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Cyberbullying Victimization and Suicide Attempt Among Adolescents: A Cross-National Comparison Publisher Pubmed



Grimland M1 ; Mori Y1, 2 ; Lesinskiene S3 ; Li L4 ; Ong SH5 ; Praharaj SK6, 7 ; Wiguna T8 ; Zamani Z9 ; Heinonen E1, 2 ; Gilbert S1, 2 ; Brunstein Klomek A10 ; Sourander A1, 2, 11
Authors
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Authors Affiliations
  1. 1. INVEST Research Flagship Center, University of Turku, Turku, 20014, Finland
  2. 2. Research Centre for Child Psychiatry, Department of Child Psychiatry, University of Turku, Turku, 20014, Finland
  3. 3. Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, LT-01131, Lithuania
  4. 4. School of Public Health, Shantou University, Shantou, 515041, China
  5. 5. Department of Developmental Psychiatry, Institute of Mental Health, Singapore, 539747, Singapore
  6. 6. Department of Psychiatry, Kasturba Medical College, Manipal, 576104, India
  7. 7. Manipal Academy of Higher Education, Manipal, 576104, India
  8. 8. Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, 10430, Indonesia
  9. 9. Faculty of Medicine, Tehran University of Medical Sciences, Tehran, 13399-73111, Iran
  10. 10. Baruch Ivcher School of Psychology, Reichman University, Herzliya, 4610101, Israel
  11. 11. Department of Child Psychiatry, Turku University Hospital, Turku, 20520, Finland

Source: International Journal of Environmental Research and Public Health Published:2025


Abstract

The widespread use of the Internet among teenagers has raised concerns about cyberbullying and its impact on adolescent well-being. This study examined the association between cyberbullying victimization and suicide attempts among adolescents in high-income and low/middle-income countries. Data from six countries (Singapore, China, Iran, Indonesia, India, and Lithuania) were collected as part of the Eurasian Child Mental Health Study. A total sample of 9892 adolescents aged 13–15 years old (51.9% girls) was analyzed. Generalized estimating equation models with school-wise clusters were conducted. The prevalence of suicide attempts was 4.8%, with higher rates among girls. Cyberbullying victimization only was reported by 5.4% of the participants, while traditional bullying victimization only was reported by 19.2%. The study found that being a victim of combined (both traditional and cyberbullying) had the highest odds of suicide attempt in both high-income and low/middle-income countries. Emotional symptoms were identified as a moderator, influencing the association between combined bullying victimization and suicide attempt. These findings highlight the urgent need for global efforts to prevent and intervene in cyberbullying and its detrimental effects on adolescent mental health. The study emphasizes the importance of examining regional risk factors and implementing targeted interventions to address this growing public health concern. © 2025 by the authors.