Relationship between bullying and suicide-related behaviors among middle school students

Objective To explore the relationship between bullying and suicide-related behaviors among middle school students,and to provide evidence for prevention of campus injuries.Methods A total of 7 129 middle school students from 3 middle schools in Nanchang,Fuzhou,finished Olweus bully/victim questionnaire and the survey on adolescents' health-risk behavior in three middle schools in Jiangxi Province.Results The reported rate of school bullying was 21.5%,among which 13.7% were victims,2.7% were bullies,and 2.7% were both,and the rate of girls was higher than that of boys (P<0.01).Prevalence rates of suicide ideation,suicide plan and suicide attempts were 23.9%,10.6% and 3.0%,respectively.After controlling for confounding factors,victimization,perpetrator,or both could add risks of suicidal ideation,suicide plans,and attempted suicide among students (OR =2.21-3.20,P<0.01).Conclusion School bullying is an important influencing factor of suicide-related behaviors.Reducing campus bullying may be important for the prevention and control of suicide-related behaviors.