Richardson
- Faculty of Health and Environmental Science, Research Office, Department of Biostatistics and Epidemiology, Auckland University of Technology, Auckland, New Zealand
- Faculty of Culture and Society, School of Social Sciences and Public Policy, Auckland University of Technology, Auckland, New Zealand
| | - Tanya Connell
- Faculty of Health and Environmental Science, School of Nursing, Auckland University of Technology, Auckland, New Zealand
| | - Mandie Foster
- Faculty of Health and Environmental Science, School of Nursing, Auckland University of Technology, Auckland, New Zealand
- School of Midwifery and Nursing, Edith Cowan University, Perth, WA, Australia
| | - Julie Blamires
- Faculty of Health and Environmental Science, School of Nursing, Auckland University of Technology, Auckland, New Zealand
| | - Smita Keshoor
- Faculty of Health and Environmental Science, School of Oral Health, Auckland University of Technology, Auckland, New Zealand
| | - Chris Moir
- Centre for Postgraduate Nursing Studies, University of Otago, Christchurch, New Zealand
| | - Irene Suilan Zeng
- Faculty of Health and Environmental Science, Research Office, Department of Biostatistics and Epidemiology, Auckland University of Technology, Auckland, New Zealand.
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Lin PI, Wu WT, Azasu EK, Wong TY. Pathway from attention-deficit/hyperactivity disorder to suicide/self-harm. Psychiatry Res 2024; 337:115936. [PMID: 38705042 DOI: 10.1016/j.psychres.2024.115936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Revised: 04/20/2024] [Accepted: 04/28/2024] [Indexed: 05/07/2024]
Abstract
To evaluate the effect of ADHD diagnosis by the age of 10 on the suicide/self-harm risk at age 14 and examine factors that may modify/mediate the association, a longitudinal study based on the nationwide survey consisting of 5,107 children in Australia was used. Self-harm and suicidal risks in children with ADHD at age 14 were the main outcomes; ADHD medication, history of bullied or depression, and other sociodemographic disadvantages, were treated as covariates. The diagnosis of ADHD at age 10 is associated with elevated risks of self-harm, suicidal thoughts, planning, or attempts by age 14, with greater susceptibility in males. The pathway from ADHD symptoms to suicide/self-harm could also be mediated by depression and exposure to bullying assessed at age 12. Note that depression and exposure to bullying might at best contribute to less than 10 % of the total effect of ADHD diagnosis on either the risk of suicide or self-harm. Early gender-tailored intervention and prevention strategies are crucial in clinical practice and health policy.
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Affiliation(s)
- Ping-I Lin
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, New South Wales, Australia; Department of Mental Health, Western Sydney University, New South Wales, Australia; Neuroscience Research Australia, Australia.
| | - Weng Tong Wu
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, New South Wales, Australia
| | - Enoch Kordjo Azasu
- Department of Psychiatry and Neurobehavioral Science, Saint Louis University, Missouri, USA
| | - Tsz Ying Wong
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, New South Wales, Australia
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Jang H, Park H, Son H, Kim J. The Asymmetric Effects of the Transitions Into and out of Bullying Victimization on Depressive Symptoms: The Protective Role of Parental Education. J Adolesc Health 2024; 74:828-836. [PMID: 38069939 DOI: 10.1016/j.jadohealth.2023.11.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 07/20/2023] [Accepted: 11/06/2023] [Indexed: 03/24/2024]
Abstract
PURPOSE This study aims to examine the association between bullying victimization and depressive symptoms among youth from multicultural families in Korea, while distinguishing between the effects of entering and exiting bullying victimization. This study also investigates whether parental education moderates this association. METHODS Using data from the Multicultural Adolescent Panel Survey, a nationally representative sample of children from multicultural families in Korea, this study employed novel asymmetric fixed-effects models that separately assess the effects of entering and exiting bullying victimization. Interaction models were conducted to consider the moderating roles of maternal and paternal college attainment. RESULTS Conventional fixed-effects models showed that bullying victimization is significantly associated with an increase in depressive symptoms (b = 0.261). Asymmetric fixed-effects models suggest that the magnitude of the entry effect (b = 0.299) was significantly larger than that of the exit effect (b = -0.237). Furthermore, maternal college education amplified the mental health benefits of exiting from bullying victimization but did not buffer the harmful effects of entering bullying victimization. Gender-stratified analyses indicate that this protective effect of maternal college education was only significant for girls. Paternal college education, on the other hand, did not moderate either the entry or exit effects of bullying victimization. DISCUSSION The study's findings on the asymmetric effects of bullying victimization on depressive symptoms emphasize the importance of providing follow-up care and mental health support for multicultural family youth who have experienced bullying, with particular attention to those with a history of victimization.
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Affiliation(s)
- Hayun Jang
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Hansol Park
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Hyewon Son
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Jinho Kim
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea; Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, Wisconsin.
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11
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Låftman SB, Grigorian K, Lundin A, Östberg V, Raninen J. Bullying experiences before and after the transition from lower to upper secondary school: associations with subsequent mental health in a Swedish cohort. BMC Public Health 2024; 24:27. [PMID: 38166802 PMCID: PMC10762947 DOI: 10.1186/s12889-023-17443-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 12/08/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Previous research has shown that exposure to bullying is linked to long-term adverse mental health consequences. However, prospective studies examining the persistence of bullying, using information from repeated time points, are limited. The aim of this study was to examine, firstly, the extent to which exposure to bullying among adolescents in Sweden changes between grades 9 (age 15-16) and 11 (age 17-18) (i.e., before and after the transition from lower to upper secondary school); secondly, whether being bullied in grade 9 or 11 is associated with depression and anxiety symptoms at age 20-21; and thirdly, if being bullied in both grade 9 and 11 is linked to an even higher likelihood of subsequent depression and anxiety symptoms. Potential differences by gender were investigated throughout. METHODS Data was derived from the Swedish cohort study Futura01 involving individuals attending grade 9 in the school year 2016/17 (n = 2323). We utilised self-reported information from three survey waves conducted in 2017, 2019, and 2022, and linked registry information on sociodemographic characteristics. Bullying was assessed using a single item in waves 1 and 2. Depression and anxiety symptoms were measured using the Patient Health Questionnaire-4 (PHQ-4) in wave 3. Gender stratified binary logistic regressions were performed. RESULTS Among those who were bullied in grade 9, 22.6% of males and 35.8% of females continued to experience bullying in grade 11. For females, exposure to bullying in grade 9 or 11 was associated with an increased likelihood of reporting depression and anxiety symptoms at age 20-21, with the highest odds for those bullied at both time points. For males, only one statistically significant association was identified - specifically, between being bullied in grade 9 and subsequent depression symptoms. CONCLUSIONS For a majority of adolescents who experience bullying in lower secondary school, but not all, the transition to upper secondary school proves to be beneficial as the bullying typically does not persist. However, bullying can have long-term health effects, in particular for females. These findings emphasise the importance of effective measures to address bullying within schools.
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Affiliation(s)
- Sara Brolin Låftman
- Department of Public Health Sciences, Stockholm University, Stockholm, SE-106 91, Sweden.
| | - Karina Grigorian
- Department of Public Health Sciences, Stockholm University, Stockholm, SE-106 91, Sweden
| | - Andreas Lundin
- Department of Public Health Sciences, Stockholm University, Stockholm, SE-106 91, Sweden
- Centre for Epidemiology and Community Medicine, Region Stockholm, Box 45436, Stockholm, SE-104 31, Sweden
- Department of Global Public Health, Karolinska Institutet, Stockholm, SE-171 77, Sweden
| | - Viveca Östberg
- Department of Public Health Sciences, Stockholm University, Stockholm, SE-106 91, Sweden
| | - Jonas Raninen
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, SE-171 77, Sweden
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
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12
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Geoffroy MC, Arseneault L, Girard A, Ouellet-Morin I, Power C. Association of childhood bullying victimisation with suicide deaths: findings from a 50-year nationwide cohort study. Psychol Med 2023; 53:4152-4159. [PMID: 35388770 PMCID: PMC10317807 DOI: 10.1017/s0033291722000836] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Revised: 02/23/2022] [Accepted: 03/09/2022] [Indexed: 11/06/2022]
Abstract
BACKGROUND Bullying victimisation has been associated with increased risk of suicide ideation and attempt throughout the lifespan, but no study has yet examined whether it translates to a greater risk of death by suicide. We aimed to determine the association of bullying victimisation with suicide mortality. METHODS Participants were drawn from the 1958 British birth cohort, a prospective follow-up of all births in 1 week in Britain in 1958. We conducted logistic regressions on 14 946 participants whose mothers reported bullying victimisation at 7 and 11 years with linked information on suicide deaths through the National Health Service Central Register. RESULTS Fifty-five participants (48 males) had died by suicide between the age 18 and 52 years. Bullying victimisation was associated with suicide mortality; a one standard deviation increases in bullying victimisation linked to an increased odds for suicide mortality [odds ratio (OR) 1.29; 1.02-1.64] during adulthood. The OR attenuated by 11% after adjustment for individual (e.g. behavioural and emotional problems) and familial characteristics (e.g. adverse childhood experiences, 1.18; 0.92-1.51). Analysis of bullying victimisation frequency categories yields similar results: compared with individuals who had not been bullied, those who had been frequently bullied had an increased odds for suicide mortality (OR 1.89; 0.99-3.62). CONCLUSION Our study suggests that individuals who have been frequently bullied have a small increased risk of dying by suicide, when no other risk factors is considered. Suicide prevention might start in childhood, with bullying included in a range of inter-correlated vulnerabilities encompassing behavioural and emotional difficulties and adverse experiences within the family.
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Affiliation(s)
- Marie-Claude Geoffroy
- Departments of Psychiatry and Educational and Counselling Psychology, McGill University, Montreal, Quebec, Canada
| | - Louise Arseneault
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Alain Girard
- CHU Sainte-Justine Research Center, Montreal, Canada
| | | | - Chris Power
- UCL Great Ormond Street Institute of Child Health, London, UK
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13
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Bettencourt AF, Clary LK, Ialongo N, Musci RJ. Long-term consequences of bullying involvement in first grade. J Sch Psychol 2023; 97:63-76. [PMID: 36914367 PMCID: PMC10020929 DOI: 10.1016/j.jsp.2023.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 10/06/2022] [Accepted: 01/13/2023] [Indexed: 02/05/2023]
Abstract
Few prospective studies have examined how early bullying experiences impact long-term adjustment and the differential impact of children's co-occurring bullying and peer victimization involvement on adjustment in adulthood. This study addressed these gaps by examining subgroups of first graders involved in bullying and associations with four outcomes in early adulthood, including (a) Major Depression diagnosis, (b) post-high school suicide attempt, (c) on-time high school graduation, and (d) criminal justice involvement. Additionally, middle school standardized reading test scores and suspensions were examined as potential mechanisms through which early bullying involvement is associated with adult outcomes. Participants were 594 children from nine urban elementary schools in the United States who participated in a randomized controlled trial of two school-based universal prevention interventions. Latent profile analyses using peer nominations identified three subgroups: (a) High involvement bully-victims, (b) Moderate involvement bully-victims, and (c) Low/No involvement youth. Compared to the No/Low involvement class, High involvement bully-victims were less likely to graduate high school on time (OR = 0.48, p = .002) and Moderate involvement bully-victims were more likely to be involved in the criminal justice system (OR = 1.37, p = .02). High bully-victims were at greater risk for both not graduating high school on-time and criminal justice system involvement, which were partially explained by 6th grade standardized reading test scores and suspensions. Moderate bully-victims were less likely to graduate high school on time, which was partially explained by 6th grade suspensions. Findings highlight how early bully-victim involvement increases risk for difficulties that affect adult quality of life.
