Volume 43 Issue 10
Oct.  2022
Turn off MathJax
Article Contents
CHEN Shanshan, HE Yang, YUAN Mengyuan, LI Yonghan, CHANG Junjie, WANG Gengfu, SU Puyu. Mediating role of depression symptom in the association among peer bullying and suicidal ideation in junior high school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(10): 1456-1461. doi: 10.16835/j.cnki.1000-9817.2022.10.004
Citation: CHEN Shanshan, HE Yang, YUAN Mengyuan, LI Yonghan, CHANG Junjie, WANG Gengfu, SU Puyu. Mediating role of depression symptom in the association among peer bullying and suicidal ideation in junior high school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(10): 1456-1461. doi: 10.16835/j.cnki.1000-9817.2022.10.004

Mediating role of depression symptom in the association among peer bullying and suicidal ideation in junior high school students

doi: 10.16835/j.cnki.1000-9817.2022.10.004
  • Received Date: 2022-03-30
  • Rev Recd Date: 2022-06-01
  • Available Online: 2022-10-28
  • Publish Date: 2022-10-25
  •   Objective  To explore the mediating effect of depressive symptom on the relationship between peer bullying patterns and suicidal ideation, and to provide suggestions for school bullying and suicide prevention for adolescents.  Methods  A follow-up cohort was established in a junior middle school in Suixi County, Anhui Province in September 2019 (T1). The first follow-up was conducted in September 2020 (T2). A total of 1 687 junior high school students participated in this study. Self-designed peer bullying questionnaire, center for Epidemiological Studies Depression Scale for children, and questions regarding suicide-related behaviors were administered.  Results  Prevalence of suicidal ideation, victimization and bullying were 28.3%, 27.0% and 24.4%, respectively. The latent class analysis(LCA) identified three heterogeneous peer bullying classes: low aggressive-victims(71.4%), high aggressive-victims(3.3%), high verbal and relational aggressive-victims(25.3%). The low aggressive-victims class was used as the reference group, T1 depressive symptom mediated the association between high aggressive-victims(mediating effect=0.43, P < 0.05), high verbal and relational aggressive-victims class (mediating effect=0.29, P < 0.05) and T2 suicidal ideation.  Conclusion  Depressive symptom plays a mediating role in the relationship between peer bullying and suicidal ideation. In order to prevent peer bullying and suicide-related psychological behaviors of adolescents, educators should pay attention to adolescents' mental health when formulating corresponding measures.
  • loading
  • [1]
    World Health Organization. Suicide in the world: global health estimates[M]. Geneva: World Health Organization, 2019.
    [2]
    PATTON G C, COFFEY C, SAWYER S M, et al. Global patterns of mortality in young people: a systematic analysis of population health data[J]. Lancet, 2009, 374(9693): 881-892. doi: 10.1016/S0140-6736(09)60741-8
    [3]
    陶芳标, 武丽杰, 马军, 等. 儿童少年卫生学[M]. 8版. 北京: 人民卫生出版社, 2017.

    TAO F B. Child and adolescent health[M]. 8th. Beijing: People's Medical Publishing Press, 2017. (in Chinese)
    [4]
    NOCK M K, BORGES G, BROMET E J, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts[J]. Br J Psychiatry, 2008, 192(2): 98-105. doi: 10.1192/bjp.bp.107.040113
    [5]
    朱琦, 夏庆华, 喻彦, 等. 上海市长宁区初中生自杀意念流行现状及影响因素分析[J]. 中国学校卫生, 2017, 38(11): 1637-1640. doi: 10.16835/j.cnki.1000-9817.2017.11.011

    ZHU Q, XIA Q H, YU Y, et al. Analysis on prevalence of suicide ideation and its related factors among junior school students[J]. Chin J Sch Health, 2017, 38(11): 1637-1640. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2017.11.011
    [6]
    申俊贤, 王煜. 2009—2018年中国大陆中学生自杀意念者自杀尝试发生率的Meta分析[J]. 现代预防医学, 2020, 47(12): 2206-2210. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202012029.htm

    SHEN J X, WANG Y. Suicide attempts in Chinese mainland middle school students with suicidal ideation: a Meta-analysis between 2009 and 2018[J]. Mod Prev Med, 2020, 47(12): 2206-2210. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202012029.htm
    [7]
    SOHN M, OH H, LEE S K, et al. Suicidal ideation and related factors among Korean high school students: a focus on cyber addiction and school bullying[J]. J Sch Nurs, 2018, 34(4): 310-318. doi: 10.1177/1059840517734290
    [8]
    BENATOV J, BRUNSTEIN K A, CHEN-GAL S. Bullying perpetration and victimization associations to suicide behavior: a longitudinal study[J]. Eur Child Adolesc Psychiatry, 2021. DOI: 10.1007/s00787-021-01776-9.
    [9]
    BRUNSTEIN K A, BARZILAY S, APTER A, et al. Bi-directional longitudinal associations between different types of bullying victimization, suicide ideation/attempts, and depression among a large sample of European adolescents[J]. J Child Psychol Psychiatry, 2019, 60(2): 209-215. doi: 10.1111/jcpp.12951
    [10]
    陈秀珍, 贾珍荣, 杨晓娟. 生活事件、自尊和抑郁对大学生自杀意念的影响[J]. 中国健康心理学杂志, 2020, 28(10): 1557-1561. doi: 10.13342/j.cnki.cjhp.2020.10.027

