ArticlePloS one2026
The effect of cyberbullying on nonsuicidal self-injury in adolescents: The chain mediating role of shame and dissociation.
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Adolescents are prone to nonsuicidal self-injury, a unique risk factor for suicide and suicide attempts. Prior research has shown that cyberbullying predicts adolescent nonsuicidal self-injury behavior. Therefore, this study aimed to develop a chain mediation model to investigate the impact of shame and dissociation related to cyberbullying on teenage nonsuicidal self-injury. Between 23/04/2022 and 26/04/2022, researchers recruited 14,666 high school students in Zizhong County, Sichuan Province, China, to investigate cyberbullying, non-suicidal self-injurious behaviors, shame, and feelings of dissociation through self-report questionnaires. Among the participating high school students, 56.0% reported experiencing cyberbullying and 25.4% reported nonsuicidal self-injurious behaviors. After adjusting for the effects of gender, traditional bullying, grade level, left-behind child status, and parental marital status, there was a positive correlation between cyberbullying and adolescent nonsuicidal self-injurious behavior. Shame and dissociation played a mediating role between cyberbullying and adolescent nonsuicidal self-injury. First, a partial mediating effect of shame and dissociation was observed, with the mediating effect accounting for 6.1% and 21.2% of the total effect (33.0%), respectively; thereafter, a chain mediating effect of shame and dissociation was noted, with the mediating effect accounting for 9.1% of the total effect. In the parallel mediation test, the mediating effect of dissociative experience (0.10) was higher than that of shame (0.02). Cyberbullying and non-suicidal self-injury are prevalent among high school students in western China, and the synergistic effects of shame and dissociation may be associated with increased risk of adolescent non-suicidal self-injury.
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