Bullying and Suicidality in Urban Chinese Youth: The Role of Teacher-Student Relationships.

The aim of this study is to examine the link between bullying and the tendency toward suicide (suicidality). In particular, we tested the interaction effect of teacher-student relationships on the association between bullying and suicidality among urban youth in China. A total of 3,675 participants were recruited from 7 provinces in urban China. Three questions were used to capture suicidality-related measures: suicide ideation, suicide planning, and attempting suicide. Traditional bullying and cyberbullying were used to measure the effect of being bullied. The results show that being bullied, traditionally or online, is significantly associated with suicidality. The interaction effect between traditional bullying and the teacher-student relationship for suicidal ideation is significant (odds ratio 1.34, 95% confidence interval 1.03-1.74). However, no significant interaction effects in teacher-student relationships have been found in the association between cyberbullying and suicidality. The results indicate that teacher-student relationships have a significant protective, but limited, effect on the relationship between bullying and suicidality. Future development of suicidality intervention strategies adapted to the development of society will be beneficial.