Cyberbullying, positive mental health and suicide ideation/behavior

Positive mental health accounts for the relationship between insomnia symptoms and suicide-related outcomes

Insomnia symptoms have been shown to be associated with suicide ideation/behavior. However, the underlying mechanism is unclear and studies on protective factors that might mitigate the association between sleep-related problems and suicide ideation/behavior are largely missing. On this background the aim of the current study was to investigate, whether positive mental health (PMH) accounts for the association between insomnia symptoms and suicidal ideation/behavior. A total of 913 participants (72.2% women; age: M(SD) = 25.91 (7.08)) completed measures on insomnia symptoms, PMH and suicide ideation/behavior via an online survey. The results reveal a significant association between insomnia symptoms and PMH. Both variables were significantly linked to lifetime suicide ideation/behavior and 12-month suicide ideation. Moreover, the association between insomnia symptoms and suicide-related outcomes was significantly mitigated by PMH. The current findings complement previous studies on the association between insomnia symptoms and suicide ideation/behavior. Furthermore, they demonstrate that PMH can mitigate the risk of suicide-related outcomes. Therapeutic intervention targeting insomnia symptoms and fostering PMH might be useful in the prevention of suicide ideation/behavior.

Prevalence and factors associated with cyberbullying among adolescents (15-19 years) in Gurugram District - A community based cross-sectional study

Background

Digitalization in the form of increased Internet use through screen media has also shown its ramification like cyberbullying. They are aggressive acts with the intention or motivation to harm another person through technology. The aim is to study the prevalence of cyberbullying and its association with mental illness in the adolescent age group (15-19 years).

Methods

This community-based cross-sectional study was rolled out among adolescents aged 15-19 years. A total of 387 were given a semistructured interviewer-administered questionnaire consisting of general details, cyberbullying victimization, and offending questions, PHQ-9 and GAD-7.

Results

The mean (SD) age was 16.8 (1.3) years. More than half (53.2%) were males, and nearly three-fourths (74.4%) were school-going. Around 28.2% reported being cyberbullied at least once in their lifetime. About 7.0% of adolescents were cyberbullied more than once, and 0.8% more than five times in the past 30 days. The most common ways were posting a mean or hurtful picture (31.9%) and the concerned person's comments (24.2%) online. Multivariable logistic regression analysis found that adolescents attending colleges (AOR 1.9, 95% CI 1.1 to 3.4), using tobacco (AOR 2.5, 95% CI 1.4 to 4.5), and depressed (of any severity, AOR 2.0, 95% CI 1.1 to 4.3) were at significantly increased risk of being cyberbullied (P < 0.05).

Conclusion

The prevalence of cyberbullying among adolescents aged 15-19 is notable, with significant associations found between cyberbullying and attending college, tobacco use, and depression. Understanding the correlates of cyberbullying can inform targeted interventions to support mental health and well-being among adolescents.

Online harassment of Japanese celebrities and influencers

Famous people, such as celebrities and influencers, are harassed online on a daily basis. Online harassment mentally disturbs them and negatively affects society. However, limited studies have been conducted on the online harassment victimization of famous people, and its effects remain unclear. We surveyed Japanese famous people (N = 213), who were influential people who appeared on television and other traditional media and on social media, regarding online harassment victimization, emotional injury, and action against offenders and revealed that various forms of online harassment are prevalent. Some victims used the anti-harassment functions provided by weblogs and social media systems (e.g., blocking/muting/reporting offender accounts and closing comment forms), talked about their victimization to close people, and contacted relevant authorities to take legal action (talent agencies, legal consultants, and police). By contrast, some victims felt compelled to accept harassment and did not initiate action for offenses. We propose several approaches to support victims, inhibit online harassment, and educate people. Our findings help that platforms establish support systems against online harassment.

Stress and suicide risk among adolescents: the role of problematic internet use, gaming disorder and emotional regulation

BACKGROUND

Previous studies have associated videogame playing and social media use with suicidal behaviors together with lower stress coping or poor emotion regulation strategies. Due to the inconclusive evidence regarding the factors associated with suicidal behavior, the present study aimed to overcome the limitations of previous research and explored the relationship between adolescent stress, problematic internet use (PIU), gaming disorder (GD), and emotional regulation (ER) in a cross-section design. It was hypothesized that stress would have a direct effect on suicide risk (SR) as well as being mediated by PIU, GD, and ER.

METHODS

The participants comprised 430 adolescents (58.4% male) aged between 16 and 19 years. They completed an online survey including the Mobile-Related Experiences Questionnaire, Internet Gaming Disorder Scale-Short Form, Meta-Mood Trait Repair Scale, and Spanish version of the Suicidal Behaviors Questionnaire.

RESULTS

A total of 34.2% of the adolescents (N = 147) were at risk for SR. Results also indicated that 30,7% had experienced suicidal ideation at some point in their life, 12.1% had at least one plan to die by suicide, and 5.1% had attempted suicide. Results of path analysis confirmed that stress appeared to be a risk factor for suicide, but that its effects were not mediated by PIU. However, ER and GD mediated the effect of stress on SR. The results suggest that stress is a main risk factor for suicide, especially among adolescents with poor emotional regulation or problematic gaming.

CONCLUSIONS

Considering the prevalence of suicide among adolescents, the results of the present study suggest that suicide prevention programs should include emotional regulation strategies, stress coping, and videogaming management skills in the early stages of high school. Providing these protective resources to adolescents will help them face the stressful and changing situations typical of adolescence and will help them to attain greater well-being and satisfaction with life.

Left-Behind Experiences and Cyberbullying Behavior in Chinese College Students: The Mediation of Sense of Security and the Moderation of Gender

Left-behind children seem to be more sensitive in interpersonal communication, find it more difficult to establish a stable, safe relationship with surrounding people, and have fewer positive coping styles when encountering problems, thus the aim of the present study was to explore the association between left-behind experiences and cyberbullying behavior among Chinese college students through the mediation of sense of security and the moderation of gender. A questionnaire survey comprised 553 college students with left-behind experiences and 526 college students without such experiences. The results showed that, firstly, cyberbullying behavior was significantly higher in college students with left-behind experiences than those without such experiences; secondly, left-behind experiences and cyberbullying behavior in college students was partially mediated by a sense of security; and finally, that gender moderated the mediation of the sense of security between left-behind experiences and cyberbullying behavior. This study suggests the family environment is important for individual growth and illustrates how the influence of childhood left-behind experience persists in individuals.

