江西中学生校园欺凌与自杀相关行为的关联分析

探索中学生校园欺凌和自杀相关行为的关系,为中学生校园伤害的防控提供依据.方法 方便抽取南昌市和抚州市3所中学共7 129名中学生作为被试,使用Olweus欺负问卷、青少年健康危险行为问卷中自杀相关条目进行问卷调查.结果 中学生校园欺凌行为报告率为21.5%,其中仅被欺凌者为13.7%,仅欺凌者为2.7%,欺凌—被欺凌者为5.1%,均为男生高于女生(P值均<0.01).中学生自杀意念、自杀计划和自杀未遂3种自杀相关行为的报告率分别为23.9%,10.6%和3.0%.控制相关混杂因素后,校园被欺凌、欺凌、欺凌—被欺凌均增加中学生自杀意念、自杀计划、自杀未遂的发生风险(OR值为2.21~3.20,P值均<0.01).结论 中学生校园欺凌是自杀相关行为的重要影响因素,减少校园欺凌可能对自杀相关行为的防控具有重要意义.

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.