Evidence map›Paper›PMID 40307858›Full record

ArticleInternational journal for equity in health2025

A cross-sectional study of individual- and poly-bullying victimization and suicidal ideation among Chinese university and high school students: the roles of hopelessness and interpersonal relationships.

Zixuan Cao, Li Lu, Zi-Wei Li, Sha Lai, Zhongliang Zhou, Qing Shen, Shou Liu

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Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zixuan CaoInstitute of Health Management and Policy, School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.
Li LuInstitute of Health Management and Policy, School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China. liser@outlook.com.
Zi-Wei LiInstitute of Health Management and Policy, School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.
Sha LaiInstitute of Health Management and Policy, School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.
Zhongliang ZhouInstitute of Health Management and Policy, School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.
Qing ShenClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, Tongji University School of Medicine, Shanghai, China.
Shou LiuDepartment of Public Health, Medical College, Qinghai University, Xining, China.

Funding

Social Science Foundation of Shaanxi Province 2024F018Young Talent Support Plan from Xi'an Jiaotong University GG6J010
6 · The paper itself

Abstract

backgroundWe aim to examine the associations between poly-bullying victimization (i.e., school-, family- and cyber-bullying ever and only) and suicidal ideation (SI) among Chinese university and high school students, and the roles of interpersonal relationships and hopelessness in the interested relationships.

methodsWe included 17633 participants integrating data from the 2019 mental health survey in university students in Qinghai, China (N = 5700), and the Chinese Database of Youth Health in high school students (N = 11933) in Shandong. We applied multivariate logistic regression models to explore the associations between poly-bullying victimization and SI, by gender and level of schools. Stratification analyses were conducted by levels of hopelessness and interpersonal relationships. The role of hopelessness in the relationships between poly-bullying victimization and SI in university students was evaluated by fitting mediation analyses.

resultsExposure to specific forms of bullying victimization was positively associated with SI in students from both school levels. Cyberbullying victimization only was not significantly associated with SI in university students, but with significance in both female (OR: 1.70, 95% CI: 1.26-2.30) and male (OR: 2.69, 95% CI: 2.04-3.55) high school students. In university students, the association between school bullying only and SI was greater in female (OR: 2.38, 95% CI: 1.71-3.34) than males (OR: 1.33, 95% CI: 0.85-2.09); the strongest association was exhibited between the co-occurrence of family and school bullying victimization, and SI; a dose-response relationship was observed between number of victimization and SI, particularly among males. Interpersonal relationships did not significantly moderate the relationships between poly-bullying victimization and SI among university students. Hopelessness played significant mediating role in the relationships between Family + School bullying victimization and SI (14.80% mediated) in female university students, and Family + School + Cyberbullying victimization and SI (29.40%) in males.

conclusionThe exploration-oriented study provided an intricate mechanism of gender-specific differences in SI related to poly-bullying victimization. Tailored, gender-sensitive interventions and support systems for adolescents and young adults should be designed and implemented.

Indexed as

BullyingCrime VictimsInterpersonal RelationsStudentsSuicidal IdeationAdolescentChinaCross-Sectional StudiesFemaleHumansMaleSchoolsSurveys and QuestionnairesUniversitiesBullying victimizationChinaHopelessnessInterpersonal relationshipsStudentsSuicide ideation

Identifiers

PMID40307858
PMCPMC12042594

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LicenceCC BY-NC-ND
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