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Affiliation(s)
| | - Laura K Clary
- Johns Hopkins Bloomberg School of Public Health, United States
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14
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Wang H, Bragg F, Guan Y, Zhong J, Li N, Yu M. Association of bullying victimization with suicidal ideation and suicide attempt among school students: A school-based study in Zhejiang Province, China. J Affect Disord 2023; 323:361-367. [PMID: 36460180 DOI: 10.1016/j.jad.2022.11.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 11/21/2022] [Accepted: 11/25/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Evidence of associations between type-specific bullying victimization and suicidal ideation and suicide attempt among adolescents is scant. This study examined these associations among middle and high school students in China. METHODS A cross-sectional study of 27,030 students with mean age of 15.7 ± 1.7 years, including 13,946 boys and 13,084 girls, was carried out between April and June 2022. RESULTS The prevalence of suicidal ideation and attempt was 19.7 % and 2.9 %, respectively. 30.0 % (95%CI: 28.8-31.1) of students reported being bullied (i.e., bullying victimization) in the past 30 days, and the corresponding figs. (95%CI) for verbal bullying, relational bullying, property-related bullying, physical bullying, and cyberbullying were 11.0 % (10.4-11.7), 2.8 % (2.5-3.0), 1.9 % (1.7-2.2), and 5.7 % (5.3-6.0), respectively. After adjustment for socio-demographic status, lifestyle factors, academic performance, self-reported health and mental health, compared to those who reported not being bullied in the past 30 days, the odds ratios (95%CI) for suicidal ideation and suicide attempt among students who reported being bullied were 1.75 (1.60-1.90) and 2.01 (1.63-2.52), respectively. The corresponding odds ratios (95%CI) for verbal bullying were 1.77 (1.61-1.93) and 2.09 (1.67-2.61), respectively, for relational bullying were 1.77 (1.57-2.00) and 2.31 (1.79-2.98), respectively, for property-related bullying were 1.88 (1.48-2.37) and 2.44 (1.60-3.70), respectively, for physical bullying were 1.79 (1.30-2.47) and 2.86 (1.67-4.90), respectively, and for cyberbullying were 2.02 (1.71-2.39) and 2.83 (2.08-3.84), respectively. CONCLUSION All types of bullying victimization are strongly associated with both suicidal ideation and suicide attempt among middle and high school students.
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Affiliation(s)
- Hao Wang
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Diseases Control and Prevention, Hangzhou, Zhejiang 310051, China
| | - Fiona Bragg
- Medical Research Council Population Health Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK; Clinical Trial Service Unit & Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, University of Oxford, OX3 7LF, UK.
| | - Yunqi Guan
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Diseases Control and Prevention, Hangzhou, Zhejiang 310051, China.
| | - Jieming Zhong
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Diseases Control and Prevention, Hangzhou, Zhejiang 310051, China.
| | - Na Li
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Diseases Control and Prevention, Hangzhou, Zhejiang 310051, China.
| | - Min Yu
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Diseases Control and Prevention, Hangzhou, Zhejiang 310051, China.
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Serafini G, Aguglia A, Amerio A, Canepa G, Adavastro G, Conigliaro C, Nebbia J, Franchi L, Flouri E, Amore M. The Relationship Between Bullying Victimization and Perpetration and Non-suicidal Self-injury: A Systematic Review. Child Psychiatry Hum Dev 2023; 54:154-175. [PMID: 34435243 PMCID: PMC9867675 DOI: 10.1007/s10578-021-01231-5] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/08/2021] [Indexed: 01/26/2023]
Abstract
Experience of bullying may be a significant risk factor for non-suicidal self-injury (NSSI). This study had three aims: to systematically investigate the association between bullying and NSSI, analyze the possible mechanisms underlying the two phenomena, and evaluate any differences between bullying victimization and bullying perpetration with respect to NSSI. A systematic search about the association between bullying victimization and perpetration and NSSI was conducted using specific databases (PubMed, Scopus, Science Direct). The following keywords were used in all database searches: "bullying" AND "NSSI" OR "peer victimization" and NSSI. The searches in PubMed, Scopus and Science Direct revealed a total of 88 articles about bullying or peer victimization and NSSI. However, only 29 met our inclusion criteria and were used for the present review. Overall, all studies examined victimization; four studies also evaluated the effects of perpetration and one included bully-victims. According to the main findings, both being a victim of bullying and perpetrating bullying may increase the risk of adverse psychological outcomes in terms of NSSI and suicidality in the short and the long run. To the best of our knowledge, this is the first review to systematically evaluate the relation between bullying victimization/perpetration and NSSI. The main results support a positive association. Future research should evaluate the possible role of specific mediators/moderators of the association between experience of bullying and NSSI.
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Affiliation(s)
- Gianluca Serafini
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
- IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
| | - Andrea Aguglia
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy
- IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Andrea Amerio
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy
- IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Giovanna Canepa
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy
- IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Giulia Adavastro
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy
- IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Claudia Conigliaro
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy
- IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Jacopo Nebbia
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy
- IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Larissa Franchi
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy
- IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Eirini Flouri
- Department of Psychology and Human Development, UCL Institute of Education, University College London, London, UK
| | - Mario Amore
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy
- IRCCS Ospedale Policlinico San Martino, Genoa, Italy
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Wilson E, Crudgington H, Morgan C, Hirsch C, Prina M, Gayer‐Anderson C. The longitudinal course of childhood bullying victimization and associations with self-injurious thoughts and behaviors in children and young people: A systematic review of the literature. J Adolesc 2023; 95:5-33. [PMID: 36210652 PMCID: PMC10092090 DOI: 10.1002/jad.12097] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 09/09/2022] [Accepted: 09/14/2022] [Indexed: 11/07/2022]
Abstract
INTRODUCTION Bullying victimization has consistently been highlighted as a risk factor for self-injurious thoughts and behaviors (SITBs) in young people. This systematic review of prospective, community-based studies explored associations between bullying victimization (traditional/face-to-face and cyber) across the full spectrum of self-harm and suicidality, in children and young people aged up to (and including) 25 years. Importantly, associations by sex/gender were explored. METHODS MEDLINE, Embase, PsycINFO, CINAHL and Scopus were searched for articles meeting the inclusion criteria. Articles were screened by title, abstract and full text. Quality appraisal was performed using the Newcastle-Ottawa Scale for cohort studies. Data were synthesized narratively. The protocol is registered on PROSPERO (CRD42021261916) and followed PRISMA 2020 guidelines. RESULTS A total of 35 papers were included, across 17 countries. Results were presented by bullying type: traditional/face-to-face (n = 25), cyber (n = 7) and/or an aggregate of both types (n = 7). Outcomes included suicidal ideation (n = 17), self-harm (n = 10), suicide attempt (n = 4), NSSI (n = 4), other (n = 7). Studies measured outcomes in under 18s (n = 24), 18-25-year-olds (n = 8) and both under 18s and 18-25-year-olds (n = 3). Studies exploring the role of sex/gender (20%) found some interesting nuances. CONCLUSIONS Some weak to strong associations between bullying and SITBs were found yet conclusions are tentative due to study heterogeneity (e.g., methods used, conceptualizations and operationalisations of exposures/outcomes). Future research should address methodological issues raised in this review, and further explore gender differences in bullying, including by bullying sub-types (e.g., overt or relational) and victim status (e.g., victim or bully-victim).
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Affiliation(s)
- Emma Wilson
- Department of Health Service & Population ResearchInstitute of Psychiatry, Psychology & Neuroscience, King's College LondonLondonUK
- ESRC Centre for Society and Mental Health, King's College LondonLondonUK
| | - Holly Crudgington
- Department of Health Service & Population ResearchInstitute of Psychiatry, Psychology & Neuroscience, King's College LondonLondonUK
- ESRC Centre for Society and Mental Health, King's College LondonLondonUK
| | - Craig Morgan
- Department of Health Service & Population ResearchInstitute of Psychiatry, Psychology & Neuroscience, King's College LondonLondonUK
- ESRC Centre for Society and Mental Health, King's College LondonLondonUK
| | - Colette Hirsch
- Department of PsychologyInstitute of Psychiatry, Psychology & Neuroscience, King's College LondonLondonUK
- South London and Maudsley NHS Foundation Trust, Bethlem Royal HospitalKentUK
| | - Matthew Prina
- Department of Health Service & Population ResearchInstitute of Psychiatry, Psychology & Neuroscience, King's College LondonLondonUK
| | - Charlotte Gayer‐Anderson
- Department of Health Service & Population ResearchInstitute of Psychiatry, Psychology & Neuroscience, King's College LondonLondonUK
- ESRC Centre for Society and Mental Health, King's College LondonLondonUK
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17
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Blauth K, Iffland B. Attentional bias for sad facial expressions in adults with a history of peer victimization. Front Psychol 2023; 14:1127381. [PMID: 36949914 PMCID: PMC10025354 DOI: 10.3389/fpsyg.2023.1127381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 02/17/2023] [Indexed: 03/08/2023] Open
Abstract
Introduction Previous research has indicated altered attentional processing in individuals with experiences of maltreatment or victimization in childhood and adolescence. The present study examined the impact of child and adolescent experiences of relational peer victimization on attentional processes in adulthood when confronted with emotional facial expressions. Methods As part of an online study, a community sample of adults completed a facial dot-probe task. In the present task, pictures of facial expressions displaying four different emotions (anger, disgust, happiness, and sadness) were used. Results The results of the hierarchical regression analyses showed that retrospective reports of peer victimization made a significant contribution to the prediction of facilitated orienting processes for sad facial expressions. Experiences of emotional child maltreatment, on the other hand, made a significant contribution to the prediction of attentional biases for angry facial expressions. Discussion Our results emphasize the relevance of experiences of emotional and relational maltreatment in childhood and in adolescence for the processing of social stimuli in adulthood. The findings regarding emotional child maltreatment are more indicative of attentional biases in the context of threat detection, whereas the altered attentional processes in peer victimization are more indicative of mood-congruent biases. These altered processes may be active in social situations and may therefore influence future social situations, behavior, feelings, and thus mental health.
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18
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Lanzillo EC, Zhang I, Jobes DA, Brausch AM. The Influence of Cyberbullying on Nonsuicidal Self-Injury and Suicidal Thoughts and Behavior in a Psychiatric Adolescent Sample. Arch Suicide Res 2023; 27:156-163. [PMID: 34520697 DOI: 10.1080/13811118.2021.1973630] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Cyberbullying is a well-established risk factor for suicidal thoughts and behavior in adolescents. However, research examining the differential influence of different forms of cyberbullying on suicidality is limited. This exploratory study investigated the association between cyberbullying and self-injurious thoughts and behaviors separately. Specifically, the study sought to examine how being the subject of online rumors, illicit photographs, and threatening messages related to nonsuicidal self-injury (NSSI), suicidal ideation (SI), and suicide attempt (SA) history in an adolescent psychiatric sample (n = 64). The findings demonstrated that endorsement of any form of cyberbullying was significantly associated with NSSI. Further, victims of online rumors were over fifteen times more likely to engage in NSSI, and all participants who reported involvement in illicit photographs endorsed NSSI. Additionally, participants who endorsed involvement in an online rumor were nearly seventeen times more likely to report SA history. The forms of cyberbullying assessed were not significantly associated with SI.