How social media usage affects psychological and subjective well-being: testing a moderated mediation model

BACKGROUND

A growing body of literature demonstrates that social media usage has witnessed a rapid increase in higher education and is almost ubiquitous among young people. The underlying mechanisms as to how social media usage by university students affects their well-being are unclear. Moreover, current research has produced conflicting evidence concerning the potential effects of social media on individuals' overall well-being with some reporting negative outcomes while others revealing beneficial results.

METHODS

To address the research gap, the present research made an attempt to investigate the crucial role of social media in affecting students' psychological (PWB) and subjective well-being (SWB) by testing the mediating role of self-esteem and online social support and the moderation effect of cyberbullying. The data in the study were obtained from a sample of 1,004 college students (483 females and 521 males, Mage = 23.78, SD = 4.06) enrolled at 135 Chinese universities. AMOS 26.0 and SPSS 26.0 as well as the Process macro were utilized for analyzing data and testing the moderated mediation model.

RESULTS

Findings revealed that social media usage by university students was positively associated with their PWB and SWB through self-esteem and online social support, and cyberbullying played a moderating role in the first phase of the mediation process such that the indirect associations were weak with cyberbullying reaching high levels.

CONCLUSION

These findings highlight the importance of discerning the mechanisms moderating the mediated paths linking social media usage by young adults to their PWB and SWB. The results also underline the importance of implementing measures and interventions to alleviate the detrimental impacts of cyberbullying on young adults' PWB and SWB.

Moderation Effects of Positive Core Belief and Social-Emotional Responsiveness on the Relationship Between Cyberbullying Victimization and Affective Symptoms

Introduction

Medical students are a vulnerable population. Exposure to cyberbullying can aggravate stress and lead to affective disorders. Features that moderate the influence of this stressor have been under-studied in Thai context.

Materials and Methods

An annual survey on the mental health and stressors of medical students from 2021 was analyzed. Measures on cyberbullying victimization, psychosocial stressors, self-reported resilience measures ("problem solving", "positive core belief", "social emotional responsiveness", and "perseverance"), and other covariates were assessed for their effects on affective symptoms using linear regression. Interaction analyses were then performed.

Results

A total of 303 cyberbullied respondents were included. In a linear regression model controlled for cyberbullying victimization score, perceived psychosocial difficulties, age, and academic year, positive core belief significantly predicted lower affective symptoms, while social-emotional responsiveness showed a trend toward predicting lower affective symptoms. Trend toward negative interaction was found for positive core belief, whereas an opposite trend was found for social-emotional responsiveness. Implications in the context of medical schools are also discussed.

Discussion

Positive core belief appears to be a resilience feature toward cyberbullying victimization in the studied population. Its effects were discussed from the perspective of cognitive-behavioral therapy. In the context of medical school, the belief could be fostered by creating a safe learning environment with readily available guidance. Social-emotional responsiveness is a protective factor toward cyberbullying victimization, although its trend toward negative interaction with cyberbullying victimization implies that this feature's protective effect declines as intensity of the bullying increases.

Conclusion

Positive core belief is a potential resilience feature of cyberbullying victimization. On the other hand, the protective effect of social-emotional responsiveness appeared to decline with greater intensity of cyberbullying.

A Review on Deep-Learning-Based Cyberbullying Detection

Bullying is described as an undesirable behavior by others that harms an individual physically, mentally, or socially. Cyberbullying is a virtual form (e.g., textual or image) of bullying or harassment, also known as online bullying. Cyberbullying detection is a pressing need in today’s world, as the prevalence of cyberbullying is continually growing, resulting in mental health issues. Conventional machine learning models were previously used to identify cyberbullying. However, current research demonstrates that deep learning surpasses traditional machine learning algorithms in identifying cyberbullying for several reasons, including handling extensive data, efficiently classifying text and images, extracting features automatically through hidden layers, and many others. This paper reviews the existing surveys and identifies the gaps in those studies. We also present a deep-learning-based defense ecosystem for cyberbullying detection, including data representation techniques and different deep-learning-based models and frameworks. We have critically analyzed the existing DL-based cyberbullying detection techniques and identified their significant contributions and the future research directions they have presented. We have also summarized the datasets being used, including the DL architecture being used and the tasks that are accomplished for each dataset. Finally, several challenges faced by the existing researchers and the open issues to be addressed in the future have been presented.

Effects of interpretation bias modification on hostile attribution bias and reactive cyber-aggression in Chinese adolescents: a randomized controlled trial

Highly aggressive individuals tend to interpret others' motives and intentions as hostile in both offline and online social situations. The current study examined whether hostile interpretation bias can be modified to influence cyber-aggression in Chinese middle school students using an interpretation bias modification program. Gender differences and the heterogeneity of cyber-aggression were also investigated since previous studies suggest that they play important roles in determining the intervention effect. One hundred and twenty-one middle school students were randomized to receive either an eight-session interpretation bias modification task (CBM-I; n = 61) or an eight-session placebo control task (PCT; n = 60) over four weeks. Measures of hostile attribution bias and cyber-aggression were administered at baseline, post-training, and at one week follow-up. Results showed that compared to PCT, participants in CBM-I showed a significant reduction in reactive cyber-aggression. However, contrary to our expectation, there was no significant difference between the two groups in the reduction of hostile attribution bias after training. The moderated mediation analysis revealed that the effect of CBM-I on hostile attribution bias and the mediating role of hostile attribution bias in the relationship between CBM-I condition and reactive cyber-aggression was only observed among females, but not among males. These findings provide initial evidence for the potential of CBM-I in reducing hostile attribution bias and cyber-aggression. However, for male students, CBM-I might not be effective enough as expected.

Supplementary Information

The online version contains supplementary material available at 10.1007/s12144-023-04433-3.

Importance of Social Videogaming for Connection with Others During the COVID-19 Pandemic

This study focused on the importance of social videogame play for remaining connected to others early in the COVID-19 pandemic. While social isolation and loneliness negatively affect well-being, social interaction is important for positive outcomes. During the pandemic, online videogame play has offered a safe outlet for socialization. Participants (n = 45) completed a survey rating the importance of gaming for feeling connected to family, friends, and co-workers, before, during, and after stay-at-home orders. As expected, the results indicate that social videogame play and its importance increased significantly during the stay-at-home period and decreased afterward. The importance of gaming with friends and co-workers increased significantly during the stay-at-home period but did not decrease significantly afterward. Social gaming was more important for remaining connected with friends and co-workers than family. Participants likely had more direct interaction with family members, while more effort was necessary to maintain contact with non-family members.

