Bullying and other risk factors related to adolescent suicidal behaviours in the Philippines: a look into the 2011 GSHS Survey

Chiu, Hsuan-Chao; Vargo, Elisabeth Julie

doi:10.1186/s12888-022-04085-w

Cited by 7 publications

(15 citation statements)

References 79 publications

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“…It is extremely helpful to identify suicide risk factors in order to direct preventive and treatment strategies. Currently, a number of variables haven been shown to be relevant to suicide ideations or attempts, such as sex ( 5 ), family integrity ( 5 ), feeling meaningless ( 5 ), depression ( 5 ), self-esteem ( 5 ), hopelessness ( 5 ), stressful life events ( 5 ), social support, high physical and mental exhaustion, prior suicide attempt, sleep disturbances, loneliness ( 7 ), alcohol consumption ( 7 ), and mental health difficulties ( 8 ). More recently, a study elucidated that age, sex, residence, socioeconomical standard, and occupation were significantly associated with self-poisoning suicide ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

Identification of risk factors for attempted suicide by self-poisoning and a nomogram to predict self-poisoning suicide

Zheng

Fan

et al. 2023

Front. Public Health

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PurposeSuicide is a global concern, especially among young people. Suicide prediction models have the potential to make it easier to identify patients who are at a high risk of suicide, but they have very little predictive power when there is a positive value for suicide mortality. Therefore, the aim of the study is to uncover potential risk factors associated with suicide by self-poisoning and further to provide a trustworthy nomogram to predict self-poisoning suicide among poisoned patients.MethodsThis study prospectively enrolled 237 patients who were treated for poisoning at the Fifth Medical Center of PLA General Hospital (Beijing) between May 2021 and May 2022. Patient's basic characteristics, daily activities, mental health status, and history of psychological illnesses were gathered to examine their predictive power for self-poisoning suicide. On developing a prediction model, patients were split 8:2 into a training (n = 196) group and a validation (n = 41) group at random via computer. The training group worked on model development, while the validation group worked on model validation. In this study, the Hosmer and Lemeshow test, accuracy, and area under the curve were the primary evaluation criteria. Shapley Additive exPlanations (SHAP) was determined to evaluate feature importance. To make the prediction model easy for researchers to utilize, it was presented in nomogram format. Two risk groups of patients were identified based on the ideal cut-off value.ResultsOf all poisoned patients, 64.6% committed suicide by self-poisoning. With regard to self-poisoning attempted suicide, multivariate analysis demonstrated that female gender, smoking, generalized anxiety disorder-7 (GAD-7), and beck hopelessness scale-20 (BHS-20) were significant risk factors, whereas married status, relatively higher education level, a sedentary time of 1–3 h per day, higher sport frequency per week, higher monthly income were significant protective features. The nomogram contained each of the aforementioned nine features. In the training group, the area under curve (AUC) of the nomogram was up to 0.938 (0.904–0.972), whereas in the validation group, it reached a maximum of 0.974 (0.937–1.000). Corresponding accuracy rates were up to 0.883 and 0.927, respectively, and the P-values for the Hosmer and Lemeshow test were 0.178 and 0.346, respectively. SHAP demonstrated that the top three most important features were BHS-20, GAD-7, and marital status. Based on the best cut-off value of the nomogram (40%), patients in the high-risk group had a nearly six-time larger likelihood of committing suicide by self-poisoning than patients in the low-risk group (88.68 vs. 15.38%, P < 0.001). The dynamic nomogram was made available at the following address: https://xiaobo.shinyapps.io/Nomogramselfpoisoningsuicide/.ConclusionsThis study proposes a prediction model to stratify patients at a high risk of suicide by self-poisoning and to guide individual preventive strategies. Patients in the high-risk group require further mental health counseling to alleviate anxiety and hopelessness, healthy lifestyle like quitting smoking and exercising more, and restriction of access to poison and psychiatric drugs.

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Section: Introductionmentioning

confidence: 99%

Identification of risk factors for attempted suicide by self-poisoning and a nomogram to predict self-poisoning suicide

Zheng

Fan

et al. 2023

Front. Public Health

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“…This further indicates that social connectedness can regulate the relationship between risk factors and behaviors (Taliaferro et al, 2019). Perceived social support, including positive parental and peer support, can alleviate the internal pain that victims of bullying experience (Chiu and Vargo, 2022). Therefore, strengthening social connections and seeking external help are of great practical signi cance in preventing adolescent NSSI behavior (Estrada et al, 2019).…”

Section: Moderating Role Of Social Connectednessmentioning

confidence: 98%

“…For adolescents, bullying and being bullied are negative interpersonal events (Scholte et al, 2013), and may lead to NSSI without intervention or adjustment, thereby affecting their interpersonal communication and emotions (Burke et al, 2015;Huang et al, 2022). Individuals who experience bullying are gradually socially excluded, resulting in lower social competence and self-esteem (Chiu and Vargo, 2022), and a lack of peer support can increase loneliness, social frustration, and low self-worth (Nation et al, 2008).…”