    CHEN X Z, JIA Z R, YANG X J. Effects of life events, self-esteem and depression on suicidal ideation of college students[J]. Chin J Health Psychol, 2020, 28(10): 1557-1561. (in Chinese) doi: 10.13342/j.cnki.cjhp.2020.10.027
    [11]
    于士伟, 武春雷, 王博, 等. 中小学生网络受欺凌与自杀意念: 有调节的中介模型[J]. 中华疾病控制杂志, 2021, 25(2): 227-230. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202102021.htm

    YU S W, WU C L, WANG B, et al. Cyberbullying and suicidal ideas among primary and middle school students: a moderated mediation model[J]. Chin J Dis Control Prev, 2021, 25(2): 227-230. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202102021.htm
    [12]
    WANG G F, JIANG L, WANG L H, et al. Examining childhood maltreatment and school bullying among adolescents: a cross-sectional study from Anhui Province in China[J]. J Interpers Viol, 2019, 34(5): 980-999. doi: 10.1177/0886260516647000
    [13]
    SOLBERG M E, OLWEUS D. Prevalence estimation of school bullying with the Olweus Bully/Victim Questionnaire[J]. Aggress Behav, 2003, 29(3): 239-268. doi: 10.1002/ab.10047
    [14]
    MUTISO V N, MUSYMI C W, KROLINSKI P, et al. Relationship between bullying, substance use, psychiatric disorders, and social problems in asample of Kenyan secondary schools[J]. Prev Sci, 2019, 20(4): 544-554. doi: 10.1007/s11121-019-01014-4
    [15]
    THOMA H J, CONNOR J P, LAWRENCE D M, et al. Prevalence and correlates of bullying victimisation and perpetration in a nationally representative sample of Australian youth[J]. Aust N Z J Psychiatry, 2017, 51(9): 909-920. doi: 10.1177/0004867417707819
    [16]
    BABARRO I, ANDIARENA A, FANO E, et al. Risk and protective factors for bullying at 11 years of age in a Spanish Birth Cohort Study[J]. Int J Environ Res Public Health, 2020, 17(12): 4428. doi: 10.3390/ijerph17124428
    [17]
    CYNTHIA M H, CAROLYN S L, ERICA K A, et al. A psychometric comparison of two self-report measures of bullying and victimization: differences by sex and grade[J]. Sch Ment Health, 2011, 3(1): 44-57. doi: 10.1007/s12310-010-9046-1
    [18]
    KALTIALA H R, FROJD S. Correlation between bullying and clinical depression in adolescent patients[J]. Adolesc Health Med Ther, 2011, 2: 37-44.
    [19]
    FENDRICH M, WEISSMAN M M, WARNER V. Screening for depressive disorder in children and adolescents: validating the Center for Epidemiologic Studies Depression Scale for Children[J]. Am J Epidemiol, 1990, 131(3): 538-551. doi: 10.1093/oxfordjournals.aje.a115529
    [20]
    WANG G F, HAN A Z, ZHANG G B, et al. Sensitive periods for the effect of bullying victimization on suicidal behaviors among university students in China: the roles of timing and chronicity[J]. J Affect Disord, 2020, 268: 12-19. doi: 10.1016/j.jad.2020.02.049
    [21]
    BLUM R W, LI M, NARANJO-RIVERA G. Measuring adverse child experiences among young adolescents globally: relationships with depressive symptoms and violence perpetration[J]. J Adolesc Health, 2019, 65(1): 86-93. doi: 10.1016/j.jadohealth.2019.01.020
    [22]
    MAGIDSON J, VERMUNT J K. Latent class models[M]//KAPLAN D. The Sage Handbook of Quantitative Methodology for the Social Sciences. Thousand Oaks: Sage Publications, 2004: 175-198.
    [23]
    MASYN K. Latent class analysis and finite mixture modeling[M]//LITTLE T. The Oxford handbook of quantitative methods: Vol. 2. statistical analysis. New York: Oxford University Press, 2013: 551-611.
    [24]
    MUTHEN L K, MUTNEN B. Mplus user's guide: statistical analysis with latent variables[M]. Los Angeles, CA: Muten & Muthn, 2017.
    [25]
    PENG Z, KLOMEK A B, LI L, et al. Associations between Chinese adolescents subjected to traditional and cyber bullying and suicidal ideation, self-harm and suicide attempts[J]. BMC Psychiatry, 2019, 19(1): 324. doi: 10.1186/s12888-019-2319-9
    [26]
    RIFFLE L N, KELLY K M, DEMARAY M L, et al. Associations among bullying role behaviors and academic performance over the course of an academic year for boys and girls[J]. J Sch Psychol, 2021, 86: 49-63. doi: 10.1016/j.jsp.2021.03.002
    [27]
    KOLAKOWSKY-HAYNER S A, GOLDIN Y, KINGSLEY K, et al. Psychosocial impacts of the COVID-19 quarantine: a study of gender differences in 59 countries[J]. Medicina (Kaunas), 2021, 57(8): 789. doi: 10.3390/medicina57080789
    [28]
    MILTON A, DAVENPORT A, IORFINO F, et al. Suicidal thoughts and behaviors and their associations with transitional life events in men and women: findings from an international web-based sample[J]. JMIR Ment Health, 2020, 7(9): e18383. doi: 10.2196/18383
    [29]
    BETTENCOURT A F, FARRELL A D. Individual and contextual factors associated with patterns of aggression and peer victimization during middle school[J]. J Youth Adolesc, 2013, 42(2): 285-302. doi: 10.1007/s10964-012-9854-8
    [30]
    WANG G F, JIANG L, WANG L H, et al. Examining childhood maltreatment and school bullying among adolescents: a cross-sectional study from Anhui Province in China[J]. J Interp Viol, 2016, 34(5): 980-999.
    [31]
    KOYANAGI A, OH H, CARVALHO A F, et al. Bullying victimization and suicide attempt among adolescents aged 12-15 years from 48 countries[J]. J Am Acad Child Adolesc Psychiatry, 2019, 58(9): 907-918. doi: 10.1016/j.jaac.2018.10.018
    [32]
    ZHANG S, GONG M, LI W, et al. Patterns of bullying victimization and associations with mental health problems in Chinese adolescents: a Latent Class Analysis[J]. Int J Environ Res Public Health, 2020, 17(3): 779. doi: 10.3390/ijerph17030779
    [33]
    RYOO J H, WANG C, SWEAR S M, et al. Longitudinal model building using latent transition analysis: an example using school bullying data[J]. Front Psychol, 2018, 9: 675. doi: 10.3389/fpsyg.2018.00675
    [34]
    金凤, 刁华, 蒲杨, 等. 重庆市中学生传统欺凌、网络欺凌与自杀相关心理行为关系[J]. 中国公共卫生, 2022, 38(1): 39-46. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202201008.htm