The impact of strain, constraints, and morality on different cyberbullying roles: A partial test of Agnew's general strain theory

The strain has been well studied in traditional bullying, and recent research has begun to explore it in cyberbullying behavior. Drawing from General Strain Theory, the current study empirically examined the relationship between strain and the cyberbullying behavior of perpetrators and bully-victims, respectively. Meanwhile, this study also considered the influences of the protective variables (e.g., constraints and morality) on the strain, which may potentially reduce the risks of participating in cyberbullying. The sample comprised 928 Chinese internet users (Male = 490, Female = 438) aged between 16 to 50. We identified the prevalence of cyberbullying in China, in which the percentages of cyberbullying perpetrators, cyberbullying victims, and cyber bully-victims were 23.40, 23.20, and 37.40%, respectively. This study mentioned a noteworthy phenomenon: cyberbullying victims quickly became cyberbullying perpetrators when they were cyberbullied. Secondly, according to the binary logistic regression, we hold that the strain was significantly related to cyberbullying behaviors, as individuals with low levels of self-control showed a higher tendency to participate in cyberbullying. As for protective factors, the results showed that constraints and morality can reduce the negative consequences of strain and then against cyberbullying, exploring the possibilities of using constraints and morality as variables to decrease strain and prevent cyberbullying. Thus, the unique values of this study are using the GST theory to investigate the empirical link between strain and cyberbullying between different roles in a new cultural and social background, demonstrating that negative emotion and low self-control had influences on strain and cyberbullying behaviors. Meanwhile, this study also contributes by discussing the implications for future research and practicing efforts targeting how to decrease the risks of cyberbullying engagement, for example, we suggest that the prevention and intervention of cyberbullying should adopt a cross-sectoral response to help individuals to view cyberbullying, vent dissatisfaction and relieve strain in the right way.

Cyberharassment Victimization on Three Continents: An Integrative Approach

This article introduces and applies an integrative model of cyberharassment victimization. The model combines routine activity theory (RAT), the general theory of crime (GTC), and the personal resources approach to analyze risk factors for victimization while acknowledging the protective role of a sense of mastery. Survey respondents were aged 15 to 25 years (N = 4816) from the U.S., Finland, Spain, and South Korea. Logistic regression models were used to analyze cyberharassment victimization. RAT-related factors were positively associated with cyberharassment victimization. Low self-control was positively associated with cyberharassment victimization in the U.S., Finland, and Spain but not in South Korea. The sense of mastery was negatively associated with cyberharassment victimization in the U.S., Finland, and South Korea but not in Spain. Protective factors against cyberharassment victimization should be utilized in future studies as adequate knowledge of protective factors could assist policymakers in generating preventative measures against cyberharassment. Our study demonstrates the benefits of integrating criminological theories and protective factors in studies using cross-national data to gain a better understanding of the dynamics of cyberharassment.

Psychometric properties of a Saudi Arabian version of the Positive Mental Health (PMH) scale

The Positive Mental Health (PMH) scale has been shown to be a reliable and valid tool for assessing positive mental health and well-being in different languages and cultures. However, the PMH scale has not yet been translated into Arabic and validated for the Saudi Arabian population. Therefore, the current study aimed to translate the English version of the PMH scale into Arabic for the Saudi Arabian context and validate the translated scale. A total of 1148 adult participants from Saudi public universities took part in the study. Based on exploratory and confirmatory factor analyses in different subsamples, the results of the current study revealed that the unifactorial model satisfactorily fits the data. Additionally, the Arabic version of the PMH scale demonstrated sufficient levels of reliability and had a high negative correlation with the Beck Depression Inventory-II, indicating convergent validity. Taken together, the findings of the current study suggest that the Arabic version of the PMH scale has appropriate levels of validity and reliability for the Saudi Arabian population.

Suicidality in clinically stable bipolar disorder and schizophrenia patients during the COVID-19 pandemic

The coronavirus disease 2019 (COVID-19) pandemic has a disproportionate impact on vulnerable subpopulations, including those with severe mental illness (SMI). This study examined the one-year prevalence of suicidal ideation (SI), suicide plans (SP), and suicide attempts (SA) in bipolar disorder (BD) and schizophrenia (SCZ) patients during the pandemic. Prevalence rates were compared between the two disorders and associated factors were examined. A survey was conducted in six tertiary psychiatric hospitals and psychiatric units. People with a diagnosis of BD or SCZ were invited to participate. SI, SP, and SA (suicidality for short) were assessed and associated factors were examined using binary logistical regression. The 1-year prevalence of SI, SP and SA in BD patients were 58.3%, (95% CI: 54.1-62.6%), 38.4% (95% CI: 34.3-42.6%) and 38.6% (95% CI: 34.5-42.8%), respectively, which were higher than the corresponding figures in SCZ patients (SI: 33.2%, 95% CI: 28.6-37.8%; SP: 16.8%, 95% CI: 13.2-20.5%; SA: 19.4%, 95% CI: 15.5-23.3%). Patients with younger age, experience of cyberbullying, a history of SA among family or friends, a higher fatigue and physical pain score, inpatient status, and severe depressive symptoms were more likely to have suicidality. The COVID-19 pandemic was associated with increased risk of suicidality, particularly in BD patients. It is of importance to regularly screen suicidality in BD and SCZ patients during the pandemic even if they are clinically stable.

Posttraumatic stress disorder symptoms and suicidal ideation/behavior: The moderating effects of positive mental health and social support among Iranian and German students

Suicidal ideation and behavior are common in those suffering from Posttraumatic Stress Disorder (PTSD). The present study investigated factors buffering the association between PTSD symptoms and suicidal ideation/behavior. A total of 571 Iranian students and 421 German students took part in the investigation. Social support and positive mental health (PMH) were considered as resilience factors moderating the association between PTSD symptoms and suicide ideation/behavior within both samples. PMH moderated the impact of PTSD symptoms on suicidal ideation/behavior in Iranian and German students. Social support moderated the impact of PTSD symptoms on suicidal ideation/behavior in Iranian students only. Positive mental health and perceived social support seem to confer resilience and should be taken into account, when assessing individuals for suicide risk.

