@article{ref1,
title="Bullying victimization and suicide attempt among adolescents aged 12-15 years from 48 countries",
journal="Journal of the American Academy of Child and Adolescent Psychiatry",
year="2019",
author="Koyanagi, Ai and Oh, Hans and Carvalho, André F. and Smith, Lee and Haro, Josep Maria and Vancampfort, Davy and Stubbs, Brendon and Devylder, Jordan E.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Adolescent suicide is a global public health problem. Bullying is a risk factor for suicidality in adolescence; however, global data on its association with suicide attempts are lacking, and data from low- and middle-income countries (LMICs) and non-Western settings are scarce. Thus, we assessed the association between bullying victimization and suicide attempts using data from 48 countries (predominantly LMICs) across multiple continents. <br><br>METHOD: Data from the Global School-based Student Health Survey were analyzed. Data on past 12-month suicide attempts and past-30 day bullying victimization were collected. Multivariable logistic regression and meta-analysis with random effects were conducted to assess the associations. <br><br>RESULTS: The final sample consisted of 134,229 adolescents aged 12-15 years. The overall prevalence of suicide attempts and bullying victimization were 10.7% and 30.4%, respectively. After adjustment for sex, age, and socioeconomic status, bullying victimization was significantly associated with higher odds for a suicide attempt in 47 of the 48 countries studied with the pooled OR being 3.06 (95%CI=2.73-3.43). Greater number of days bullied in the past month was dose-dependently associated with higher odds for suicide attempts. The past-year prevalence of suicide attempts ranged from 5.9% for the &quot;no bullying&quot; group up to 32.7% for the &quot;being bullied for 20-30 days/month&quot; group [OR=5.51 (95%CI=4.56-6.65)]. <br><br>CONCLUSION: Bullying victimization may be an important risk factor of suicide attempts among adolescents globally. Thus, there is an urgent need to implement effective and evidence-based interventions to address bullying in order to prevent suicides and suicide attempts among adolescents worldwide.<br><br>Copyright © 2019. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="0890-8567",
doi="10.1016/j.jaac.2018.10.018",
url="http://dx.doi.org/10.1016/j.jaac.2018.10.018"
}