Evidence map›Paper›PMID 38553669›Full record

ArticleBMC psychiatry2024

Are social pressure, bullying and low social support associated with depressive symptoms, self-harm and self-directed violence among adolescents? A cross-sectional study using a structural equation modeling approach.

Tonje Holte Stea, Tore Bonsaksen, Pierre Smith, Annette Løvheim Kleppang, Anne Mari Steigen, Marja Leonhardt, Lars Lien, Mario Vianna Vettore

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
10.9field-weighted citation impact, top 1% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

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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 5 institutions in 3 countries.

Tonje Holte SteaDepartment of Health and Nursing Science, University of Agder, Kristiansand, Norway. tonje.h.stea@uia.no.
Tore BonsaksenDepartment of Health and Nursing Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.
Pierre SmithHealth information service. Epidemiology and public health. Sciensano, Brussels, Belgium.
Annette Løvheim KleppangDepartment of Health and Nursing Science, University of Agder, Kristiansand, Norway.
Anne Mari SteigenDepartment of Health and Nursing Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.
Marja LeonhardtNorwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway.
Lars LienDepartment of Health and Nursing Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.
Mario Vianna VettoreDepartment of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
Inland Norway University of Applied Sciences · NOInnlandet Hospital Trust · NOUniversity of Agder · NOAarhus University · DKUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore in-depth evidence about the complex relationships between different risk factors and mental health among adolescents has been warranted. Thus, the aim of the study was to examine the direct and indirect effects of experiencing social pressure, bullying, and low social support on mental health problems in adolescence.

methodsA school-based cross-sectional study was conducted in 2022 among 15 823 Norwegian adolescents, aged 13-19 years. Structural Equation Modelling was used to assess the relationships between socioeconomic status, social pressure, bullying, social support, depressive symptoms, self-harm and suicide thoughts.

resultsPoor family economy and low parental education were associated with high pressure, low parental support and depressive symptoms in males and females. Moreover, poor family economy was associated with bullying perpetration and bullying victimization among males and females, and cyberbullying victimization among females, but not males. Low parental education was associated with bullying victimization among males, but not females. Further, high social pressure was associated with depressive symptoms among males and females, whereas high social pressure was linked to self-harm and suicide thoughts among females, but not males. Bullying victimization and cyberbullying victimization were associated with depressive symptoms, self-harm, and suicide thoughts among males and females. Bullying victimization was associated with depressive symptoms among males, but not females, whereas bullying perpetration was linked to self-harm and suicide thoughts among females, but not males. Low parental support was associated with bullying perpetration, bullying victimization, depressive symptoms, self-harm and suicide thoughts among males and females, whereas low parental support was associated with high social pressure among females, but not males. Low teacher support was associated with high social pressure and depressive symptoms. Low support from friends was associated with bullying victimization, depressive symptoms and suicide thoughts among males and females, whereas low support from friends was linked to self-harm among males, but not females. Finally, results showed that depressive symptoms were associated with self-harm and suicide thoughts among males and females.

conclusionLow socioeconomic status, social pressure, bullying and low social support were directly and indirectly associated with depressive symptoms and self-directed violence among Norwegian adolescents.

Indexed as

BullyingCrime VictimsSelf-Injurious BehaviorAdolescentCross-Sectional StudiesDepressionFemaleHumansLatent Class AnalysisMaleSocial SupportViolenceAdolescentBullyingDepressive symptoms, self-harmSocial pressureSocial supportSuicide thoughts

Identifiers

PMID38553669
PMCPMC10981317
OpenAlexW4393307365

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LicenceCC BY
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Registered trials

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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.