Suicide Among Black Children: An Integrated Model of the Interpersonal-Psychological Theory of Suicide and Intersectionality Theory for Researchers and Clinicians

Recently, research has reported that the rates of suicide among Black children between the ages of 5 to 12-years-old are increasing as they are now more likely to commit suicide than White children. Yet, there are very few, if any, frameworks being used by researchers to explain the risks of suicide among Black children. Suicide research has overwhelmingly been focused on White youth thus leaving a critical gap in suicide research. This conceptual paper provides an integrated framework using the Interpersonal-Psychological Theory of Suicide and Intersectionality theory, as a guide for researchers, clinicians, and practitioners to incorporate culturally appropriate techniques in their work as a way to prevent suicide among Black children. This framework highlights racial discrimination, mental health, socioeconomic status, and sexual/gender minority status to be the most preeminent, yet understudied factors leading to suicide risk among Black children in the United States. Reprinted with permission of SAGE Publications; Opara et al. J Black Stud (51:611-631), copyright 2020.

Problem Gaming and Suicidality: A Systematic Literature Review

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This is the first review on the association between problem gaming and suicidality.

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12 studies were identified, all of which found a positive association.

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Future studies should investigate the causality and mechanisms in the relationship.

Background

No studies have so far synthesised the current evidence concerning a possible relationship between problem gaming and suicidality. We therefore conducted a systematic review of the literature. Our objective was to investigate the relationship between problem gaming and suicidality. The review was funded by the Norwegian Competence Center for Gambling and Gaming Research.

Methods

The review was pre-registered in PROSPERO International prospective register of systematic reviews (CRD42021279774). Searches were conducted in Web of Science, PsycINFO, EMBASE, PubMed and Google Scholar, September 2021. Studies that reported data on the relationship between problem gaming and suicidality, published between 2000 and 2021, and written in any European language were included. Studies investigating internet addiction/problematic internet use and not problem gaming, specifically, and studies investigating mental health in general or mental health outcomes other than suicidality, were excluded. Data from the included studies were extracted independently by two coders who also evaluated for risk of bias using the Newcastle-Ottawa Quality Assessment Scale. The results from each included study were presented in a table.

Results

A total of 12 cross-sectional studies, with in total 88,732 participants, were included in the review. In total 10 studies investigated the association between problem gaming and suicidal ideation. One of these also investigated the association between problem gaming and suicide attempts. Two studies combined suicidal ideation and suicide attempts into one variable and investigated the association between that variable and problem gaming. In total 11 of the 12 included studies found positive, crude associations between problem gaming and suicidal ideation/attempts. Five studies adjusted for possible confounding variables. Three of these still found significant associations between problem gaming and suicidal ideation, one found a positive but not statistically significant association, and the fifth found an inverse, non-significant association.

Discussion

The current findings indicate that there is an association between problem gaming and suicidal ideation, and likely between problem gaming and suicide attempts. The most important limitation of the included studies is the lack of longitudinal designs. Future studies should aim to investigate the causality and mechanisms in the relationships using more stringent designs.

Factors Associated with Cyberbullying Victimisation among Colombian High-School Adolescents

The study's purpose was to examine the prevalence and explore some factors associated with cyberbullying in high-school adolescents at ​​Santa Marta, Colombia. A cross-sectional study was designed, which participated in students between 13 and 17 years. Participants completed the item for being a victim of cyberbullying of the Youth Risk Behavior Survey for high school students designed by the Center for Disease Control of the United States. A total of 1462 students answered the questionnaire (M = 14.4 years, SD = 0.8). 19.6% (n = 287) reported lifetime cyberbullying victimisation. Cyberbullying victimisation was associated with post-traumatic stress disorder risk (OR = 2.05, 95%CI 1.51-2.79), lifetime cigarette smoking (OR = 1.91, 95%CI 1.42-2.57), female gender (OR = 1.68, 95%CI 1.25-2.26), family dysfunction (OR = 1.68, 95%CI 1.18-2.41), and poor-fair health condition (OR = 1.45, 95%CI 1.08-1.95). Being a victim of cyberbullying is frequent among Colombian high-school adolescents. It is associated with post-traumatic stress disorder risk, cigarette smoking, female gender, family dysfunction, and poor-fair general health condition. Longitudinal investigations are needed to measure better the dynamics of cyberbullying and the nature of such associations.

A clinimetric analysis of the euthymia, resilience, and positive mental health scales

BACKGROUND

Euthymia has been described as a transdiagnostic construct characterized by the absence of mood disturbances and the presence of an integration of psychic forces, such as coping strategy and well-being. A multidimensional measure, the Euthymia Scale (ES), has been proposed to assess it. We investigated construct and concurrent validity of the ES.

METHODS

Construct validity was studied via Rasch and Mokken analyses and compared with that of the 11-item Resilience Scale (RS-11) and 9-item Positive Mental Health Scale (PMH-Scale). A total of 951 participants were recruited (77.5% women; 24.86 ± 5.62 years).

RESULTS

The ES, RS and PMH demonstrated similar sensitivity and construct validity. Findings indicate minor needs for adjustments only. As expected the ES demonstrated a strong negative correlation with neuroticism.

LIMITATIONS

The convenience sample of subjects recruited primarily from female Italian university students and a community-based data collection limit the generalizability of the present findings. The cross-sectional design precludes the assessment of test-retest reliability, predictive and incremental validity. Only self-report measures and a Likert version of the ES were used.

CONCLUSIONS

ES is the most comprehensive measure of euthymia. The RS-11 is a valid measure of a specific component of euthymia, namely subjective ability to cope with stress and empower well-being in face of life adversities. The PMH-Scale is a valid measure of overall positive mental health.

A Social-Ecological Approach to Understanding the Relationship between Cyberbullying Victimization and Suicidal Ideation in South Korean Adolescents: The Moderating Effect of School Connectedness

Background: Cyberbullying victimization and suicidal ideation are both ongoing deleterious social problems in South Korea. Using the social-ecological approach, this study examined the association between cyberbullying victimization and suicidal ideation as well as the buffering role of school connectedness in this relationship. Methods: A nationally representative sample of 7333 adolescents from the 2016 Korean Children and Youth Right Study participated in the study. Data were analyzed using descriptive statistics, Wald chi-square test, bivariate correlations, and multivariate logistic regression analyses. Results: Nearly 17.7% of adolescents were cyberbullied, and 28.4% had suicidal ideation in the past 12 months. Cyberbullying victims were at an increased risk of suicidal ideation. The results also found that parental abuse, family dysfunction, and perceived peer relationship stress were positively associated with suicidal ideation, while parental support for autonomy was negatively associated with suicidal ideation. Further, school connectedness moderated on the relationship between cyberbullying victimization and adolescent suicidal ideation. Conclusions: These findings suggest that various stakeholders should consider interventions and preventive programs that address school connectedness when working with adolescents who are victims of cyberbullying and exhibit suicidal behavior.