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Chen X, Jiang J, Li Z, Gong Y, Du J. Influence of family cohesion on Chinese adolescents' engagement in school bullying: A moderated mediation model. Front Psychol 2022; 13:1040559. [PMID: 36571033 PMCID: PMC9773997 DOI: 10.3389/fpsyg.2022.1040559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 11/21/2022] [Indexed: 12/14/2022] Open
Abstract
In this study, a total number of 1,026 Chinese adolescents were surveyed using the cohesion sub-scale of the Family Environment Scale, the Self-control Scale, the Parental Monitoring Questionnaire, and the revised Olweus Bully/Victim Questionnaire to explore the effects of family cohesion on adolescents' engagement in school bullying and the mechanisms of self-control and parental monitoring in the relationship between them. The results showed that: (1) family cohesion, self-control, and parental monitoring were significantly and negatively related to school bullying; (2) family cohesion directly influenced school bullying and also indirectly influenced school bullying through a mediating effect - self-control; (3) parental monitoring played a moderating role in the path of self-control affecting school bullying. Therefore, to reduce the occurrence of school bullying, it is necessary to strengthen the self-control ability of adolescents and improve the family cohesion environment and maintain a moderate level of parental monitoring. The results of this study revealed the effect of family cohesion on adolescents' engagement in school bullying and its mechanism of action, which can provide a theoretical basis for preventing and reducing the occurrence of school bullying incidents.
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Affiliation(s)
- Xin Chen
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China
| | - Jiarui Jiang
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China
| | - Zuoshan Li
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China,School of Teacher Education, Chongqing Normal University, Chongqing, China,*Correspondence: Zuoshan Li,
| | - Yue Gong
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China
| | - Jiangli Du
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China
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20
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Do associations between suicide ideation and its correlates (substance use, anxiety, and depression) differ according to victimization type among youth? A Smart platform study. Prev Med Rep 2022; 29:101944. [PMID: 36161124 PMCID: PMC9502327 DOI: 10.1016/j.pmedr.2022.101944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 07/14/2022] [Accepted: 08/05/2022] [Indexed: 12/03/2022] Open
Abstract
23% of the youth reported suicide ideation in the past year. Suicide ideation was higher among those victimized by bullying. Suicide ideation was also higher with reported anxiety, or poor subjective health. Poor health did not play a role between victimization and suicide ideation. The issues associated with mental health, substance misuse, and suicide ideation are complex and sensitive among youth. We sought to investigate the role that subjective health, internalizing and externalizing risk factors play in the association between victimization and suicide ideation among youth in Canada via used a custom-built digital epidemiological smartphone application (Smart Platform) on their personal smartphones. A sample of 818 youth citizen scientists in Saskatchewan, Canada downloaded the app to provide information on victimization, subjective health, internalizing problems (symptoms of stress, anxiety, and depression), externalizing behaviours (cannabis use, alcohol, smoking), and suicide ideation. Binary regression models were used to estimate associations and controlled for gender, age, perpetration, and ethnicity. From our sample, 23% of youth reported suicide ideation (i.e., thoughts) in the past year. Three types of victimization (cyberbullied, made fun or teased, or bullied via being left out) are associated with a two-times higher risk of suicide ideation. Although certain risk factors (anxiety, poor subjective health, and cannabis use) were associated with higher suicide ideation risk, they did not moderate the association between victimization and suicide ideation. Symptoms of depression were found to be protective against suicide ideation. Suicide ideation is high among this sample of youth in Canada. Certain types of victimization, internalizing and externalizing risk factors, and poor subjective health are associated with a higher risk of suicide ideation. However, our findings confirm that the pathway from victimization to suicide ideation is complex and is potentially moderated by factors other than the ones explored here.
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21
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Chudal R, Tiiri E, Brunstein Klomek A, Ong SH, Fossum S, Kaneko H, Kolaitis G, Lesinskiene S, Li L, Huong MN, Praharaj SK, Sillanmäki L, Slobodskaya HR, Srabstein JC, Wiguna T, Zamani Z, Sourander A. Victimization by traditional bullying and cyberbullying and the combination of these among adolescents in 13 European and Asian countries. Eur Child Adolesc Psychiatry 2022; 31:1391-1404. [PMID: 33884501 PMCID: PMC9402766 DOI: 10.1007/s00787-021-01779-6] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 04/07/2021] [Indexed: 02/05/2023]
Abstract
There has been a lack of studies on bullying in non-western low-income and middle-income countries. This study reported the prevalence of traditional victimization, cybervictimization, and the combination of these, in 13 European and Asian countries, and explored how psychiatric symptoms were associated with victimization. The data for this cross-sectional, school-based study of 21,688 adolescents aged 13-15 were collected from 2011 to 2017. The main outcomes were traditional and cybervictimization obtained from student self-reports. The Strengths and Difficulties Questionnaire was used to assess psychiatric symptoms. Generalized estimating equation and logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs). The mean prevalence of any victimization was 28.9%, of traditional victimization only, this was 17.7%, and for cybervictimization only this was 5.1%. Cybervictimization occurred both independently, and in combination with, traditional victimization. The mean prevalence of combined victimization was 6.1%. The mean proportion of those who were cyberbullied only among those who were either cyberbullied only or bullied both traditionally and in cyber was 45.1%. The rates of prevalence varied widely between countries. In the total sample, those who experienced combined victimization, reported the highest internalizing symptoms (girls, OR 1.25, 95% CI 1.22-1.29; boys, OR 1.29, 95% CI 1.25-1.33). The study findings suggest that anti-bullying interventions should include mental health components and target both traditional and cyberbullying. Due to the overlap between these, targeting bullying should primarily focus on how to reduce bullying behavior rather than just focusing on where bullying takes place.
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Affiliation(s)
- Roshan Chudal
- Department of Child Psychiatry, University of Turku, Turku, Finland
| | - Elina Tiiri
- Department of Child Psychiatry, University of Turku, Turku, Finland
- Turku University Hospital, Turku, Finland
| | - Anat Brunstein Klomek
- Baruch Ivcher School of Psychology, Interdisciplinary Center (IDC), Herzlyia, Israel
| | - Say How Ong
- Department of Developmental Psychiatry, Institute of Mental Health, Singapore, Singapore
| | - Sturla Fossum
- The Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Health Sciences, UiT the Arctic University of Norway, Tromsø, Norway
| | - Hitoshi Kaneko
- Psychological Support and Research Center for Human Development, Nagoya University, Nagoya, Japan
| | - Gerasimos Kolaitis
- Department of Child Psychiatry, School of Medicine, National and Kapodistrian University of Athens, Aghia Sophia Children's Hospital, Athens, Greece
| | - Sigita Lesinskiene
- Faculty of Medicine, Institute of Clinical Medicine, Clinic of Psychiatry, Vilnius University, Vilnius, Lithuania
| | - Liping Li
- Shantou University Medical College, Shantou, China
| | - Mai Nguyen Huong
- Department of Psychiatry, Vietnam National Children's Hospital, Hanoi, Vietnam
| | - Samir Kumar Praharaj
- Department of Psychiatry, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Lauri Sillanmäki
- Department of Child Psychiatry, University of Turku, Turku, Finland
| | - Helena R Slobodskaya
- Scientific Research Institute of Physiology and Basic Medicine, Novosibirsk State University, Novosibirsk, Russia
| | - Jorge C Srabstein
- Division of Psychiatry and Behavioral Sciences, Children's National, Washington, DC, USA
- Department of Psychiatry and Behavioral Sciences, School of Medicine, George Washington University, Washington, DC, USA
| | - Tjhin Wiguna
- Department of Psychiatry, Faculty of Medicine, Universitas Indonesia-Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Zahra Zamani
- Tehran University of Medical Sciences, Tehran, Iran
| | - Andre Sourander
- Department of Child Psychiatry, University of Turku, Turku, Finland.
- Turku University Hospital, Turku, Finland.
- Psychological Support and Research Center for Human Development, Nagoya University, Nagoya, Japan.
- Shantou University Medical College, Shantou, China.
- Department of Psychiatry, Faculty of Medicine, Universitas Indonesia-Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
- INVEST Research Flagship, University of Turku, Turku, Finland.
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Fraga S, Soares S, Peres FS, Barros H. Household Dysfunction Is Associated With Bullying Behavior in 10-year-old Children: Do Socioeconomic Circumstances Matter? JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP13877-NP13901. [PMID: 34784812 PMCID: PMC9326806 DOI: 10.1177/08862605211006352] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
This study measured the prevalence of bullying behavior in 10-year-old children and investigated the effect of the socioeconomic context on the impact of household dysfunction on bullying. We studied 5,338 members of the Portuguese Generation XXI birth cohort. Information on involvement in bullying, socioeconomic characteristics, and household dysfunction was collected by trained interviewers using structured questionnaires. Being a victim of bullying was reported by 14.4% of participants, being a bully by 1.4%, and being a bully-victim by 3.9%. Being a victim or both bully-victim, simultaneously, was more frequent among children from medium-high income families. Also, children from low-income families who reported household substance abuse, witnessed parents' intimate partner violence, and were victims of physical violence, were more frequently victims of bullying; and those who experienced family violence were more frequently involved as bully-victims. Among children from medium-high income families, all these household adversity experiences significantly increased the odds of being victim, bully, or bully-victim. Thus, although children from medium-high income families are less likely to experience adversity at home, when it happens, there is a greater effect on their behavior, suggesting that better socioeconomic circumstances do not seem to act as a protective factor.
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Affiliation(s)
- Sílvia Fraga
- EPIUnit - Instituto de Saúde Pública
da Universidade do Porto, Portugal
| | - Sara Soares
- EPIUnit - Instituto de Saúde Pública
da Universidade do Porto, Portugal
| | | | - Henrique Barros
- EPIUnit - Instituto de Saúde Pública
da Universidade do Porto, Portugal
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23
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Arnon S, Brunstein Klomek A, Visoki E, Moore TM, Argabright ST, DiDomenico GE, Benton TD, Barzilay R. Association of Cyberbullying Experiences and Perpetration With Suicidality in Early Adolescence. JAMA Netw Open 2022; 5:e2218746. [PMID: 35759263 PMCID: PMC9237787 DOI: 10.1001/jamanetworkopen.2022.18746] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
IMPORTANCE Adolescent suicidality (ie, suicidal ideation or attempts) is a major public health concern. Cyberbullying experiences and perpetration have become increasingly prevalent and are associated with mental health burden, but their roles as independent suicidality risk factors remain unclear. Data are needed to clarify their contribution to teen suicidality to inform suicide prevention efforts. OBJECTIVE To examine whether cyberbullying experiences and perpetration are distinct stressors divergent from other forms of peer aggression experiences in their association with suicidality in early adolescence. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional analysis used data collected between July 2018 and January 2021 from the Adolescent Brain Cognitive Development (ABCD) study, a large, diverse sample of US children aged 10 to 13 years. EXPOSURES Youth reports of cyberbullying experiences or perpetration. MAIN OUTCOMES AND MEASURES The main outcome was youth-reported suicidality (past or present, as reported in the ABCD 2-year follow-up assessment). Covariates included demographics, established environmental risk and protective factors for youth suicidality, psychopathology, and experiences or perpetration of offline peer aggression. RESULTS A total of 10 414 ABCD participants were included in this study. Participants had a mean (SD) age of 12.0 (0.7) years and 4962 (47.6%) were female; 796 (7.6%) endorsed suicidality. A total of 930 (8.9%) reported experiencing cyberbullying and 96 (0.9%) reported perpetrating cyberbullying. Of the perpetrators, 66 (69.0%) also endorsed experiencing cyberbullying. Controlling for demographics, experiencing cyberbullying was associated with suicidality (odds ratio [OR], 4.2 [95% CI, 3.5-5.1]; P < .001), whereas perpetrating cyberbullying was not (OR, 1.3 [95% CI, 0.8-2.3]; P = .30). Experiencing cyberbullying remained associated with suicidality when accounting for negative life events, family conflict, parental monitoring, school environment, and racial and ethnic discrimination (OR, 2.5 [95% CI, 2.0-3.0]; P < .001) and when further covarying for internalizing and externalizing psychopathology (OR, 1.8 [95% CI, 1.4-2.4]; P < .001). Both being a target and being a perpetrator of offline peer aggression were associated with suicidality (OR, 1.5 [95% CI, 1.1-2.0] for both), controlling for all covariates described earlier. Cyberbullying experiences remained associated with suicidality (OR, 1.7 [95% CI, 1.3-2.2]; P < .001, controlling for all covariates) when included with offline peer aggression experiences and perpetration. CONCLUSIONS AND RELEVANCE In this cross-sectional study, experiencing-but not perpetrating-cyberbullying was associated with suicidality in early adolescence. This association was significant over and above other suicidality risk factors, including offline peer aggression experiences or perpetration. These findings can inform adolescent suicide prevention strategies, and they suggest that clinicians and educational staff working with this population should routinely evaluate for adolescents' experience with cyberbullying.
