In a study of 15,968 students, these symptoms connected verbal bullying with non-suicidal self-injury rather than a direct link.
Researchers analyzed online questionnaire responses from students aged 12 to 24 in Hunan province, collected between October 2021 and October 2022. The questionnaires covered school bullying, psychotic-like experiences, depressive symptoms and non-suicidal self-injury.
In their network analysis, verbal bullying victimisation did not show a direct connection to any non-suicidal self-injury indicators. Instead, psychotic-like experiences and depressive symptoms formed a chain linking verbal bullying with non-suicidal self-injury. The researchers also identified symptoms that were especially connected within the network.
How the symptoms connected
The network showed robust connections, with no isolated symptoms. The symptom involving being distracted by distant sounds had the highest overall connectedness. Paranoid thoughts and suicidal ideation had relatively high bridge strength, meaning they connected different symptom areas in the network.
Verbal bullying victimisation had no direct link to the non-suicidal self-injury indicators. The analysis instead identified psychotic-like experiences and depressive symptoms as chain mediators between verbal bullying and non-suicidal self-injury. The authors describe these results as a symptom-level account of the associations among bullying, these experiences and self-injury.