The Benefits of Physical Activity and Positive Mental Health for Reducing the Burden of COVID-19: Validation from a Cross-sectional and Longitudinal Investigation in China and Germany

Many people experience high burden by the outbreak of the coronavirus disease (COVID-19) and its consequences for health and everyday life. The present cross-national study investigated potential factors that can reduce the burden by COVID-19 in China and Germany. Cross-sectional and longitudinal (China: N = 474, baseline, BL: 2015, follow-up, FU: 2020; Germany: N = 359, BL: 2019, FU: 2020) data on physical activity (e.g., jogging) (BL/FU), positive mental health (PMH) (BL/FU), and burden by COVID-19 (FU) were collected via online surveys. In both countries, physical activity was positively associated with PMH, and both variables were negatively related to burden by COVID-19. Furthermore, PMH mediated the link between physical activity and burden. The mediation model was significant when physical activity and PMH were assessed at the BL, while burden was measured at the FU; and it was also significant when all variables were assessed at the FU. The present findings reveal that physical activity in combination with PMH can reduce the experience of burden by COVID-19. Conscious fostering of physical activity and PMH is supported as an effective strategy to reduce the negative impact of the pandemic outbreak on mental and physical health. Additional benefits such as increased adherence to governmental measures around COVID-19 are discussed.

Cyberbullying Toward Māori Is Rife in New Zealand: Incidences and Demographic Differences in Experiences of Cyberbullying Among Māori

Previous research on cyberbullying has focused almost entirely on examining its prevalence among dominant ethnic populations, leaving it unclear how common cyberbullying is among indigenous peoples. Our study draws on a large sample of Māori adults aged 18-83 years (n = 6,529) who completed the questionnaire-based Māori Identity and Financial Attitudes Study in 2017. We analyzed reports of cyberbullying according to demographic characteristics, namely gender, age, sexual orientation, and multiple ethnic affiliations. On average, 19.3 percent of participants reported ever experiencing cyberbullying, and 4.1 percent reported experiencing cyberbullying within the past month. Young adults (aged 18-25) experienced the most, and incidences progressively declined among older cohorts. Women and those identifying as a minority sexual orientation reported higher rates of cyberbullying than men and heterosexuals. Those identifying as Māori as one of their multiple ethnicities reported higher rates of cyberbullying than those who identified as Māori only. Together, these findings provide a detailed investigation of the prevalence of cyberbullying in a large national indigenous sample. Previous data show that cyberbullying is common among adolescents and adults in New Zealand; however, our data indicate an even higher prevalence among the Māori. Practical and theoretical implications are discussed in light of Māori mental health outcomes.

Suicidality in 12-Year-Olds: The Interaction Between Social Connectedness and Mental Health

Suicidal thoughts and behaviors (STB) are a leading cause of death in adolescence. To date, most research with youth has focused on risk factors for suicide; and less attention has been paid to resilience factors. This study examined whether positive beliefs and social connectedness moderate associations between mental health symptoms and STB. A community sample of 12-year-olds (N = 60) completed self-report questionnaires on their STB, mental health symptoms, positive beliefs and social connectedness. Nearly 20% of the adolescents reported STB. STB was associated with increased mental health symptoms and lower scores on the resilience measures. A significant moderating effect of social connectedness showed that youth with a combination of poor mental health and high levels of social support exhibited lower levels of STB. There was no significant moderating effect of positive beliefs. These results indicate that social support should be screened for in primary care and incorporated into youth suicide prevention programs.

Cyberstalking scale: development and relations with gender, FOMO and social media engagement

Cyberstalking is a form of persecution that has proliferated with technology's evolution. The present research aimed to develop a cyberstalking measure and observe its relations with Fear of Missing Out (FOMO), social media engagement, and sociodemographic variables. To achieve these goals, two studies were performed. In the first study, 200 subjects (76.5% female, with a mean age of 21.6 years) answered the 15 items originally developed for the scale. These data went trough exploratory factor analysis and Cronbach's alpha to verify the reliability of the instrument. The results indicated the exclusion of five items, and after this removal, the scale was valid and reliable (α = 0.86). In the second study, which also had 200 subjects (65% female and an average age of 21.8 years), was realized confirmatory factor analysis (measuring the model fit), accompanied by correlations and mediation analysis. The analyzes demonstrated that the one-factor model was adequate (GFI = 0.98; CFI = 0.99; TLI = 0.99; RMSEA = 0.02; SRMR = 0.06). Path analysis showed social media engagement as a significant mediator of FOMO and gender's impact on cyberstalking: Both had direct (FOMO: λ = 0.31; CI = 0.19-0.42; p < 0.01; Gender: λ = 0.12; CI = 0.02-0.22; p < 0.05) and indirect effects (FOMO: λ = 0.07; CI = 0.03-0.11; p < 0.01; Gender: λ = 0.04; CI = 0.01-0.07; p < 0.01).

Policy Recommendations for Preventing Problematic Internet Use in Schools: A Qualitative Study of Parental Perspectives

Parenting in the digital age has been characterized as one of the most challenging tasks of the modern era. Parents are ambivalent about their mediating role. However, problematic aspects of adolescent online use have not been adequately addressed in education. The present study investigated parental perceptions of intervention needs within schools to prevent excessive/problematic use, enhance parent-child communication, and reduce family conflicts. Nine interviews with parents of adolescents residing in the UK were carried out and analyzed utilizing thematic analysis. Three main themes emerged as parental proposals: (i) schools as digital education providers and prevention hubs, (ii) provision of mental health literacy to raise awareness, resolve ambiguity regarding impacts and mitigate excessive use and impacts, and (iii) psychoeducation and upskilling. The third theme related to impacts from time spent on screens (time displacement), content-related impacts, and context-related impacts. The present study offers recommendations for media literacy during adolescence beyond e-safety (i.e., addressing interpersonal communication problems, privacy vs. disclosure issues), based on parents' views, and provides new insights for media and emotional health literacy collaboration efforts. Future work should investigate the feasibility and effectiveness of such interventions to support the emotional health of young people and prevent problematic internet use escalation.

