Association of school bullying and psychological resilience with suicide attempts in children and adolescents with major depressive disorder
10.3969/j.issn.1000-6729.2025.05.06
- VernacularTitle:儿童青少年抑郁症患者自杀未遂与校园欺凌及心理韧性的关系
- Author:
Kewen YAN
1
;
Caiying ZHANG
;
Ziyang HUANG
;
Li XU
;
Rushuang ZENG
;
Die ZHANG
;
Chengxia TANG
;
Tong LI
;
Yiling XIE
;
Yaru CAO
;
Linling JIANG
;
Runxu YANG
;
Yusan CHE
;
Jin LU
;
Yuanyuan XIAO
Author Information
1. 昆明医科大学第一附属医院精神科,昆明 650032;云南省精神障碍临床研究中心,昆明 650032;云南省精神卫生研究所,昆明 650032;云南省精神疾病临床医学中心,昆明 650032
- Publication Type:Journal Article
- Keywords:
child;
adolescent;
major depressive disorder;
suicide attempts;
school bullying;
psychological re-silience
- From:
Chinese Mental Health Journal
2025;39(5):416-422
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between suicide attempts,school bullying,and psychological resilience in children and adolescents with major depressive disorder(MDD)and school bullying and psychological resilience.Methods:A total of 784 patients with MDD aged 10 to 18 years were included.The Chinese version of the Olweus Bullying Victimization Questionnaire,Adolescent Psychological Resilience Scale,and a suicide attempt assessment were utilized to evaluate school bullying,psychological resilience,and suicide attempt.Stepwise logistic regression was applied to identify the associated factors of suicide attempts.Results:The occurrence of suicide at-tempts in children and adolescents with MDD was positively associated with physical bullying(OR=1.85,95％CI:1.14-3.02)and indirect bullying(OR=1.48,95％CI:1.06-2.04),and negatively associated with higher levels of goal focus(OR=0.62,95％CI:0.45-0.85)and positive cognition(OR=0.62,95％CI:0.45-0.85)at higher levels.Conclusion:Bullying significantly increases the risk of suicide attempts in children and adolescents with MDD,while higher psychological resilience could mitigate this risk.