Section: Relationships Among Parental Support Peer Support Bullying A...mentioning

confidence: 99%

“…Studies have shown that social connection regulates the relationship between risk factors and risk (Taliaferro et al, 2019). Bullying victims' perceived social support can alleviate their internal distress (Chiu and Vargo, 2022). In contrast, a lack of perceived social support (Rueger et al, 2016) is closely related to NSSI behavior (Nock et al, 2006).…”

Section: Role Of Social Connectedness In Bullying and Nssimentioning

confidence: 99%

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The Mediating Effect of Bullying on "Parental Support, Peer Support Matching" and NSSI Behavior among Adolescents

Liu,

Lan,

Huang

et al. 2024

Preprint

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Background:Being subjected to bullying is a significant risk factor for non-suicidal self-injury (NSSI) among adolescents. On the other hand, parental support, peer support, and social connectedness play protective roles in mitigating NSSI in this population. However, the precise impact of the matching effects of parental support and peer support on bullying and NSSI requires further exploration. Methods: The study employed the "Child and Adolescent Social Support Scale," the "Delaware Bullying Victimization Scale," the "Social Connectedness Scale," and the "Ottawa Self-injury Inventory" to survey 1277 adolescents. Polynomial regression analysis and response surface analysis were applied to examine the mediating role of bullying and social connectedness in the relationship between "parental support, peer support matching" and NSSI. Results: The results indicate that parental support (r=0.287, P<0.001), peer support (r=0.288, P<0.001), and social connectedness (r=0.401, P<0.001) serve as protective factors against NSSI in adolescents. Conversely, bullying (r=0.425, P<0.001) acts as a risk factor for NSSI in this population. Adolescents with low parental and peer support experienced more bullying than those with high parental and peer support, and those with low parental and high peer support experienced less bullying than those with high parental support and low peer support (R^2=0.1371,P＜0.001). Social connectedness moderated the effect between bullyingand NSSI in this model (β=0.006,P＜0.001). Limitations:Due to the underrepresentation of participants and the lack of longitudinal data support, the explanatory power of causality between variables was limited. More studies will expand to the national sample and supplement a longitudinal studies to enhance the generalizability and robustness of the findings in the future. Conclusion: This study reveals the influence mechanism of parental and peer support matching experienced by adolescents on bullying and NSSI, and the moderating role of socialconnectedness, which enriches the developmental theory of adolescent NSSI and provides a reference for the prevention and intervention of adolescent NSSI behavior.

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“…attempts and suicide. 30 A person's idea of suicide will lead to thinking about what actions they can take to commit suicide before entering the stage of suicide. Suicide is the main cause of death in the world with the age range of suicide perpetrators being 15 to 29 years old.…”

Section: Density Visualisation Of the Anxiety Among Adolescents Conce...mentioning

confidence: 99%

Discovering the impact of bullying on adolescents through bibliometric analysis

Wahyuni,

Pranata,

Kurniawan

et al. 2024

Scripta Medica

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In recent years, the number of bullying cases, especially among teenagers, has been increasing, with many mass media reports on bullying cases that have resulted in the death of the victim. The aim of the study was to explore the impact of bullying on adolescents by analysing of network visualisation, overlay visualisation and density visualisation on the topic through bibliometric analysis. Records were identified through a database search at https://app.dimensions.ai/. The data obtained was then selected further by the preferred reporting items for systematic reviews and meta-analyses (PRISMA) flow diagram. Papers were limited to publication years 2019-2023 and focussed on the fields of psychology, human society, health science , clinical biomedicine, clinical education and health psychology. Data were analysed using VOSviewer, then reviewed by co-occurrence and co-author. After identifying the clusters, the impacts of bullying on adolescents were suicidal behaviour, mental disorders, non-suicidal self-injury (NSSI), loneliness, psychological distress and adolescent childhood experiences (ACEs). From the overlay visualisation, it was indicated that the newest topics that were being widely researched related to the impact of bullying on adolescents were social anxiety, suicidal ideation, depressive symptoms, suicidal thought, integrated behaviour change (IBC) and peer victimisation. From density visualisation, it was indicated that topics that were rarely researched related to the topic of the impact of bullying on adolescent were suicide attempts, early victimisation, post-traumatic stress disorder (PTSD) and suicidality. The theme regarding the impact of bullying needs and developed to be researched more deeply, especially on themes with low visualisation found in density visualisation, in order to enrich the variety of research.

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Bullying and other risk factors related to adolescent suicidal behaviours in the Philippines: a look into the 2011 GSHS Survey

Cited by 7 publications

References 79 publications

Identification of risk factors for attempted suicide by self-poisoning and a nomogram to predict self-poisoning suicide

Identification of risk factors for attempted suicide by self-poisoning and a nomogram to predict self-poisoning suicide

The Mediating Effect of Bullying on "Parental Support, Peer Support Matching" and NSSI Behavior among Adolescents

Discovering the impact of bullying on adolescents through bibliometric analysis

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