ArticleFrontiers in public health2022
Influence of academic stress and school bullying on self-harm behaviors among Chinese middle school students: The mediation effect of depression and anxiety.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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27 citing papers in PubMed, 43 citations in OpenAlex.
- The effect of Latin dance on social physique anxiety in middle school girls: a pilot study.Frontiers in public health · 2025Trial
- A Meta-Analysis of Bullying Victimization and Adolescent Self-Harm and Suicidal Outcomes Across Effect-Size Metrics.Journal of youth and adolescence · 2026Article
- Psychosocial predictors of persistent non-suicidal self-injury in adolescents with major depressive disorder: a longitudinal study.European archives of psychiatry and clinical neuroscience · 2026Article
- Perceived academic pressure and mental health in adolescents: a cross-sectional study examining individual vulnerabilities and school climate.Child and adolescent psychiatry and mental health · 2026Article
- Meta-Analysis of Anxiety Symptoms and Influencing Factors Among Chinese College Students.Psychiatry investigation · 2026Article
- Latent patterns of rumination and hopelessness on self-harm behaviors in adolescence.Child and adolescent psychiatry and mental health · 2026Article
- Suicidal Behaviour, Self-Harm and Related Factors: A Retrospective Study from the Adolescent Psychiatric Unit.Children (Basel, Switzerland) · 2026Article
- The relationship between academic resilience and depression among Chinese adolescents: a chain mediation model of perceived academic pressure and anxiety.Frontiers in public health · 2026Article
- Development and Validation of a Nomogram for Estimating the Risk of Suicide Tendencies Among Chinese Middle School Students: A Cross-Sectional Study.Psychology research and behavior management · 2026Article
- The relationship between emotional reactivity and adolescent non-suicidal self-injury: the mediating role of distress tolerance and gender differences.Frontiers in psychiatry · 2026Article
- Toward a safer school environment: A mixed-methods analysis of bullying and its impact on romanian middle school students.PloS one · 2026Article
- Academic pressure and suicide risk among adolescents: a dual mediation model of depression and school cohesion.BMC public health · 2025Article
- Differences in attention abilities, growth, development, and quality of life between Chinese children with obstructive sleep apnea and healthy controls.The Journal of international medical research · 2025Article
- Child Maltreatment and the Mediating Effects of Bullying Victimization on School Engagement Among South Korean Youth in Orphanages and a National Sample.Children (Basel, Switzerland) · 2025Article
- Article
- Mediating Effects of Sleep Problems and Emotional Symptoms in the Relationship Between Chronotype and Self-Harm Among Adolescents Aged 11-19 Years.Psychology research and behavior management · 2025Article
- Academic Pressure and Psychological Imbalance in High School Students: Predictors of Depression via Polynomial Regression and Response Surface Analysis.Psychology research and behavior management · 2025Article
- Developing a suicide risk prediction model for hospitalized adolescents with depression in China.Frontiers in psychiatry · 2025Article
- The effect of depression on non-suicidal self-injury and psychological status in adolescents with unipolar and bipolar disorders.BMC psychology · 2024Article
- Application of DASS-21 in Chinese students: invariance testing and network analysis.BMC public health · 2024Article
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: The purpose of this study was to explore the relationship between academic stress, school bullying and self-harm behaviors among Chinese middle school students and to further explore the impact of anxiety and depression on this relationship. Methods: The students (aged 12-16 years) in a middle school in Changsha city were invited to respond to a questionnaire through an online platform. The Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) were used to assess the severity of anxiety and depressive symptoms, respectively. The experience of being bullied, academic stress, and self-harm behaviors were assessed using several questions on the basis of previous studies. Results: A total of 1,313 middle school students completed the study, and 3.40% and 4.10% of them reported suicide attempts (SAs) and non-suicidal self-injury (NSSI), respectively. Univariate logistic regression analysis revealed that anxiety symptoms (OR = 1.23, 95% CI: 1.18-1.28; OR = 1.25, 95% CI: 1.19-1.31), depressive symptoms (OR = 1.20, 95% CI: 1.16-1.25; OR = 1.26, 95% CI: 1.20-1.31), school bullying (OR = 3.8, 95% CI: 2.11-6.89; OR = 2.76, 95% CI: 1.39-5.47), and academic stress (OR = 2.20, 95% CI: 1.27-3.80; OR = 3.80, 95% CI: 1.20-7.25) were common factors of NSSI and SAs. In addition, depressive symptoms showed a mediating effect on the association of school bullying and academic stress with SAs or NSSI, and anxiety symptoms showed a mediating effect on the association of school bullying and academic stress with NSSI only. Conclusion: Appropriate strategies are needed to reduce academic pressure and prevent school bullying. Meanwhile, negative emotions such as depression and anxiety should be evaluated and intervened in to prevent self-harm behaviors among middle school students.
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