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Affiliation(s)
- Shay Arnon
- Baruch Ivcher School of Psychology, Reichman University, Herzliya, Israel
| | | | - Elina Visoki
- Department of Child and Adolescent Psychiatry and Behavioral Science, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
- Lifespan Brain Institute of Children’s Hospital of Philadelphia and Penn Medicine, Philadelphia, Pennsylvania
| | - Tyler M. Moore
- Lifespan Brain Institute of Children’s Hospital of Philadelphia and Penn Medicine, Philadelphia, Pennsylvania
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia
| | - Stirling T. Argabright
- Department of Child and Adolescent Psychiatry and Behavioral Science, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
- Lifespan Brain Institute of Children’s Hospital of Philadelphia and Penn Medicine, Philadelphia, Pennsylvania
| | - Grace E. DiDomenico
- Department of Child and Adolescent Psychiatry and Behavioral Science, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
- Lifespan Brain Institute of Children’s Hospital of Philadelphia and Penn Medicine, Philadelphia, Pennsylvania
| | - Tami D. Benton
- Department of Child and Adolescent Psychiatry and Behavioral Science, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia
| | - Ran Barzilay
- Department of Child and Adolescent Psychiatry and Behavioral Science, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
- Lifespan Brain Institute of Children’s Hospital of Philadelphia and Penn Medicine, Philadelphia, Pennsylvania
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia
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Whalen DJ, Hennefield L, Elsayed NM, Tillman R, Barch DM, Luby JL. Trajectories of Suicidal Thoughts and Behaviors From Preschool Through Late Adolescence. J Am Acad Child Adolesc Psychiatry 2022; 61:676-685. [PMID: 34506928 PMCID: PMC8898992 DOI: 10.1016/j.jaac.2021.08.020] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 07/15/2021] [Accepted: 08/31/2021] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Suicidal thoughts and behaviors (STBs) represent a significant and escalating public health concern in youth. Evidence that STBs can emerge in the preschool years suggests that some pathways leading to clinically significant STBs begin early in life. METHOD This prospective longitudinal study examined the developmental trajectories of STBs in children from ages 3 to 17, oversampled for preschool-onset depression. RESULTS Three unique trajectories of STBs across childhood and adolescence were identified: low class (n = 273) characterized by low rates of STBs, early-persistent class (n = 21) characterized by steadily increasing STBs, and late-onset class (n = 21) characterized by low rates of STBs through age 10 followed by a dramatic increase from ages 11 to 14 years. Preschool measures of depression symptoms, externalizing symptoms, impulsivity, and lower income relative to needs were associated with both high-risk STB classes. Both high-risk STB classes reported greater functional impairment, more externalizing symptoms, and more cumulative stressful life events in adolescence relative to the low class; the late-onset class also reported poorer academic functioning relative to both the early-persistent and low classes. CONCLUSION A significant minority of this prospectively followed group of preschool children evidenced STBs by and/or after age 10. Although relatively rare before age 10, approximately half of the children who experienced STBs in adolescence first exhibited STBs in early childhood and comprised a trajectory suggesting increasing STBs. In contrast, approximately half of children first exhibited STBs in early adolescence. Early screening and identification of at-risk youth during both preschool and late childhood is important for early intervention regarding STBs.
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Affiliation(s)
- Diana J Whalen
- Washington University School of Medicine in St. Louis, Missouri.
| | | | | | - Rebecca Tillman
- Washington University School of Medicine in St. Louis, Missouri
| | - Deanna M Barch
- Washington University School of Medicine in St. Louis, Missouri; Washington University in St. Louis, Missouri
| | - Joan L Luby
- Washington University School of Medicine in St. Louis, Missouri
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25
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Does Anxiety Symptomatology Affect Bullying Behavior in Children and Adolescents with ADHD? CHILD & YOUTH CARE FORUM 2022. [DOI: 10.1007/s10566-022-09681-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Abstract
Background
Anxiety disorders are common comorbidities in children and adolescents with attention-deficit/hyperactivity disorder (ADHD) who are also at a high risk of bullying behavior. However, little is known about the roles of anxiety symptomatology in the relationship between ADHD and bullying behavior.
Objective
This cross-sectional, clinic-based study aims to investigate the associations between anxiety symptomatology and bullying involvement in youth with ADHD.
Method
One hundred and eighty children and adolescents with ADHD aged 10–18 years participated in the study. The Screen for Child Anxiety-Related Emotional Disorders (SCARED) was self-rated, and the participants were interviewed with the Revised Olweus Bully/Victim Questionnaire to categorize bullying involvement. Data were analyzed through percentage, nonparametric statistics, chi-squared statistics, and logistic regression analysis.
Results
Sixty-nine percent of youth with ADHD reported involvement in bullying, of which 33.3%, 8.9%, and 27.2% were classified as victims, bullies, and bully-victims, respectively. The means and 95% confidence intervals of the total SCARED scores showed a significant difference among bullying behavior groups. The highest SCARED scores could be noticed in the victim and bully-victim groups, with the lowest scores observed in the bully group. Youth with ADHD who had comorbid anxiety were 3.51 times more likely to be bullied than those who did not have anxiety.
Conclusions
A differential effect of anxiety symptomatology on bullying behavior in youth with ADHD was evident. These results highlight the utility of including anxiety in the conceptualization of bullying problems in youth with ADHD to plan successful anti-bullying interventions.
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26
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Husky MM, Bitfoi A, Carta MG, Goelitz D, Koç C, Lesinskiene S, Mihova Z, Otten R, Kovess-Masfety V. Bullying involvement and suicidal ideation in elementary school children across Europe. J Affect Disord 2022; 299:281-286. [PMID: 34915081 DOI: 10.1016/j.jad.2021.12.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Revised: 12/06/2021] [Accepted: 12/10/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND Bullying involvement is associated with suicidal ideation among adolescents, yet there are no studies examining this issue among younger children. METHODS The School Children Mental Health in Europe study was conducted in seven countries in 2010 using similar methods to collect cross-sectional data from children, parents, and teachers. Suicidal ideation and thoughts of death were assessed using the Dominic Interactive among children. Parent and teacher reports were used to determine bullying involvement. The sample comprised n = 5,183 children ages 6 to 11 identified as bullies (n = 740, 14.3%), victims (n = 945, 18.2%), bully-victims (n = 984, 18.2%) and not involved in bullying (n = 2,514, 48.5%). Multivariate logistic regressions were used to assess the association of bullying involvement with suicidal ideation and thoughts of death. RESULTS Suicidal ideation was reported by 13.3% of those not involved in bullying, 17.1% of victims, 19.6% of bullies and 24.4% of bully-victims. Similarly, thoughts of death were reported by 19.0% of victims, 24.3% of bullies, and 25.0% of bully-victims. Children identified as being involved were more likely than those not involved to report suicidal ideation in bivariate analyses. When controlling for psychopathology and for maternal distress among other factors, the association remained significant for bullies (AOR=1.30, 95%CI=1.01-1.66), bully-victims (AOR=1.54, 95%CI=1.22-1.94), but not for victims (AOR=1.02, 95%CI=0.80-1.30). LIMITATIONS The study is cross-sectional. The assessment of bullying may have underestimated victimization. CONCLUSIONS The association of bullying involvement and child suicidal ideation is present among elementary school children across Europe, using multiple informants to avoid shared variance biases, and adjusting for key factors.
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Affiliation(s)
- Mathilde M Husky
- Laboratoire de psychologie EA4139, Université de Bordeaux, Bordeaux, France.
| | - Adina Bitfoi
- The Romanian League for Mental Health, Bucharest, Romania
| | - Mauro Giovanni Carta
- Centro di Psichiatria di Consulenza e Psicosomatica Azienda Ospedaliero, Universitaria di Cagliari, Italy
| | - Dietmar Goelitz
- Department of Humanities, Social Sciences and Theology, Friedrich-Alexander-University, Erlangen-Nuernberg, Germany
| | - Ceren Koç
- Yeniden Health and Education Society, Istanbul, Turkey
| | - Sigita Lesinskiene
- Faculty of Medicine, Institute of Clinical Medicine, Clinic of Psychiatry, Vilnius University, Vilnius, Lithuania
| | | | - Roy Otten
- Pluryn, Research & Development, Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands
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27
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Pabayo R, Benny C, Veugelers PJ, Senthilselvan PhD A, Leatherdale ST. Income Inequality and Bullying Victimization and Perpetration: Evidence From Adolescents in the COMPASS Study. HEALTH EDUCATION & BEHAVIOR 2022; 49:313-322. [PMID: 35086352 PMCID: PMC9014770 DOI: 10.1177/10901981211071031] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Previous research indicates that the disproportionate distribution of income
within society is associated with aggression and violence. Although research has
been conducted identifying the relationship between income inequality and
bullying victimization and perpetration, little is known about possible
mediators. We investigated the association between income inequality and
bullying perpetration and victimization among adolescents participating in the
Cannabis, Obesity, Mental health, Physical activity, Alcohol use, Smoking, and
Sedentary behavior (COMPASS) study. We identified whether school connectedness
and psychosocial well-being mediated the relationship between income inequality
and bullying behavior. This study used pooled cross-sectional data from 147,748
adolescents aged 13 to 18 from three waves (2015–2016, 2016–2017, 2017–2018) of
the COMPASS study from 157 secondary schools in British Columbia, Alberta,
Ontario, and Quebec (Canada). The Gini coefficient was calculated based on the
school Census Divisions (CD) using the Canada 2016 Census and linked with
student data. We used multilevel modeling to investigate the relationship
between income inequality and self-reported bullying victimization and
perpetration, while controlling for individual-, school-, and CD-level
characteristics. A standard deviation increase in Gini coefficient was
associated with increased odds for bullying victimization and perpetration.
Findings were observed among girls; however, inequality was only associated with
perpetration among boys. We identified social cohesion and psychosocial
well-being as potential mediators. To counter the adverse effects of income
inequality, school-based interventions designed to increase school connectedness
and student psychosocial well-being should be implemented to protect against
bullying.
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Affiliation(s)
- Roman Pabayo
- University of Alberta, School of Public Health, Edmonton, Alberta, Canada
| | - Claire Benny
- University of Alberta, School of Public Health, Edmonton, Alberta, Canada
| | - Paul J Veugelers
- University of Alberta, School of Public Health, Edmonton, Alberta, Canada
| | | | - Scott T Leatherdale
- University of Waterloo, School of Public Health Sciences, Waterloo, Ontario, Canada
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28
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Cao G, Zhang L, Deng J, Yin H. Bullying victimization and suicidal ideation among adolescents: The mediating role of psychological suzhi and the moderating role of perceived school climate. CURRENT PSYCHOLOGY 2022; 42:1-11. [PMID: 35018082 PMCID: PMC8736311 DOI: 10.1007/s12144-021-02589-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/30/2021] [Indexed: 11/28/2022]
Abstract
This study explores the association between bullying victimization and suicidal ideation and determines the mediating role of psychological suzhi and the moderating role of perceived school climate. 855 (Nboy = 417, Ngirl = 438; Mage=13.18, SD = .78) students in this study from grade 7 to grade 9 completed questionnaires of the mentioned study variables. The results indicated that bullying victimization positively predicted adolescents' suicidal ideation. Psychological suzhi partially mediated the effect of bullying victimization on suicidal ideation. However, for adolescents with higher levels of perceived school climate, bullying victimization was correlated more strongly with suicidal ideation and weaker with psychological suzhi. Results meant that the more frequent and more severe the bullying, the higher the likelihood of suicidal ideation among adolescents. Psychological suzhi may act as a potential mechanism through which bullying victimization leads to suicidal ideation, nevertheless, perceived school climate not only buffered bullying victimization's effects on suicidal ideation, but also protected psychological suzhi from the negative influence of bullying.
