Evidence map›Paper›PMID 32140671›Full record

ArticleEClinicalMedicine2020

Global risks of suicidal behaviours and being bullied and their association in adolescents: School-based health survey in 83 countries.

James Jie Tang, Yizhen Yu, Holly C Wilcox, Chun Kang, Kun Wang, Cunku Wang, Yu Wu, Ruoling Chen

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

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  11. Cyberbullying Victimization and Suicide Attempt Among Adolescents: A Cross-National Comparison.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 3 countries.

James Jie TangDepartment of Preventive Medicine, School of Public Health, Guangzhou Medical University, Xinzao, Panyu District, 511436, Guangzhou, PR China.
Yizhen YuSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13th Hangkong Road, Qiaokou District, Wuhan, Hubei, 430030, PR China.
Holly C WilcoxDepartment of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, USA.
Chun KangSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13th Hangkong Road, Qiaokou District, Wuhan, Hubei, 430030, PR China.
Kun WangInstitute of Medical Information, Chinese Academy of Medical Science, Beijing, PR China.
Cunku WangCenter for Health Statistics and Information, National Health Commission, Beijing, PR China.
Yu WuShenzhen Centre for Disease Control and Prevention, Shenzhen, PR China.
Ruoling ChenFaculty of Education, Health and Wellbeing, University of Wolverhampton, Millennium City Building, Wulfruna Street, Wolverhampton, WV1 1LY, UK.
Huazhong University of Science and Technology · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNJohns Hopkins Medicine · USJohns Hopkins University · USNational Health and Family Planning Commission · CNShenzhen Center for Disease Control and Prevention · CNUniversity of Wolverhampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobal risks of suicidal behaviours (SB) and being bullied as well as their association among adolescents have been poorly understood. We aimed to determine the risks of suicidal ideation (SI), suicide planning (SP), suicide attempt (SA) and being bullied in adolescents and their related associations across gender, countries and different WHO regions.

methodsWe examined data from the Global School-based Health Survey (GSHS), which recorded health behaviours among adolescents aged 12 to 15 years from 83 countries. We computed prevalence rates of SB and being bullied and their 95% confidence intervals (CIs). Multilevel models were employed to examine the association of being bullied with risks of SI, SP and SA.

resultsThe overall prevalence of SI was 16·5%, SP 16·5%, SA 16·4%, and being bullied 35·3%. The highest risks of SB and being bullied were in Africa (SI 19·9%, SP 23·2%, SA 20·8%, being bullied 48·0%). Compared to boys, girls had an increased risk for SI (18·2%) and SP (17·3%) but similar risk for SA (16·7%) and being bullied (33·3%). Being bullied was associated with SA (adjusted odds ratio ‒ aOR 2·14, 95%CI 2·06-2·23), more strongly than SI (1·83, 1·78-1·89) and SP (1·70, 1·65-1·76). The strongest association with SA was in the Western Pacific (2·68, 2·45-2·92) and with SI (2·04, 1·74-2·39) and SP (1·81, 1·68-1·95) were in Southeast Asia. There were no gender differences in aOR for SI and SP, but the aOR for SA among boys (2·28, 2·14-2·42) was significantly greater than among girls (2·04, 1·93-2·15), ratio of two odds ratios was 1.12 (

interpretationSB and being bullied were common among adolescents worldwide. The findings of gender differences in SB, being bullied and their association could inform the design of prevention programmes to reduce the risks of SI, SP and SA in adolescents worldwide.

Indexed as

AdolescentBeing bulliedGender differencesGlobal healthRegional variationSuicidal behaviours

Identifiers

PMID32140671
PMCPMC7046520
OpenAlexW3000665345

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.