BACKGROUND Bullying and suicidal behaviors are a silent public health problem among adolescents. Little is known about the link between bullying and suicidal behaviors in low-income countries such as Tanzania. In the current study, we estimated the prevalence of being bullied and determined its association with suicidal behaviors among in-school adolescents. METHODS We performed a secondary analysis of the Tanzania Global School-based Student Health Survey (GSHS) conducted in 2014. This was the first nationally representative survey conducted to a sample of 3793 in-school adolescents. The primary independent variable was being bullied, while the outcome variables of interest were suicide ideation and suicide attempt. We used a chi-square χ2 test for group variables comparisons and multivariate logistic regression for statistical associations between independent and outcome variables. In our analysis, a p < 0.05 was considered statistically significant at 95% confidence intervals. RESULTS The prevalence of being bullied among 3793 surveyed in-school adolescents was 27.0%. In an adjusted multivariate regression model, being bullied was independently associated with suicidal ideation and suicide attempt: [AOR; 1.9, 95% C.I; 1.5-2.4], and [AOR; 3.6, 95% C.I; 2.9-4.5] respectively, p < 0.001. CONCLUSIONS Bullying is prevalent and possibly a potential predictor of suicidal behaviors among in-school adolescents in Tanzania. There is a need for all educational stakeholders: teachers, parents, students, mental health professionals, and policymakers to design a program for mitigating the problem of bullying in schools.

中文翻译：

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欺凌行为能预测在校青少年的自杀行为吗？来自坦桑尼亚的横断面研究，作为低收入国家的一个例子。

背景技术欺凌和自杀行为是青少年中一个无声的公共健康问题。在坦桑尼亚等低收入国家，对欺凌与自杀行为之间的联系知之甚少。在当前的研究中，我们估计了被欺负的患病率，并确定了其与学校青少年自杀行为的关联。方法我们对2014年进行的坦桑尼亚全球学校在校学生健康调查（GSHS）进行了二次分析。这是对3793名在校青少年进行的首次全国代表调查。主要的自变量是被欺负的，而关注的结果变量是自杀观念和自杀企图。我们使用卡方χ2检验进行组变量比较，并使用多元logistic回归进行自变量和结果变量之间的统计关联。在我们的分析中，p <0.05被认为在95％置信区间内具有统计学意义。结果在3793名接受调查的在校青少年中，被欺负的发生率为27.0％。在调整后的多元回归模型中，被欺负与自杀意念和自杀未遂独立相关：1.9，95％CI；1.5-2.4]和[AOR; 3.6，95％CI; 2.9-4.5]，p <0.001。结论欺凌是普遍的，并且可能是坦桑尼亚在校青少年自杀行为的潜在预测因素。教育的所有利益相关者都需要：老师，父母，学生，心理健康专业人员，