Psychometric Properties of the Positive Mental Health Scale (PMH-Scale) Among Turkish University Students

Abstract. Background: The PMH-scale is a person-centered, brief and psychometrically sound scale measuring positive mental health. Considering the practicality of the scale and the good psychometric properties reported previously, the adaptation of the PMH-scale to Turkish may provide professionals and researchers a beneficial tool to assess well-being. Aims: This study was designed to investigate the psychometric properties of the Positive Mental Health Scale among Turkish university students by utilizing a cross-sectional correlational survey model. Method: For the adaptation of the scale, different validity and reliability tests were performed. Confirmatory factor analysis was run for construct validity. Convergent validity was assessed by examining relations of the scale with Life Orientation Test, Short Depression-Happiness Scale, Depression Anxiety Stress Scale, and General Self-Efficacy Scale. Reliability was assessed with internal consistency and composite reliability. Measurement invariance across genders was tested through Structural Equation Modelling. Results: Validity and reliability analyses provided satisfactory results. Results of confirmatory factor analysis revealed that current data fit the original unidimensional model. Besides, measurement invariance analysis provided validity evidence in terms of gender invariance. Limitations: Findings of the present study were limited to university students, most of whom were female. Conclusion: In conclusion, the Turkish Positive Mental Health Scale was found to be valid and reliable in the sample of university students.

Exploring the Mediating Roles of State and Trait Anxiety on the Relationship between Middle Adolescents' Cyberbullying and Depression

Cyberbullying is a global problem with significant negative implications, especially among more vulnerable populations, such as adolescents. Previous research suggested that cyberbullying is significantly associated with depression, and anxiety seems to partially or fully mediate this relationship. We aimed to investigate the prevalence and the relationships between cyberbullying status (i.e., cyberbully, cyber victim, double role, or non-cyber), gender, and age. We also explored the mediating roles of state and trait anxiety on the relationship between adolescents' cyberbullying victimization, cyber-aggressiveness, and depression. Our sample consisted of 501 middle adolescents aged from 12 to 15 years (M = 14.00; SD = 0.80; 51.1% males). The results suggested no significant associations between participants' status, gender, or age. Mediation analyses suggested that the relationship between cyber-victimization, cyber-aggressiveness, and depression was mediated by state anxiety and not trait anxiety. We discuss the implications of the current findings in understanding cyberbullying's psychological consequences and their relevant practical implications for prevention and intervention programs.

Suicide among Black Children: An Integrated Model of the Interpersonal-Psychological Theory of Suicide and Intersectionality Theory for Researchers and Clinicians

Recently, research has reported that the rates of suicide among Black children between the ages of 5 to 12-years-old are increasing as they are now more likely to commit suicide than White children. Yet, there are very few, if any, frameworks being used by researchers to explain the risks of suicide among Black children. Suicide research has overwhelmingly been focused on White youth thus leaving a critical gap in suicide research. This conceptual paper provides an integrated framework using the Interpersonal-Psychological Theory of Suicide and Intersectionality theory, as a guide for researchers, clinicians, and practitioners to incorporate culturally appropriate techniques in their work as a way to prevent suicide among Black children. This framework highlights racial discrimination, mental health, socioeconomic status, and sexual/gender minority status to be the most preeminent, yet understudied factors leading to suicide risk among Black children in the United States.

The Association of Bullying and Suicidality: Does it Affect the Pediatric Population?

Over the last few years, bullying has been identified as one of the significant issues in the pediatric population. Reports also found that bullied youth have a higher risk of developing suicidality. Although preventable, suicide remains the leading cause of death in young people. This literature review aims to establish the association of bullying and the suicidality of the pediatric group (0-18 years of age). A PubMed search was conducted to find studies associating bullying and suicidality in the pediatric population. MeSH keyword strategy, along with subheadings, was used to retrieve appropriate literature. A total of 42 articles were included after the careful examination and application of exclusion and inclusion criteria. This study showed a strong association between bullying and suicidality, albeit the presence of some contradictory ideas.

Predicting adaptive and maladaptive responses to the Coronavirus (COVID-19) outbreak: A prospective longitudinal study

Background/Objective

The outbreak of COVID-19 and the lack of vaccine made extraordinary actions such as social distancing necessary. While some individuals experience the restrictions on daily life as a heavy burden, others adapt to the situation and try to make the best of it. The present longitudinal study investigated the extent and predictors of the burden induced by the outbreak of COVID-19 in Germany.

Method

Data were assessed in October 2019 using the DASS-21 and the PMH-Scale, and in March 2020 adding a six-item measure of burden and a 2-item rating of sense of control.

Results

In a sample of 436 participants, about 28% stayed in self-quarantine, 22 persons had relevant symptoms and one person was positively tested for COVID-19. Most participants experienced medium to high levels of burden but tried to make the best of it. Stress symptoms in 2019 predicted a higher level of burden and PMH predicted a lower level of burden in March 2020. Remarkably, depression and anxiety symptoms did not significantly predict burden. The protective effect of PMH and the negative impact of stress symptoms were mediated by perceived sense of control.

Conclusions

The results emphasize the protective effect of PMH in extraordinary situations such as the current outbreak of COVID-19.

Cyberbullying victimization and problematic Internet use among Chinese adolescents: Longitudinal mediation through mindfulness and depression

Although previous research has demonstrated that the experience of cyberbullying victimization is associated with behavioral and psychological health problems, it is still unclear how cyberbullying victimization affects physical and mental health issues. Our aim was to test the longitudinal linkage between cyberbullying victimization and problematic Internet use (PIU) via the possible mediating roles of mindfulness and depression. This study employed a two-wave longitudinal design. 661 Chinese junior high school students were assessed using self-reported questionnaires about cyberbullying victimization, mindfulness, severity of depression, and PIU. The results revealed that the experience of cyberbullying victimization was positively related to PIU through the mediating variables of mindfulness and depression.

Cyberbullying and cybervictimization: Does gender matter?

