江西中学生校园欺凌与自杀相关行为的关联分析

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

目的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。

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 mid- dle 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 sui- cide ideation, suicide plan and suicide attempts were 23.9%, 10.6% and 3.0%, respectively. After controlling for confounding fac- tors, 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.