    JIN F, DIAO H, PU Y, et al. Association of traditional bullying and cyberbullying victimization with suicide related psychological behaviors in high school students in Chongqing municipality[J]. Chin J Public Health, 2022, 38(1): 39-46. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202201008.htm
    [35]
    SWEARER S M, HYMEL S. Understanding the psychology of bullying: moving toward a social-ecological diathesis-stress model[J]. Am Psychol, 2015, 70(4): 344-353. doi: 10.1037/a0038929
    [36]
    陈珊珊, 何阳, 张志华, 等. 肠道菌群对抑郁症的影响及其可能机制的研究进展[J]. 医学研究生学报, 2020, 33(10): 1093-1097. https://www.cnki.com.cn/Article/CJFDTOTAL-JLYB202010017.htm

    CHEN S S, HE Y, ZHANG Z H, et al. Advances in the effect of intestinal flora on depression and its possible mechanism[J]. J Med Postgrad, 2020, 33(10): 1093-1097. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JLYB202010017.htm
    [37]
    GESLAMU L, HA K. Attitudes towards suicide and risk factors for suicide attempts among university students in South Korea[J]. J Affect Disord, 2020, 272: 166-169. doi: 10.1016/j.jad.2020.03.135
    [38]
    RIBEIRO J D, HUANG X, FOX K R, et al. Depression and hopelessness as risk factors for suicide ideation, attempts and death: Meta-analysis of longitudinal studies[J]. Br J Psychiatry, 2018, 212(5): 279-286. doi: 10.1192/bjp.2018.27
    [39]
    DONG M, WANG S B, LI Y, et al. Prevalence of suicidal behaviors in patients with major depressive disorder in China: a comprehensive Meta-analysis[J]. J Affect Disord, 2018, 225: 32-39. doi: 10.1016/j.jad.2017.07.043
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(2)

    Article Metrics

    Article views (518) PDF downloads(115) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return