ArticleBMC public health2025
Association between school bullying and self-harm in Chinese children and adolescents: the mediating role of mindfulness.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- 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
- The longitudinal associations between nature exposure and non-suicidal self-injury among Chinese early adolescents: a moderated mediation model.Frontiers in psychiatry · 2026Article
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11 authors.
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Abstract
backgroundNon-suicidal self-injury (NSSI) poses a significant challenge to the health and well-being of children and adolescents, with prior studies suggesting a strong association with experiences of school bullying. While mindfulness has been identified as a protective factor against NSSI, its mediating role in the relationship between school bullying and NSSI remains insufficiently investigated. Using a representative sample from Yunnan Province, China, this study aims to contribute to the understanding of the relationship between school bullying, NSSI, and mindfulness.
methodsA population-based sample of 5897 adolescents in two places of Yunnan Province were surveyed by using self-administered questionnaires. Logistic regression model was used to measure the association between school bullying and NSSI. Path model was further fitted to examine the mediation of mindfulness in the association between school bullying and NSSI.
resultsThe lifetime NSSI prevalence in our study sample was 34.6% (95% CI: 30.3%-39.0%). School bullying was associated with an increased risk of NSSI (OR = 2.02, 95% CI: 1.68-2.43), while a higher mindfulness score was associated with a reduced NSSI risk (OR = 0.98, 95% CI: 0.97-0.99). Path analysis showed mindfulness significantly mediated the relationship between school bullying and NSSI, accounting for 34.0% of the total association. Among all dimensions of mindfulness, mindfulness observing, describing, and acting with awareness significantly mediated the association, with acting with awareness showing the strongest mediation.
conclusionsThe findings indicate a positive correlation between school bullying and NSSI, with mindfulness serving as a significant mediator in this association. Enhancing mindfulness among children and adolescents could be an effective strategy to mitigate school bullying associated NSSI.
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