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Affiliation(s)
- Gege Cao
- Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
- School of Education Science, Hunan Normal University, Changsha, 410081 China
| | - Li Zhang
- Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
- School of Education Science, Hunan Normal University, Changsha, 410081 China
| | - Jingxin Deng
- Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
- School of Education Science, Hunan Normal University, Changsha, 410081 China
| | - Huazhan Yin
- Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
- School of Education Science, Hunan Normal University, Changsha, 410081 China
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29
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Associations of bullying victimisation in different frequencies and types with suicidal behaviours among school-going adolescents in low- and middle-income countries. Epidemiol Psychiatr Sci 2022. [PMCID: PMC9387118 DOI: 10.1017/s2045796022000440] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Abstract
Aims
Adolescent suicide is a severe public health problem in low- and middle-income countries (LMICs), and adolescents who are victims of bullying have a higher risk of suicidal behaviours. However, detailed global data concerning the association between bullying victimisation and suicide are lacking; thus, further multicontinental studies exploring the association of bullying victimisation at different frequencies and types with suicidal behaviours are urgent.
Methods
The data were extracted from the Global School-based Student Health Survey (GSHS) (2010–2017) conducted in 40 LMICs (n = 151 184, mean age: 14.77 years, s.d.: 1.59, 54.2% females). Data concerning past-30-day bullying victimisation, past 12-month suicidal behaviours (suicidal ideation, suicidal plans and suicidal attempts) and other adverse health behaviours or outcomes were collected. Chi-square tests were used to explore the correlations among the main variables. A multivariable logistic regression and stratified logistic regressions were conducted to assess the associations.
Results
The overall prevalence of bullying victimisation, suicidal ideation, suicidal plans and suicidal attempts were 28.72, 12.64, 11.84 and 10.79%, respectively. The results showed a positive association of different frequencies and types of bullying victimisation with suicidal behaviours: suicidal ideation (odds ratio (OR) = 2.43, 2.06–2.87), suicidal plans (OR = 2.69, 2.28–3.17) and suicidal attempts (OR = 3.23, 2.73–3.82). Adolescents also reported the effects of being made fun of because of their religion: suicidal ideation (OR = 1.63, 1.41–1.88), suicidal plans (OR = 1.44, 1.24–1.66) and suicidal attempts (OR = 1.73, 1.50–1.98). Moreover, these associations varied among teenagers of different gender and body mass indexes (BMIs) and were stronger among males and adolescents who were underweight, overweight or obese.
Conclusions
Different types of bullying victimisation were positively related to suicidal behaviours; these associations varied among adolescents by gender and BMI. This study offers a theoretical basis for the identification of adolescents at a high risk of suicide and is beneficial for informing effective psychological interventions for constructing sound school environments, improving adolescents’ mental health and reducing the risk of suicide to promote health in LMICs and globally.
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30
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Comment réagir face à une situation de harcèlement à l’école ? Une synthèse de la littérature. PRAT PSYCHOL 2021. [DOI: 10.1016/j.prps.2020.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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31
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Paraschakis A, Efstathiou V, Karageorgiou V, Boyokas I, Michopoulos I. An age-period-cohort study of completed suicides in Greece: Patterns and implications for suicide prevention. Psychiatry Res 2021; 306:114260. [PMID: 34785425 DOI: 10.1016/j.psychres.2021.114260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 10/23/2021] [Accepted: 10/30/2021] [Indexed: 10/19/2022]
Abstract
Suicide is a dynamic phenomenon. Psychiatric medication intake, illicit drug and alcohol use or the preference for particular suicide methods shift continuously over time. To capture such variations -and their potential implications for suicide prevention-, we researched the forensic records of suicide cases for the period 1992-2016 at a large department of forensic medicine and conducted age-period-cohort (APC) analyses of our sample (1162 suicides, 77.45% males, 22.25% females). We primarily investigated socio-demographic and toxicological parameters. Benzodiazepine, alcohol and illicit drug use increased considerably towards the younger cohorts. The segment of individuals of foreign nationality raised significantly too; likewise, the proportion of prison suicides. Hanging appears increasingly preferred by the younger APCs (the opposite is true for jumping). Hanging seems more popular among males, prisoners, and those under the influence of illicit drugs; jumping by females and those less likely to have consumed alcohol or illicit drugs. Given that the method of a prior attempt, if a highly lethal one, usually gets repeated in the completed suicide, a history of an attempt by hanging should never be underestimated. The mental health needs of immigrants and prisoners look inadequately addressed. Young-middle aged immigrant prisoners appear a group at high suicide risk.
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Affiliation(s)
| | - Vasiliki Efstathiou
- 2nd Department of Psychiatry, Medical School, National and Kapodistrian University of Athens, "Attikon" General Hospital, Athens, Greece
| | - Vasilios Karageorgiou
- 2nd Department of Psychiatry, Medical School, National and Kapodistrian University of Athens, "Attikon" General Hospital, Athens, Greece
| | - Ilias Boyokas
- Piraeus Department of Forensic Medicine, Piraeus, Greece
| | - Ioannis Michopoulos
- 2nd Department of Psychiatry, Medical School, National and Kapodistrian University of Athens, "Attikon" General Hospital, Athens, Greece
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Angelakis I, Gooding P. Adverse Social Relationships in Childhood: Are there Links with Depression, Obsessive-Compulsive Disorder and Suicidality in Adulthood? Child Psychiatry Hum Dev 2021; 52:945-956. [PMID: 33040218 DOI: 10.1007/s10578-020-01077-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/02/2020] [Indexed: 11/30/2022]
Abstract
This study aimed to (i) explore the association between perceptions of negative social relationships in childhood with significant others, including peers, guardians and teachers, symptoms of depression and OCD, and suicide behaviors, and (ii) examine whether depression and OCD severity meditated the association between these perceptions and suicide experiences. In total, 783 individuals from the community were invited to complete self-report measures. There were strong associations between perceptions of adverse social relationships in childhood, severity of depression and OCD, and suicide behaviors. Furthermore, depression and OCD partially mediated the association between perceptions of adverse social relationships, especially with peers, and suicide behaviors. These results provide strong evidence for the importance of developing clinical interventions that directly target negative experiences of social relationships in childhood, and for raising public and scientific awareness that everyday adverse social interactions with significant others can impact negatively on mental health including suicide behaviors.
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Affiliation(s)
- Ioannis Angelakis
- School of Psychology, University of South Wales, Pontypridd, CF37 1DL, Wales, UK.
| | - Patricia Gooding
- Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, UK.,Manchester Academic Health Science Centre, MAHSC, Manchester, UK
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O’Reilly LM, Pettersson E, Quinn PD, Klonsky ED, Baldwin JR, Lundström S, Larsson H, Lichtenstein P, D’Onofrio BM. A Co-Twin Control Study of the Association Between Bullying Victimization and Self-Harm and Suicide Attempt in Adolescence. J Adolesc Health 2021; 69:272-279. [PMID: 33478917 PMCID: PMC8286262 DOI: 10.1016/j.jadohealth.2020.11.018] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 09/28/2020] [Accepted: 11/22/2020] [Indexed: 02/06/2023]
Abstract
PURPOSE The aim of the study was to investigate the magnitude of an independent association between bullying victimization and self-harm and suicide attempt in adolescence after adjusting for unmeasured and measured confounding factors. METHODS Using the Child and Adolescent Twin Study in Sweden, we examined twins born between 1994 and 1999 (n = 13,852). Twins self-reported bullying victimization at age 15 years and self-harm and suicide attempt at age 18 years. We created a factor score of 13 bullying items, on which self-harm and suicide attempt items were regressed in three models: (1) among unrelated individuals; (2) among co-twins, in which a twin exposed to more bullying was compared with his/her co-twin who was exposed to less; and (3) among co-twins while adjusting for indicators of childhood psychopathology. RESULTS Among unrelated individuals, a one standard deviation increase in bullying victimization was associated with increased odds for self-harm (odds ratio [OR], 1.29 [95% confidence interval, 1.23-1.36]) and suicide attempt (OR, 1.68 [1.53-1.85]). Among co-twins, the odds attenuated for self-harm (OR, 1.19 [1.09-1.30]) and suicide attempt (OR, 1.39 [1.17-1.66]). Finally, when accounting for childhood psychopathology, there was a 14% (1.04-1.25) and 25% (1.03-1.52) relative increase in odds of self-harm and suicide attempt, respectively. CONCLUSIONS The results suggest that bullying victimization was uniquely associated with self-harm and suicide attempt over and above the confounding because of unmeasured and measured factors (i.e., familial vulnerability and pre-existing psychopathy). However, magnitudes were small, suggesting that additional interventions and screenings are needed to address suicidality apart from bullying interventions.
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Affiliation(s)
- Lauren M. O’Reilly
- Department of Psychological and Brain Sciences, Indiana University, Bloomington, 1101 E. 10 St., Bloomington, IN, USA 47405,Corresponding Author: 1101 E. 10 St., Bloomington, IN 47405, Phone: (812) 856-0843, Fax: (812) 856-4544,
| | - Erik Pettersson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77 Stockholm, SE
| | - Patrick D. Quinn
- Department of Applied Health Statistics, School of Public Health, Indiana University, Bloomington, 809 E. 9 St., Bloomington, IN, USA 47408
| | - E. David Klonsky
- Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, BC, Canada V6T 1Z4
| | - Jessie R. Baldwin
- Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, 26 Bedford Way, London, WC1H 0AP, UK,Social Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience King’s College London, London SE5 8AF, UK
| | - Sebastian Lundström
- Department of Psychiatry and Neurochemistry at Institute of Neuroscience and Physiology, University of Gothenburg, Su Sahlgrenska, 413 45 Göteborg, SE
| | - Henrik Larsson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77 Stockholm, SE,School of Medical Sciences, Örebro University, Campus USÖ S-701 82 Örebro, SE
| | - Paul Lichtenstein
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77 Stockholm, SE
| | - Brian M. D’Onofrio
- Department of Psychological and Brain Sciences, Indiana University, Bloomington, 1101 E. 10 St., Bloomington, IN, USA 47405,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77 Stockholm, SE
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Macalli M, Orri M, Tzourio C, Côté SM. Contributions of childhood peer victimization and/or maltreatment to young adult anxiety, depression, and suicidality: a cross-sectional study. BMC Psychiatry 2021; 21:354. [PMID: 34261482 PMCID: PMC8278608 DOI: 10.1186/s12888-021-03354-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 05/28/2021] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Childhood maltreatment and peer victimization are major risk factors for depression and suicidal behavior. Furthermore, childhood maltreatment increases the risk of peer victimization. Our objective was to distinguish between the contributions of parental maltreatment and peer victimization to the development of mental health problems in young adulthood. Specifically, we tested whether peer victimization alone or in combination with parental maltreatment before 18 years old was associated with anxiety, depression, and suicidal thoughts and behaviors at age 21 years. METHODS We analyzed data collected from questionnaires administered in the i-Share (Internet-based Students' Health ResearchEnterprise) study in France from February 2013 to September 2019 (N = 2271 participants). We performed multinomial and binary logistic regression analyses to assess the single and combined contributions of childhood peer victimization and parental maltreatment to anxiety, depression, and suicidality in adulthood. RESULTS Nearly one third of students (28.8%) reported at least one mental health problem; 29.8% reported peer victimization alone; 7.5% reported parental maltreatment alone; and 10.3% reported both parental maltreatment and victimization. In multivariate models, compared to participants that did not experience maltreatment or peer victimization, those that experienced peer victimization alone were more likely to report anxiety (adjusted odds ratio [aOR]: 1.90; 95% CI: 1.50-2.40), depression (aOR: 1.95; 95% CI: 1.46-2.60), or suicidal ideation, without (aOR: 1.62; 95% CI: 1.26-2.09) or with a suicide attempt (aOR: 2.70; 95% CI: 1.51-4.85). Similar associations were observed for participants that experienced maltreatment alone. Participants that experienced both maltreatment and peer victimization were at increased risk of depression (aOR: 2.63; 95% CI: 1.79-3.86) and suicidal ideation, with (aOR: 9.19; 95% CI: 4.98-16.92) and without a suicide attempt (aOR: 2.64; 95% CI: 1.86-3.76). CONCLUSIONS Separate and combined exposures to parental maltreatment and peer victimization in childhood or adolescence were associated with increased risks of anxiety, depression, and suicidal behaviors. Peer victimization appeared to play a specific role in mental health disorders that were not otherwise explained by polyvictimization. Currently, peer victimization is a frequent, but avoidable type of child abuse; therefore, these findings have implications for policies for preventing and dealing with peer victimization.