The purpose of the present study was to evaluate gender effects on college students' judgements about a hypothetical episode of cyberbullying on Facebook that resulted in the suicide of a cybervictim. A total of 176 undergraduate students at a midsize public university in the Northeast served as participants. Four one-page versions of a hypothetical trial transcript detailing a cyberbullying case were utilized. Participants were randomly assigned to one of four conditions: male cyberbully/male cybervictim, male cyberbully/female cybervictim, female cyberbully/male cybervictim, and female cyberbully/female cybervictim. After reading one of the trial transcripts, participants rated eight variables, including criminal guilt and intent of the cyberbully, responsibility of entities involved, and appropriate punishment for the cyberbully. Results revealed significant differences in judgments based on the gender of the cyberbully, cybervictim, and participant.

Positive Mental Health Mediates the Relationship Between Facebook Addiction Disorder and Suicide-Related Outcomes: A Longitudinal Approach

Suicide-related outcomes increased among young adults in the last decade. Excessive use of social media was hypothesized to contribute to this development. This longitudinal study aimed to investigate whether Facebook Addiction Disorder (FAD) predicts suicide-related outcomes, and whether Positive Mental Health (PMH) buffers this effect. Data of 209 German Facebook users [M_age(SD_age) = 23.01 (4.45)] were assessed at two measurement time points over a 1-year period (first measurement = T1 and second measurement = T2) through online surveys. FAD was measured with the Bergen Facebook Addiction Scale, PMH was assessed with the PMH-Scale, and suicide-related outcomes were measured with the Suicidal Behaviors Questionnaire-Revised. The significant positive association between FAD (T1) and suicide-related outcomes (T2) was significantly negatively mediated by PMH (T1). These results demonstrate that addictive Facebook use may enhance the risk of suicide-related outcomes. However, PMH contributes to the reduction of this risk. Therefore, addictive Facebook use and PMH should be taken into account when assessing individuals for suicide of risk.

Relationship between suicidal thinking, anxiety, depression and stress in university students who are victims of cyberbullying

The objective of this study is to analyze the predictive capacity of cybervictimization with regards to suicidal thinking and anxiety, depression and stress in university students. The European Cyberbullying Intervention Project Questionnaire, the Depression Anxiety Stress Scale-21 and the Suicidality Scale were administered to a sample of 1282 university students (594 men and 688 women) aged between 18 and 46 (M = 21.65; SD = 4.25). The results suggest that being a cybervictim increases the probability of suicidal thinking and presenting high levels of anxiety, depression and stress. This study highlights the high prevalence rates of cyberbullying in the university environment and how this issue is associated with emotional problems and suicidal thinking. The identification of these relationships may allow for the development of effective preventive intervention measures to respond to this problem.

Positive Mental Health, Stressful Life Events, and Suicide Ideation

Background: Stressful life events and suicide ideation regularly occur together. Yet, little is known about factors that buffer individuals against the development of suicide ideation. Aim: In a long-term follow-up study design, it was investigated whether positive mental health, that is, high levels of subjective and psychological well-being, buffers the association between stressful life events and suicide ideation. Method: A total of 126 German students (80.2% female; age: M = 24.29, SD = 5.21) were assessed at a baseline evaluation and again 24 months later. Data were collected using self-report questionnaires. Results: Linear hierarchical regression analysis was used to analyze the data. Positive mental health was considered to moderate the impact of stressful life events on suicide ideation - controlling for age and gender. Limitations: Current results are limited to university students. Conclusions: Positive mental health interacts with stressful life events, such that those with high levels of positive mental health show an attenuated increase in suicide ideation at elevated levels of stress. Positive mental health seems to confer resilience and should be focused on in counseling centers for students.

Factores individuales que protegen o favorecen el riesgo de suicidio adolescente: estudio cualitativo con grupos focales

El objetivo del presente estudio fue conocer los factores individuales asociados al riesgo y protección ante el suicidio en adolescentes de una preparatoria de la Universidad de Guadalajara, México; desde la visión de estudiantes, profesores y terapeutas. Mediante un análisis cualitativo de la información obtenida a través de los grupos focales, se encontró que los principales factores de riesgo son la depresión, el manejo inadecuado de emociones y la carencia de un sentido de vida; mientras que los factores que protegen del riesgo suicida son, la capacidad de resolución de problemas, el optimismo y la autoestima. Los hallazgos se discuten desde el soporte de la literatura especializada, así mismo se realizan recomendaciones e implicaciones prácticas.

Preventing suicide, promoting resilience: Is this achievable from a global perspective?

Suicide continues to be a major health concern globally despite many initiatives to identify risk factors and methods for suicide prevention. We have carried out a detailed narrative review of the literature from 2016 to 2019 using the headings of Personal resilience (P1), People (P2), Places (P3), Prevention (P4), Promoting collaboration (P5), and Promoting research (P6) in order to support an integrated approach to suicide prevention and the promotion of personal and population resilience. We have made 10 key recommendations on how this can be moved forward.

Relationships between addictive Facebook use, depressiveness, insomnia, and positive mental health in an inpatient sample: A German longitudinal study

BACKGROUND AND AIMS

Individuals with high level of negative mental health often tend to use the social platform Facebook to escape from daily stress. They are at risk to develop an emotional bond to Facebook linked to a need to stay permanently online. The current work investigated addictive use of Facebook and its conceptual framework in clinical context.

METHODS

In a longitudinal study design, duration of daily use of Facebook, addictive Facebook use, depressiveness, insomnia, and positive mental health (PMH) were assessed in a sample of 349 inpatients [M_age (SD_age) = 50.13 (9.41)] of a psychosomatic rehabilitation clinic in Germany over a period of on average 6 weeks.

RESULTS

Regression analyses revealed that duration of daily Facebook use at the first measurement time point (T1) served as significant positive predictor of addictive Facebook use at the second measurement time point (T2). Addictive Facebook use (T1) significantly positively predicted depressiveness and insomnia (T2). Its prediction of PMH (T2) was significantly negative. Mediation analyses showed that PMH (T1) partially mediated the association between addictive Facebook use (T1) and depressiveness (T2), and fully mediated the relationship between addictive Facebook use (T1) and insomnia (T2).

DISCUSSION AND CONCLUSIONS

Current longitudinal results indicate that addictive Facebook use might negatively impact the recovery process of inpatients. Thus, it might be relevant to assess and consider addictive Facebook use in the clinical context. Therapeutic interventions are suggested to focus on the enhancement of inpatients' PMH level, which may buffer the negative effect of problematic Facebook use.

