Evidence map›Paper›PMID 42210290›Full record

ArticleChild and adolescent psychiatry and mental health2026

Differential roles of peer bullying and childhood maltreatment in suicidal ideation and attempts among Chinese adolescents.

Zixuan Xu, Wenhua An, Jie Hu, Ziyan Yin, Chenxi Zhang, Lengyi Zhang, Yuqin Dai, Yanmei Zhang, Yizhen Yu

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In one paragraph

Article in Child and adolescent psychiatry and mental 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

9 authors.

Zixuan Xu *Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
Wenhua An *Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
Jie HuDepartment of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
Ziyan YinDepartment of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
Chenxi ZhangDepartment of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
Lengyi ZhangDepartment of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
Yuqin DaiDepartment of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
Yanmei ZhangDepartment of Preventive Medicine, School of Basic Medicine, Hubei University of Chinese Medicine, Wuhan, 430065, Hubei, China. zhangyanmei901229@163.com.
Yizhen YuDepartment of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China. yuyizhen650@163.com.

Funding

the Funding for Scientific Research Projects from Wuhan Municipal Health Commission WY22A04the National Natural Science Foundation of China 82373599
6 · The paper itself

Abstract

backgroundThe progression from suicidal ideation to attempt is a multi-stage process, yet it is unknown how different victimization contexts contribute uniquely to each stage. We compared the associations of school-based peer bullying and family-based childhood maltreatment with suicidal ideation, suicide planning, and suicide attempts in adolescents to identify the primary intervention target for halting suicidality at each step.

methodsA multicenter, school-based survey of 18,910 Chinese students aged 12-22 years was conducted. Participants were categorized into four groups: none, peer bullying only, childhood maltreatment only, and both. Logistic regression and population attributable fraction analyses were applied.

resultsOverall, 10.9% reported peer bullying only, 18.7% maltreatment only, and 8.9% both. Peer bullying showed a stronger association with suicidal ideation than maltreatment (OR 1.35; 95% CI:1.14-1.60), particularly among females < 15 years (OR 1.68; 95% CI:1.21-2.32). Childhood maltreatment had a stronger link to suicide attempts (OR 1.34; 95% CI: 1.06-1.70) and a higher PAF (13% vs. 2% for peer bullying). Among ideators, maltreatment increased progression to attempts (OR 1.70, 95% CI: 1.32-2.19). Notably, co-exposure sharply raised the risk of suicide attempts (PAF: 25%).

Indexed as

AdolescentsChildhood maltreatmentPeer bullyingSuicidal behaviors

Identifiers

PMID42210290
PMCPMC13480185

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