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Affiliation(s)
- Melissa Macalli
- University of Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR 1219, F-33000, Bordeaux, France.
| | - Massimiliano Orri
- grid.508062.9University of Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR 1219, F-33000 Bordeaux, France ,grid.14709.3b0000 0004 1936 8649McGill Group for Suicide Studies, Douglas Mental Health University Institute and Department of Psychiatry, McGill University, Montreal, QC Canada
| | - Christophe Tzourio
- University of Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR 1219, F-33000, Bordeaux, France. .,CHU de Bordeaux, F-33000, Bordeaux, France.
| | - Sylvana M. Côté
- grid.508062.9University of Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR 1219, F-33000 Bordeaux, France ,grid.14848.310000 0001 2292 3357School of Public Health, University of Montreal, Montreal, QC H3T 1J4 Canada
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Thorisdottir AS, Asmundson G. Internet-delivered cognitive processing therapy for individuals with a history of bullying victimization: a randomized controlled trial. Cogn Behav Ther 2021; 51:143-169. [PMID: 34184620 DOI: 10.1080/16506073.2021.1938663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The purpose of this randomized controlled trial was to test an internet-delivered version of cognitive processing therapy (CPT) for the psychological distress associated with bullying victimization. The sample comprised 52 adults (i.e. 69.20% women; mean age = 43.37 (SD = 12.47); 3.85% ethnic minority) who self-identified as having a lifetime history of bullying victimization. Participants were randomized into three groups, which received 12 sessions of internet-delivered, therapist-guided, and content-modified version of CPT, 12 sessions of internet-delivered and therapist-guided stress management (SM), or a waitlist. Treatment outcomes included maladaptive trauma appraisals, symptoms of posttraumatic stress disorder (PTSD), depression, general anxiety and stress, social anxiety, and anger. Hierarchical linear modeling was used to analyse the data. Findings indicated that CPT was effective in reducing the strength of maladaptive appraisals related to bullying victimization and symptoms of PTSD compared to the waitlist and SM. SM outperformed CPT and the waitlist in reducing symptoms of depression, general anxiety, and stress. In conclusion, the results of this trial suggest that internet-delivered CPT is effective for the psychological distress and maladaptive appraisals associated with bullying victimization but that adaptions might be needed to target more effectively symptoms of anxiety and depression.
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Hayati Rezvan P, Tomlinson M, Christodoulou J, Almirol E, Stewart J, Gordon S, Belin TR, Rotheram-Borus MJ. Intimate Partner Violence and Food Insecurity Predict Early Behavior Problems Among South African Children over 5-years Post-Birth. Child Psychiatry Hum Dev 2021; 52:409-419. [PMID: 32683574 PMCID: PMC8366756 DOI: 10.1007/s10578-020-01025-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Households experiencing intimate partner violence (IPV) and food insecurity are at high risk of lifelong physical and behavioral difficulties. Longitudinal data from a perinatal home-visiting cluster-randomized controlled intervention trial in South Africa townships were used to examine the relationships between household settings and mothers' histories of risk and children's behavior problems at 3 and 5 years of age. IPV, food insecurity, maternal depressed mood, and geriatric pregnancy (at age of 35 or older) were consistently associated with children's internalizing and externalizing behavior problems. Aggressive behavior was more prevalent among 3- and 5-year olds boys, and was associated with maternal alcohol use. The effects of these factors on child behavior were more prominent than maternal HIV status. There is a continuing need to reduce IPV and household food insecurity, as well as supporting older, depressed, alcohol using mothers in order to address children's behavioral needs.
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Affiliation(s)
- Panteha Hayati Rezvan
- Global Centre for Children and Families, Department of Psychiatry and Biobehavioral Sciences, Semel Institute, The University of California, 10920 Wilshire Blvd., Los Angeles, USA.
| | - Mark Tomlinson
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa
- School of Nursing and Midwifery, Queens University, Belfast, UK
| | - Joan Christodoulou
- Global Centre for Children and Families, Department of Psychiatry and Biobehavioral Sciences, Semel Institute, The University of California, 10920 Wilshire Blvd., Los Angeles, USA
| | - Ellen Almirol
- Global Centre for Children and Families, Department of Psychiatry and Biobehavioral Sciences, Semel Institute, The University of California, 10920 Wilshire Blvd., Los Angeles, USA
| | - Jacqueline Stewart
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa
| | - Sarah Gordon
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa
| | - Thomas R Belin
- Global Centre for Children and Families, Department of Psychiatry and Biobehavioral Sciences, Semel Institute, The University of California, 10920 Wilshire Blvd., Los Angeles, USA
- Department of Biostatistics, UCLA Fielding School of Public Health, Los Angeles, USA
| | - Mary Jane Rotheram-Borus
- Global Centre for Children and Families, Department of Psychiatry and Biobehavioral Sciences, Semel Institute, The University of California, 10920 Wilshire Blvd., Los Angeles, USA
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Riffle LN, Kelly KM, Demaray ML, Malecki CE, Santuzzi AM, Rodriguez-Harris DJ, Emmons JD. Associations among bullying role behaviors and academic performance over the course of an academic year for boys and girls. J Sch Psychol 2021; 86:49-63. [PMID: 34051917 DOI: 10.1016/j.jsp.2021.03.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Revised: 11/30/2020] [Accepted: 03/14/2021] [Indexed: 12/30/2022]
Abstract
Although some research has evidenced a negative association between involvement in bullying and academic performance, more work is needed to understand the associations between academic performance and involvement in a more comprehensive range of bully role behaviors. The goals of the current study were to determine (a) the associations among a broader range of bully role behaviors (i.e., bullying, assisting, victimization, defending, and outsider behavior) and academic performance (i.e., grade point average; GPA), and (b) gender differences within these associations. The current study investigated these issues over the course of an academic year with 7794 students in middle through high school. Bullying behaviors were assessed in the fall and GPA data were gathered from school records from the spring of the same academic year. The results identified significant negative associations between bullying (b = -0.07, p = .001), assisting (b = -0.16, p < .001), victimization (b = -0.06, p < .001), and defending (b = -0.04, p < .001) with student GPA, whereas no significant association emerged for outsider behavior and GPA (b = -0.02, p = .13). In addition, several gender differences were found in these associations, including a stronger negative association between assisting and GPA for girls (b = -0.23, p = .001) than for boys (b = -0.08, p = .014) and a significant negative association between victimization and GPA for girls (b = -0.09, p < .001), but not boys (b = -0.02, p = .117). Differences in results across schools were also examined in an exploratory manner. The educational impact associated with bullying behaviors, limitations of the current study, and suggestions for future research are discussed.
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Affiliation(s)
- Logan N Riffle
- Department of Psychology, Northern Illinois University, USA.
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Bolhuis K, Lång U, Gyllenberg D, Kääriälä A, Veijola J, Gissler M, Kelleher I. Hospital Presentation for Self-Harm in Youth as a Risk Marker for Later Psychotic and Bipolar Disorders: A Cohort Study of 59 476 Finns. Schizophr Bull 2021; 47:1685-1694. [PMID: 33991091 PMCID: PMC8530384 DOI: 10.1093/schbul/sbab061] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Expanding clinical strategies to identify high risk groups for psychotic and bipolar disorders is a research priority. Considering that individuals diagnosed with psychotic and bipolar disorder are at high risk of self-harm, we hypothesised the reverse order relationship would also be true (ie, self-harm would predict psychotic/bipolar disorder). Specifically, we hypothesised that hospital presentation for self-harm would be a marker of high risk for subsequent development of psychotic/bipolar disorder and sought to test this hypothesis in a large population sample. This prospective register-based study included everyone born in Finland in 1987, followed until age 28 years (N = 59 476). We identified all hospital records of self-harm presentations, as well as all ICD-10 healthcare registrations of first diagnoses of psychotic and bipolar disorders. Cox proportional hazards models were used to assess the relationship between self-harm and psychotic/bipolar disorders. Of all individuals who presented to hospital with self-harm (n = 481), 12.8% went on to receive a diagnosis of psychosis (hazard ratio [HR] = 6.03, 95% confidence interval [CI] 4.56-7.98) and 9.4% a diagnosis of bipolar disorder (HR = 7.85, 95% CI 5.73-10.76) by age 28 years. Younger age of first self-harm presentation was associated with higher risk-for individuals who presented before age 18 years, 29.1% developed a psychotic or bipolar disorder by age 28 years. Young people who present to hospital with self-harm are at high risk of future psychotic and bipolar disorders. They represent an important cohort for the prevention of serious mental illness.
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Affiliation(s)
- Koen Bolhuis
- Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland,Department of Child and Adolescent Psychiatry, Erasmus Medical Centre-Sophia Children’s Hospital, Rotterdam, The Netherlands
| | - Ulla Lång
- Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - David Gyllenberg
- Department of Child Psychiatry and INVEST Research Flagship Center, University of Turku and Turku University Hospital, Turku, Finland,Department of Adolescent Psychiatry, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland,Finnish Institute for Health and Welfare, Helsinki, Finland
| | - Antti Kääriälä
- Finnish Institute for Health and Welfare, Helsinki, Finland
| | - Juha Veijola
- Research Unit of Clinical Neuroscience, Department of Psychiatry, University of Oulu; Department of Psychiatry, Oulu University Hospital, Oulu, Finland,Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Mika Gissler
- Department of Child Psychiatry and INVEST Research Flagship Center, University of Turku and Turku University Hospital, Turku, Finland,Finnish Institute for Health and Welfare, Helsinki, Finland,Karolinska Institute, Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Stockholm, Sweden
| | - Ian Kelleher
- Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland,Lucena Clinic Child and Adolescent Mental Health Service, Rathgar, Dublin, Ireland,School of Medicine, University College Dublin, Dublin, Ireland,To whom correspondence should be addressed; School of Medicine, University College Dublin, Dublin, Ireland; e-mail:
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Chaplin AB, Jones PB, Khandaker GM. Sexual and physical abuse and depressive symptoms in the UK Biobank. BMC Psychiatry 2021; 21:248. [PMID: 34001033 PMCID: PMC8127207 DOI: 10.1186/s12888-021-03207-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Accepted: 04/07/2021] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND The association between sexual and physical abuse and subsequent depression is well-established, but the associations with specific depressive symptoms and sex differences remain relatively understudied. We investigated the associations of sexual and physical abuse with depressive symptoms in men and women in a large population cohort. METHODS Observational study based on 151,396 UK Biobank participants. Exposures included self-reported experiences of childhood physical abuse and sexual abuse. Mid-life outcomes included current depressive symptoms score, individual depressive symptoms, and lifetime depression. We used logistic regression to test associations of childhood sexual/physical abuse with depressive outcomes. RESULTS Recalled childhood sexual and physical abuse were both associated with current depressive symptoms score in adults. Results for individual symptoms-based analyses suggest that sexual and physical abuse are associated with all depressive symptoms, particularly suicidal behaviours. The associations between lifetime depression and sexual/physical abuse were not fully explained by current depressive symptoms score, indicating that these findings may not be fully attributable to recall bias. There was no indication of differential risk for specific depressive symptoms among men and women. CONCLUSIONS Sexual and physical abuse are robust risk factors for depression/depressive symptoms regardless of sex. Higher risk of suicidal behaviours associated with childhood sexual/physical abuse are of particular concern. Longitudinal research into sex-specific associations for individual depressive symptoms is required.
