@article{ref1,
title="Association between bullying behavior, perceived school safety, and self-cutting: a Japanese population-based school survey",
journal="Child and adolescent mental health",
year="2018",
author="Hamada, Shoko and Kaneko, Hitoshi and Ogura, Masayoshi and Yamawaki, Aya and Maezono, Junko and Sillanmaki, Lauri and Sourander, Andre and Honjo, Shuji",
volume="23",
number="3",
pages="141-147",
abstract="Background  No previous population-based studies have examined associations between self-cutting, perceived school safety, and bullying behavior among East Asian adolescents.    Method  We examined whether bullying, victimization, and perceived school safety were associated with self-cutting by getting 1865 students with a mean age of 13.9 years (standard deviation 0.2 years) to complete questions on these variables. Psychiatric problems were assessed with the Strengths and Difficulties Questionnaire.    Results  About 5.6% of males and 11.9% females had practiced self-cutting and when we controlled these results for psychiatric symptoms, self-cutting was associated with being both a bully and a victim among males and females. In addition, self-cutting was independently associated with perceived school safety among females. Those who felt unsafe at school and were victimized were much more likely to engage in self-cutting.    Conclusions  Self-cutting among Japanese adolescents was linked with bullying behavior and feeling unsafe at school. Secure school environments and school-based antibullying programs could help to prevent adolescent self-injurious behavior.<p /> <p>Language: en</p>",
language="en",
issn="1475-357X",
doi="10.1111/camh.12200",
url="http://dx.doi.org/10.1111/camh.12200"
}