Association of Cyberbullying Experiences and Perpetration With Suicidality in Early Adolescence

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Abstract
Suicidality (suicidal ideation or suicide attempts) among adolescents is a major public health concern,1 with suicide being the second leading cause of death among US adolescents and young adults aged 10 to 24 years.2 The etiology of youth suicidality is not fully understood but is known to be influenced by distal and proximal environmental stressors,3,4 which are especially critical during childhood and adolescence.5 Experiences of peer bullying and peer aggression are major stressors and established suicidality risk factors among youths.6-9 Most contemporary bullying is conducted online (ie, cyberbullying) using technological platforms such as smartphones and the internet (eg, text messages, social media).10,11 This trend has further increased as a result of social changes attributable to the COVID-19 pandemic.12,13 In an era of increasing online relationships and interactions14-16 as well as increased mental health17 and suicidality burden among youths,18-21 more large-scale data are needed to clarify the role of cyberbullying involvement in youth suicidality.

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