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Affiliation(s)
- Anna B. Chaplin
- grid.5335.00000000121885934Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - Peter B. Jones
- grid.5335.00000000121885934Department of Psychiatry, University of Cambridge, Cambridge, UK ,grid.450563.10000 0004 0412 9303Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK
| | - Golam M. Khandaker
- grid.5335.00000000121885934Department of Psychiatry, University of Cambridge, Cambridge, UK ,grid.450563.10000 0004 0412 9303Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK ,grid.5337.20000 0004 1936 7603MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK ,grid.5337.20000 0004 1936 7603Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK ,grid.439418.3Avon and Wiltshire Mental Health Partnership NHS Trust, Bristol, UK
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Lee JM, Hong JS, Resko SM, Gonzalez-Prendes AA, Voisin DR. Pathways from bullying victimization to suicidal thoughts among urban African American adolescents: Implications for nurse practitioners. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2021; 34:153-163. [PMID: 33904207 DOI: 10.1111/jcap.12321] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 02/16/2021] [Accepted: 02/21/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE Children and adolescents who are victimized by their peers are at an elevated risk of suicidal thoughts and behaviors. Bullying and suicide are major public health concerns; however, studies have not fully addressed the link between peer victimization and suicidal behavior among urban African American youth. The current study proposed and explored the pathways from peer victimization to suicidal thoughts via internalizing behaviors (i.e., low self-esteem, depression, and hopelessness). DESIGN AND METHODS The sample consisted of 638 African American adolescents (aged 12-22) from low-income communities in Chicago's Southside. A path model using the structural equation model was employed, controlling for biological sex, age, and government assistance. RESULTS The study found that victims of bullying are likely to develop low self-esteem and depression, and depression can contribute to feelings of hopelessness, thereby increasing suicidal risks. CONCLUSIONS Understanding the pathways from bullying victimization to suicidal thoughts is beneficial for nurse practitioners who assess and provide services and treatment to adolescents. PRACTICE IMPLICATIONS Because of limited resources in urban schools, anti-bullying programs need to be cost-effective.
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Affiliation(s)
- Jeoung Min Lee
- School of Social Work, Wichita State University, Wichita, Kansas, USA
| | - Jun Sung Hong
- School of Social Work, Wayne State University, Detroit, Michigan, USA
| | - Stella M Resko
- School of Social Work, Wayne State University, Detroit, Michigan, USA
| | | | - Dexter R Voisin
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
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Haegele JA, Aigner C, Healy S. Impact of weight and disability status on bullying victimisation and perpetration among youth. J Paediatr Child Health 2021; 57:383-387. [PMID: 33070408 DOI: 10.1111/jpc.15230] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 06/08/2020] [Accepted: 09/27/2020] [Indexed: 11/29/2022]
Abstract
AIM The purpose of this analysis was to examine the influence of weight and disability status on rates of bullying victimisation and perpetration among youth. METHODS Data from the 2016 National Survey of Children's Health, which included 2716 youth (aged 10-17) with and 23 195 without disabilities in the USA were utilised. Parent-reported measures of height and weight, bullying perpetration and victimisation, and demographic covariates analysed. Descriptive statistics, and multivariable logistic regressions with outcomes of bullying perpetration and victimisation, were generated. RESULTS In the multivariate analysis, overweight (adjusted odds ratio (aOR) = 1.26, 95% confidence interval (CI) 1.04-1.52), obesity (aOR = 2.25, 95% CI 1.83-2.77) and having a disability (aOR = 3.25, 95% CI 2.69-3.92) were related to greater odds of bully victimisation. Both obesity (aOR = 1.62, 95% CI 1.10-2.74) and disability (aOR = 2.74, 95% CI 2.00-3.75) were also related to greater odds of bully perpetration in the multivariate model; overweight status was not related to bully perpetration. CONCLUSIONS Weight status was identified as a characteristic that may increase the risk of bullying victimisation, above and beyond disability. This analysis helps identify that youth with disabilities who are overweight or obese have greater risk factors for bullying and are in need of interventions to ameliorate bullying.
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Affiliation(s)
- Justin A Haegele
- Department of Human Movement Sciences, Old Dominion University, Norfolk, Virginia, United States
| | - Carrie Aigner
- Department of Psychology, Humboldt State University, Arcata, California, United States
| | - Sean Healy
- Department of Behavioral Health & Nutrition, University of Delaware, Newark, Delaware, United States
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Azami MS, Taremian F. Victimization in traditional and cyberbullying as risk factors for substance use, self-harm and suicide attempts in high school students. Scand J Child Adolesc Psychiatr Psychol 2021; 8:101-109. [PMID: 33564626 PMCID: PMC7863724 DOI: 10.21307/sjcapp-2020-010] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Background: Traditional bullying (or peer bullying) is considered a common and unpleasant experience among students and has serious consequences such as mental health problems and unhealthy behavior. In recent years, another type of bullying named cyberbullying has emerged as a growing problem with negative effects on school achievement, physiology, and mental health of its victims. Objective: The purpose of this research is to examine and compare the roles of traditional and cyberbullying victimization in substance use, self-harm and suicide attempts. Methods: This was a cross-sectional study and conducted in 2019. A total of 425 high school students were selected for the study in Kermanshah, Iran. For conducting the survey, a multi-stage cluster randomized procedure was used and 18 classes in six different high schools in three urban areas were selected. A total of 400 students (mean age 16.61 years, 53.2% girls) responded to the survey, and it provided usable information for the research. Data were analyzed through binary logistic regression analyses. Results: The analysis results revealed that 54.2% of students (n = 217) have experienced traditional or cyber victimization. Any kind of victimization was associated with self-harm. Cyber victimization alone and the combination of cyber plus traditional victimization showed significant association with suicide and substance use. Risk of substance use, self-harm, and suicide was higher when students experienced both types of bullying than when they experienced just one kind of bullying alone. Conclusions: The results of this study suggest that traditional and cyber victims may require immediate intervention to reduce the negative effects of victimization. Also, prevention programs should consider the possible relationship between traditional and cyber victimization and substance use, self-harm, and suicide.
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Affiliation(s)
- Mohammad Saeed Azami
- Department of Clinical Psychology, University of Social Welfare and Rehabilitation Science, Tehran, Iran
| | - Farhad Taremian
- Department of Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Science, Tehran, Iran
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Rajan S, Arora P, Cheng B, Khoo, O, Verdeli H. Suicidality and Exposure to School-Based Violence Among a Nationally Representative Sample of Asian American and Pacific Islander Adolescents. SCHOOL PSYCHOLOGY REVIEW 2021. [DOI: 10.1080/2372966x.2020.1832864] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Flowers J, Marr D, McCleary D. Bullying Prevalence: An Online Survey of Adolescents. JOURNAL OF APPLIED SCHOOL PSYCHOLOGY 2020. [DOI: 10.1080/15377903.2020.1848957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Jaime Flowers
- School Psychology, Stephen F. Austin State University, Nacogdoches, Texas, USA
| | - Dallin Marr
- School Psychology, Stephen F. Austin State University, Nacogdoches, Texas, USA
| | - Daniel McCleary
- School Psychology, Stephen F. Austin State University, Nacogdoches, Texas, USA
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Validation of the Bullying Scale for Adults - Results of the PRONIA-study. J Psychiatr Res 2020; 129:88-97. [PMID: 32623026 DOI: 10.1016/j.jpsychires.2020.04.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2019] [Revised: 03/05/2020] [Accepted: 04/17/2020] [Indexed: 12/16/2022]
Abstract
BACKGROUND Bullying as a specific subtype of adverse life events is a major risk factor for poor mental health. Although many questionnaires on bullying are available, so far none covers bullying retrospectively throughout school and working life. To close this gap, the Bullying Scale for Adults (BSA) was designed. METHODS Based on data of 622 participants from five European countries collected in the prospective multicenter Personalized Prognostic Tools for Early Psychosis Management (PRONIA) study, we investigated whether the BSA is a reliable and valid measurement for bullying and whether there is a difference across different diagnostic groups of early mental disorders (recent onset depressive/ psychotic patients, patients at clinical high-risk of psychosis) and healthy controls. RESULTS Bullying experiences were significantly less frequent in healthy controls than in patient groups, with no significant differences between the three clinical groups. The BSA exhibited a high item scale discrimination (r > .3) and very good internal consistency (Cronbach's α = .93). Four factors were identified: 1. Sexual harassment, 2. Emotional Abuse, 3. Physical Abuse, 4. Problems at school. The highly significant correlation between bullying, and childhood adversities and trauma (r = .645, p < .001) indicated good concurrent validity. DISCUSSION The BSA is the first validated questionnaire that, in retrospective, reliably records various aspects of bullying (incl. its consequences) not only throughout childhood but also working life. It can be used to assess bullying as a transdiagnostic risk factor of mental disorders in different mental disorders, esp. psychosis and depression.
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Rajalin M, Hirvikoski T, Renberg ES, Åsberg M, Jokinen J. Exposure to Early Life Adversity and Interpersonal Functioning in Attempted Suicide. Front Psychiatry 2020; 11:552514. [PMID: 33093835 PMCID: PMC7527599 DOI: 10.3389/fpsyt.2020.552514] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Accepted: 08/31/2020] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Early life adversity (ELA) may lead to an increased risk for mental health problems including suicidal behavior. ELA alters biological stress systems that affect behavior and control within the individual that in turn will affect interpersonal behavior. Strained relations and interpersonal conflicts leading to rejection and isolation have been shown to be factors for suicidal behavior. Difficulties in interpersonal relationships are a common reason for seeking help in psychiatric care. In the present study, we examined relationship between different types of interpersonal problems and adverse childhood experiences in patients with a recent suicide attempt. METHOD The study included 181 recent suicide attempters. We assessed early life adversity and specific interpersonal problems by using the Karolinska Interpersonal Violence Scale and the Inventory of Interpersonal problems respectively. RESULTS Suicide attempters with high levels of early life adversity expressed a more socially avoidant, non-assertive, and exploitable personal style even after adjustment for comorbidities with personality disorder and substance use disorder. CONCLUSIONS Patients with a recent suicide attempt with high levels of early life adversity tend to isolate themselves, of being introvert, and having difficulties to open up and confide in others. They report low self-confidence and self-esteem and problems with feeling and expressing anger. These behaviors complicate interaction with others and make establishment of solid relationships more difficult. In regards to detection of suicidal communication and treatment of suicidal patients, this may lead to misinterpretations and difficulties to fully benefit from treatment given or for professionals to provide the appropriate treatment. Clinicians should closely investigate the presence of early life adversity in suicidal patients and pay attention to their personal style and their difficulties in interpersonal exchange.