Entrapment, positive psychological functioning and suicide ideation: A moderation analysis

The Integrated Motivational-Volitional (IMV) Model of suicide posits that the association between perceptions of entrapment and suicide ideation is buffered by so-called motivational moderators. The present study investigated, whether positive mental health as well as different facets of psychological well-being qualify as motivational moderators. Possible moderator effects were investigated in an online sample (N = 301). Results demonstrated that positive mental health and psychological well-being moderate the association between entrapment and suicide ideation. These findings underscore the importance of entrapment and positive psychological functioning in understanding pathways to suicide ideation.

Examining the Association between Weapon Carrying on School Property and Suicide Attempt among Adolescents in the United States

Suicidal behaviors among adolescents in the United States are the second leading cause of death and has been steadily increasing over the years. Although access to and possession of a weapon may facilitate the transition from suicidal ideation to a suicide attempt, few studies have examined the association between weapon carrying and suicide attempts among adolescents. The objective of this study was to examine the association between weapon carrying on school property and suicide attempt among adolescents. Data for this study came from the 2017 Youth Risk Behavior Surveillance System. A sample of 14,547 adolescents aged 14-18 years old (50.5% female) was analyzed using logistic regression. Of the 14,547 adolescents, 4% carried a weapon on school property, and 7.7% attempted suicide during the past 12 months. In the multivariate logistic regression, adolescents who reported carrying a weapon on school property had more than double the odds of attempting suicide when compared to their counterparts who did not carry a weapon on school property. Other significant predictors of suicide attempt include sexual minority, history of forced sexual intercourse, school bullying and cyberbullying victimization, feeling sad or hopeless, and substance use. Examining the association between weapon carrying and suicide attempt among adolescents would contribute to early identification of adolescents who are likely to engage in suicidal behaviors.

Positive mental health, positive affect and suicide ideation

BACKGROUND/OBJECTIVE

Positive mental health (PMH) has been shown to confer resilience against suicide ideation. However, the mechanisms underlying the positive effect of PMH on suicide ideation/behavior are largely unknown. The current study aimed to determine whether positive affect mediates the association between PMH and suicide ideation.

METHOD

A total of 150 adult outpatients (65.3%; female; age: M(SD)=37.79(13.50), range:18-77) completed measures on PMH, positive and negative affect, as well as suicide ideation. Data were collected using self-report questionnaires. Linear hierarchical regression analysis was used to analyze the data. Positive affect was considered to mediate the association between positive mental health and suicide ideation.

RESULTS

While positive affect fully mediated the significant negative association between PMH and suicide ideation, negative affect did not reveal to be a significant mediator of this relationship.

CONCLUSIONS

The protective influence of PMH against suicide ideation is due to heightened positive affect: If positive mental health translates into positive affect, then suicide ideation becomes less likely.

Cyberbullying and suicide ideation among Hong Kong adolescents: The mitigating effects of life satisfaction with family, classmates and academic results

Notably cyberbullying victimization is a known risk factor of suicidal behavior among adolescents. In 2016, in Hong Kong, 36 adolescent suicides were identified, which significantly exceeded the annual average number of around 20 between the period from 2003 to 2015. The present study examines three hypotheses of whether life satisfaction with family, classmates and academic results mitigate the relationship between cyberbullying victimization and suicide ideation. All the mitigation effects were examined by mediation analysis using bootstrapping. A representative cross-sectional data of school-based sample of 3,522 Hong Kong adolescents in 2016 were used. 11.9% and 21.8% of the Hong Kong adolescents reported cyberbullying victimization and suicide ideation, respectively in the past year. After adjusting for gender and age, the present results show a 148% (OR=2.48, 95% CI [1.99, 3.09]) likelihood increase of suicidal ideation on adolescents with cyberbullying victimization. This study further reveals that overall life satisfaction partially mitigates the relationship between cyberbullying victimization and suicide ideation (b = 0.17, 95% CI [0.10, 0.25]). Moreover, combatting the development of suicide ideation in the presence of cyberbullying, life satisfaction with family (b = 0.19, 95% CI [0.12, 0.26]) can confer much more resilience than satisfaction with classmates (b = 0.08, 95% CI [0.05, 0.13]) and academic achievements (b = 0.03, 95% CI [0.01, 0.05]). Therefore, life satisfaction, especially with family relationships, could confer resilience and should be taken into account in suicide preventive programs for adolescents.

Positive mental health as a moderator of the association between risk factors and suicide ideation/behavior in psychiatric inpatients

In recent studies positive mental health has been shown as a resilience factor related to suicide ideation/behavior. It is not known if positive mental health buffers the effect of various risk factors (depression, perceived burdensomeness, hopelessness, childhood maltreatment) on suicide ideation/behavior in psychiatric inpatients-a high risk population. A total of 100 psychiatric inpatients were included in the survey. Four hierarchical regression analyses were conducted to examine, whether positive mental health moderates the association between the four risks factors and suicide ideation/behavior. Positive mental health was shown to moderate the association between perceived burdensomeness and suicide ideation/behavior. The association between the other three risk factors and suicide ideation/behavior was not moderated by positive mental health. Given the cross-sectional nature of the data, conclusions on causality cannot be drawn. The buffering effect of positive mental health suggests that positive mental health may improve the identification of individuals at risk of suicide ideation/behavior and may be an important area to target in the prevention and treatment of individuals at risk of suicide. Further research is needed.

Positive mental health moderates the association between suicide ideation and suicide attempts

BACKGROUND

Positive mental health (PMH) has been shown to confer resilience against suicide ideation. However, it is unclear, whether PMH also buffers the relationship between suicide ideation and suicide attempts. The current study aimed to determine whether PMH moderates the association between lifetime suicide ideation and lifetime suicide attempts.

METHODS

A total of 199 psychiatric inpatients with lifetime suicide attempts (female: n = 109; age: M = 37.56, SD = 14.38, range: 18-81) were interviewed on lifetime suicide ideation/behavior and completed a measure on PMH.

RESULTS

PMH moderated the impact of lifetime suicide ideation on lifetime suicide attempts: For those individuals who reported high levels of PMH, the rate of lifetime suicide attempts was reduced even when experiencing frequent episodes of lifetime suicide ideation.

LIMITATIONS

Given the cross-sectional nature of the data, conclusions on causality should be handled carefully.

CONCLUSION

PMH seems to confer resilience and should be taken into account, when assessing individuals for suicide risk.