Pathways linking bullying victimisation and suicidal behaviours among adolescents

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Hasan, MM
Fatima, Y
Pandey, S
Tariqujjaman, M
Cleary, A
Baxter, J
Mamun, AA
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2021
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Abstract

Aims: To examine the pathways explaining the association between bullying victimisation and suicidal behaviours among school-based adolescents. Methods: We used data from the Global School-based Student Health Survey from 90 countries conducted between 2003 and 2017. We applied multivariate regression and generalised structural equation models to examine the pathways. Results: Of 280,076 study adolescents, 32.4% experienced bullying and 12.1%, 11.1% and 10.9% reported suicidal ideation, suicidal planning and suicidal attempt, respectively. Adolescents who experienced bullying had higher rates of hunger (8.7% vs 5.0%), drinking soft drinks (44.0% vs 40.2%), truancy (35.8% vs 22.7%), smoking (14.0% vs 6.9%), alcohol consumption (19.9% vs 11.8%), peer victimisation (54.0% vs 25.6%), peer conflict (47.4% vs 20.1%), sleep disturbance (13.7% vs 5.6%), loneliness (18.1% vs 7.6%), no close friends (7.5% vs 5.2%), lack of peer support (64.9% vs 53.3%), lack of parental connectedness (67.0% vs 60.4%) and less parental bonding (64.1% vs 55.2%). Nearly one-fourth (18.7%) of the total association between bullying and suicidal ideation was mediated by loneliness. Similarly, sleep disturbances and alcohol consumption also mediated 4 to 9% of the association between bullying and suicidal behaviours. Conclusion: This study suggests targeted policies and early implementation of interventional strategies focusing on addressing loneliness, sleep disturbance and alcohol consumption to reduce the risk of adverse suicidal behaviours among adolescents.

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Psychiatry Research

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302

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Biomedical and clinical sciences

Psychology

Bullying, Suicidal behaviours, Loneliness, Sleep disturbance, Pathways Abbreviations AOR: Adjusted Odds ratio

CDC: United States Centre for Disease Control and Prevention

GEE: Generalised estimating equation

GSHS: Global School-based Student Health Survey

LMIC-HICs: Low to middle-income and high-income countries

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Hasan, MM; Fatima, Y; Pandey, S; Tariqujjaman, M; Cleary, A; Baxter, J; Mamun, AA, Pathways linking bullying victimisation and suicidal behaviours among adolescents, Psychiatry Research, 2021, 302, pp. 113992

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