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Affiliation(s)
- Mia Rajalin
- Department of Clinical Sciences, Umeå University, Umeå, Sweden
- Centre for Psychiatry Research, Stockholm, Stockholm County Council, Stockholm, Sweden
| | - Tatja Hirvikoski
- Paediatric Neuropsychiatry Unit, Center of Neurodevelopmental Disorders at Karolinska Institutet (KIND), Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden
- Habilitation & Health, Stockholm County Council, Stockholm, Sweden
| | | | - Marie Åsberg
- Department of Clinical Sciences, Danderyd Hospital (KI DS), Stockholm, Sweden
| | - Jussi Jokinen
- Department of Clinical Sciences, Umeå University, Umeå, Sweden
- Centre for Psychiatry Research, Stockholm, Stockholm County Council, Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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Brumariu LE, Owen MT, Dyer N, Lyons-Ruth K. Developmental Pathways to BPD-Related Features in Adolescence: Infancy to Age 15. J Pers Disord 2020; 34:104-129. [PMID: 32539619 DOI: 10.1521/pedi_2020_34_480] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
The self-damaging behaviors central to borderline personality disorder (BPD) become prominent in adolescence. Current developmental theories cite both early family processes and childhood dysregulation as contributors to BPD, but longitudinal data from infancy are rare. Using the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development database (SECCYD; N = 1,364), we examined path models to evaluate parent and child contributors from infancy/preschool, middle childhood, and adolescence to adolescent BPD-related features. In addition, person-centered latent class analyses (LCA) investigated whether adolescent BPD-related features were more strongly predicted by particular patterns of maladaptive parenting. Path modeling identified unique influences of maternal insensitivity and maternal depression on BPD-related features, first, through social-emotional dysregulation in middle childhood, and second, through continuity from infancy in maternal insensitivity and depression. LCA results indicated that early withdrawn parenting was particularly predictive of BPD-related features in adolescence. Results suggest multiple points of intervention to alter pathways toward adolescent borderline psychopathology.
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Affiliation(s)
- Laura E Brumariu
- Derner School of Psychology, Adelphi University, Garden City, New York
| | | | - Nazly Dyer
- Institutional Data Analytics, University of Houston-Downtown
| | - Karlen Lyons-Ruth
- Department of Psychiatry, Harvard Medical School at Cambridge Health Alliance, Cambridge, Massachusetts
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Husky MM, Delbasty E, Bitfoi A, Carta MG, Goelitz D, Koç C, Lesinskiene S, Mihova Z, Otten R, Kovess-Masfety V. Bullying involvement and self-reported mental health in elementary school children across Europe. CHILD ABUSE & NEGLECT 2020; 107:104601. [PMID: 32570185 DOI: 10.1016/j.chiabu.2020.104601] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 05/27/2020] [Accepted: 06/04/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Bullying behavior is recognized internationally as a serious issue associated with mental health and functioning problems among children. OBJECTIVE The present study sought to determine the associations between bullying involvement and self-reported mental health among elementary school children across seven European countries. PARTICIPANTS AND SETTING The School Children Mental Health in Europe study was conducted in Bulgaria, Germany, Italy, Lithuania, the Netherlands, Romania and Turkey in 2010 using similar methodology to collect cross-sectional data from children, parents, and teachers. METHODS The study focused on children who had completed the Dominic Interactive and whose mother and/or teacher had completed the Strengths and Difficulties Questionnaire (n = 5,183). RESULTS Overall 14.3 % of children were identified as bullies, 18.2 % as victims and, 19.0 % as both bullies and victims. Despite the low threshold for defining bullying status, children identified as being involved were highly likely to present with self-reported mental health problems: 31.6 % of bully-victims reported any disorder, while 25.4 % of bullies and 23.1 % of victims did. Adjusting for key factors, bullies and bully-victims were significantly more likely to present with any externalizing disorder, while victims were not. Additionally, bully-victim status was associated with significantly greater odds of presenting with each internalizing disorder: phobia (AOR = 1.48, 95 %CI = 1.01-2.19), GAD (AOR = 2.54, 95 %CI = 1.67-3.87), separation anxiety (AOR = 1.88, 95 %CI = 1.43-2.47) and depression (AOR = 2.52, 95 %CI = 1.61-3.93). However, victim status was only associated with GAD (AOR = 1.63, 95 %CI = 1.07-2.48) and bully status with separation anxiety (AOR = 1.44, 95 %CI = 1.07-1.93). CONCLUSIONS The results highlight the association of bullying involvement and child mental health in elementary school children across Europe.
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Affiliation(s)
- Mathilde M Husky
- Université de Bordeaux, Laboratoire de psychologie EA4139, 3 ter, place de la Victoire, 33076, Bordeaux, France.
| | - Emma Delbasty
- Université de Bordeaux, Faculté de Psychologie, Bordeaux, France.
| | - Adina Bitfoi
- The Romanian League for Mental Health, Bucharest, Romania.
| | - Mauro Giovanni Carta
- Centro di Psichiatria di Consulenza e Psicosomatica Azienda Ospedaliero Universitaria di Cagliari, Italy.
| | - Dietmar Goelitz
- Department of Humanities, Social Sciences and Theology, Friedrich-Alexander-Universität, Erlangen-Nuernberg, Germany.
| | - Ceren Koç
- Yeniden Health and Education Society, Istanbul, Turkey.
| | - Sigita Lesinskiene
- Vilnius University, Faculty of Medicine, Institute of Clinical Medicine, Clinic of Psychiatry, Vilnius, Lithuania.
| | | | - Roy Otten
- Behavioural Science Institute, Radboud University Nijmegen, Pluryn, Research & Development, Nijmegen, the Netherlands.
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Wang Q. Association of Childhood Intrafamilial Aggression and Childhood Peer Bullying With Adult Depressive Symptoms in China. JAMA Netw Open 2020; 3:e2012557. [PMID: 32749469 PMCID: PMC7403920 DOI: 10.1001/jamanetworkopen.2020.12557] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
IMPORTANCE Childhood intrafamilial aggression, a series of aggressive behaviors inflicted by family members, and adulthood mental health are associated with childhood peer bullying (eg, in the neighborhood or in school). However, few studies have been able to identify the contribution of childhood peer bullying to the association between childhood intrafamilial aggression and adult depression. OBJECTIVE To examine the mediating role of childhood peer bullying in the association between childhood intrafamilial aggression and depression in adulthood. DESIGN, SETTING, AND PARTICIPANTS This population-based cross-sectional study used data from the China Health and Retirement Longitudinal Study (CHARLS). Middle-aged and older adults (≥45 years) participated in a CHARLS wave from July 1 to September 30, 2015, and the CHARLS life history survey from June 1 to December 31, 2014, with complete data. A 4-step mediation model with logistic regression was run to test the mediating role of peer bullying. Data analysis was performed from October 1 to 30, 2019. EXPOSURES Childhood intrafamilial aggression, including parental physical maltreatment and sibling aggression, and peer bullying. MAIN OUTCOMES AND MEASURES Depressive symptoms measured by a categorical variable derived from the Center for Epidemiologic Studies Depression Scale, based on a cutoff score of 12. RESULTS Among the 15 450 respondents (mean [SD] age, 59.5 [9.9] years; 7987 women [51.7%]), 4422 (28.6%) were exposed to parental physical maltreatment; 986 (6.4%), to sibling aggression; and 2504 (16.2%), to peer bullying in childhood. Respondents experiencing intrafamilial aggression were more likely to be bullied by peers (parental physical maltreatment odds ratio [OR], 2.53 [95% CI, 2.25-2.83]; sibling aggression OR, 3.05 [95% CI, 2.46-3.78]). Children with these adverse experiences were at a higher risk of adult depression symptoms (parental physical maltreatment OR, 1.28 [95% CI, 1.15-1.42]; sibling aggression OR, 1.40 [95% CI, 1.13-1.74]; peer bullying OR, 1.78 [95% CI, 1.56-2.01]). Peer bullying mediated 30% (95% CI, 19%-42%) of the association between childhood parental maltreatment and adult depression and 35% (95% CI, 15%-54%) of the association between sibling aggression and depression symptoms in adulthood. CONCLUSIONS AND RELEVANCE This study found that being bullied by peers was a mediator of the association between childhood intrafamilial aggression and depression in adulthood. The findings have important implications to mitigate the effect of early-life stress and promote life-course mental health through dealing with childhood intrafamilial aggression and peer bullying experiences coordinately.
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Affiliation(s)
- Qing Wang
- School of Public Health, Cheeloo Collage of Medicine, Shandong University, Jinan, China
- Institute for Medical Dataology, Cheeloo Collage of Medicine, Shandong University, Jinan, China
- Pudong Institute for Health Development, Shanghai, China
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Vargas-Medrano J, Diaz-Pacheco V, Castaneda C, Miranda-Arango M, Longhurst MO, Martin SL, Ghumman U, Mangadu T, Chheda S, Thompson PM, Gadad BS. Psychological and neurobiological aspects of suicide in adolescents: Current outlooks. Brain Behav Immun Health 2020; 7:100124. [PMID: 32835300 PMCID: PMC7405877 DOI: 10.1016/j.bbih.2020.100124] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 07/30/2020] [Accepted: 07/31/2020] [Indexed: 01/10/2023] Open
Abstract
Suicidality is one of the leading causes of death among young adults in the United States and represents a significant health problem worldwide. The suicide rate among adolescents in the United States has increased dramatically in the latest years and has been accompanied by considerable changes in youth suicide, especially among young girls. Henceforth, we need a good understanding of the risk factors contributing to suicidal behavior in youth. An explanatory model for suicidal behavior that links clinical and psychological risk factors to the underlying neurobiological, neuropsychological abnormalities related to suicidal behavior might predict to help identify treatment options and have empirical value. Our explanatory model proposes that developmental, biological factors (genetics, proteomics, epigenetics, immunological) and psychological or clinical (childhood adversities) may have causal relevance to the changes associated with suicidal behavior. In this way, our model integrates findings from several perspectives in suicidality and attempts to explain the relationship between various neurobiological, genetic, and clinical observations in suicide research, offering a comprehensive hypothesis to facilitate understanding of this complex outcome. Unraveling the knowledge of the complex interplay of psychological, biological, sociobiological, and clinical risk factors is highly essential, concerning the development of effective prevention strategy plans for suicidal ideation and suicide.
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Affiliation(s)
- Javier Vargas-Medrano
- Department of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, 79905, USA
- Southwest Brain Bank, Texas Tech University Health Science Center, El Paso, TX, 79905, University of Texas, El Paso, USA
| | - Valeria Diaz-Pacheco
- Department of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, 79905, USA
- Southwest Brain Bank, Texas Tech University Health Science Center, El Paso, TX, 79905, University of Texas, El Paso, USA
| | - Christopher Castaneda
- Department of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, 79905, USA
| | - Manuel Miranda-Arango
- Department of Biological Sciences, Border Biomedical Research Center, The University of Texas at El Paso, TX, 79968, USA
| | - Melanie O Longhurst
- Department of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, 79905, USA
| | - Sarah L. Martin
- Department of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, 79905, USA
| | - Usman Ghumman
- Department of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, 79905, USA
| | - Thenral Mangadu
- Minority AIDS Research Center, Department of Health Sciences, The University of Texas at El Paso, TX, 79968, USA
| | - Sadhana Chheda
- Department of Pediatrics, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, 79905, USA
| | - Peter M. Thompson
- Department of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, 79905, USA
- Southwest Brain Bank, Texas Tech University Health Science Center, El Paso, TX, 79905, University of Texas, El Paso, USA
| | - Bharathi S. Gadad
- Department of Psychiatry, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX, 79905, USA
- Southwest Brain Bank, Texas Tech University Health Science Center, El Paso, TX, 79905, University of Texas, El Paso, USA
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