Evidence map›Paper›PMID 41917912›Full record

ArticleBMC public health2026

Adverse childhood experiences, bullying victimization and risk of suicidal ideation among adolescents: evidence from a longitudinal cohort.

Liurong Zhang, Cui Li, Anna Jin, Yuanzhi Ren, Xinyue Wang, Chen Jie, Manlin Zhai, Liang Sun, Qirong Qin, Mingchun Chen and 2 more

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Article in BMC public health, 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Liurong Zhang *Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Cui Li *Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Anna Jin *The First School of Clinical Medicine, Anhui Medical University, No.15 Feicui Road, Hefei, Anhui, 230601, China.
Yuanzhi Ren *Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Xinyue WangThe First School of Clinical Medicine, Anhui Medical University, No.15 Feicui Road, Hefei, Anhui, 230601, China.
Chen JieSchool of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Manlin ZhaiSchool of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Liang SunFuyang Center for Disease Control and Prevention, No.19, Zhongnan Avenue, Fuyang, Anhui, 236000, China.
Qirong QinMa'anshan Center for Disease Control and Prevention, No.849, Jiangdong Avenue, Ma'anshan, Anhui, 243000, China.
Mingchun ChenChaohu Hospital, Anhui Medical University, Hefei, Anhui, 238000, China.
Yehuan SunChaohu Hospital, Anhui Medical University, Hefei, Anhui, 238000, China. yhsun_ahmu_edu@yeah.net.
Guangbo QuDepartment of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China. guangboqu_ahmu_edu@yeah.net.

Funding

Key project of natural science research of educational department of Anhui Province 2022AH050664National Natural Science Foundation of China 81872704National Natural Science Foundation of China 82504437Undergraduate Open Research Project" Fund of the Key Laboratory of Birth Population Health Education, Ministry of Education JKBK20245
6 · The paper itself

Abstract

backgroundAdverse childhood experiences (ACEs) and bullying victimization are risk factors for adolescent suicidal ideation, yet the interaction between ACEs and bullying victimization in affecting suicidal ideation remains inadequately explored.

methodsA retrospective cohort study was conducted among adolescents. ACEs, bullying victimization and Suicidal ideation were assessed through questionnaire survey. Logistic regression analyses were used to examine the relationship between ACEs, bullying victimization, and suicidal ideation. Interaction analyses were performed to explore the interaction of ACEs and bullying victimization on suicidal ideation.

resultsOne thousand one hundred nine adolescents were included and 7.2% of adolescents reported suicidal ideation. A significant dose–response relationship was observed between the severity of ACEs or bullying victimization and the odds of suicidal ideation. Stratified analysis revealed that the association between bullying victimization and suicidal ideation was significant among adolescents with ACEs exposure, but not among those without ACEs. Notably, the odds of suicidal ideation were highest among adolescents with joint exposure to both ACEs and bullying victimization, compared to those experiencing either factor alone.

conclusionsThis study supports that both ACEs and bullying victimization are associated with higher odds of suicidal ideation in adolescents. In addition, co-exposure to ACEs and bullying victimization was associated with even higher odds of suicidal ideation. These findings emphasize the necessity of early screening and intervention for ACEs and bullying victimization among adolescents, as well as early prevention of bullying victimization among adolescents with ACE exposure.

Indexed as

Adverse Childhood ExperiencesBullyingCrime VictimsSuicidal IdeationAdolescentFemaleHumansLongitudinal StudiesMaleRetrospective StudiesRisk FactorsSurveys and QuestionnairesAdolescentAdverse childhood experienceBullying victimizationSuicidal ideation

Identifiers

PMID41917912
PMCPMC13162484

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LicenceCC BY-NC-ND
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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.