Research on the Relationships between Psychological Problems and School Bullying and Non-Suicidal Self-Injury among Rural Primary and Middle School Students in Developing Areas of China

Xuyang Li, Feiyu Chen, Yixiang Lin, Zhihui Jia, Winter Tucker, Jiangyan He, Lanyue Cui and Zhaokang Yuan
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Xuyang Li: Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health & Queen Mary School, Nanchang University, Nanchang 330006, Jiangxi, China
Feiyu Chen: Center for Disease Control and Prevention in Dongxiang District, Fuzhou 331800, Jiangxi, China
Yixiang Lin: Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health & Queen Mary School, Nanchang University, Nanchang 330006, Jiangxi, China
Zhihui Jia: Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health & Queen Mary School, Nanchang University, Nanchang 330006, Jiangxi, China
Winter Tucker: School of Community Science, University of Nevada, Reno, NV 89557, USA
Jiangyan He: Center for Disease Control and Prevention in Dongxiang District, Fuzhou 331800, Jiangxi, China
Lanyue Cui: Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health & Queen Mary School, Nanchang University, Nanchang 330006, Jiangxi, China
Zhaokang Yuan: Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health & Queen Mary School, Nanchang University, Nanchang 330006, Jiangxi, China

IJERPH, 2020, vol. 17, issue 10, 1-13

Abstract: (1) Purpose: To analyze the role of psychological problems in connection with school bullying and non-suicidal self-injury (NSSI) among rural primary and middle school students in developing areas of China. (2) Methods: A multi-stage, stratified, cluster random sampling method was used to select 2284 rural primary and middle school students in Jiangxi Province for study. Questionnaires regarding the health risk behaviors of children in developing areas were left behind at primary and middle schools, and they were later collected and analyzed by using the mental health diagnostic monitoring scale for Chinese primary and middle school students. Pearson correlation, logistic regression, and bootstrap tests were conducted to analyze the association between psychological problems, school bullying, and NSSI. (3) Results: The incidence of NSSI in rural primary and middle school students in Jiangxi Province was 14.84%. Compared with other children with behavioral problems, those who had experienced school bullying and had mild/severe psychological problems were more likely to have engaged in NSSI behaviors ( p < 0.001). Psychological problems have a mediating effect between school bullying and NSSI, which accounted for 12.96% of the total effect. (4) Conclusion: Psychological problems are likely an effect modifier in the connection between school bullying and NSSI behaviors. Therefore, effectively targeting psychological problems in rural primary and middle school students in Jiangxi Province may help prevent and control NSSI behaviors in students who have experienced school bullying.

Keywords: primary and middle school students; psychological problems; school bullying; non-suicidal self-injury; developing areas of China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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