Cross-sectional study of cybervictimisation and non-suicidal self-injury among college students in China: a chain mediation effect of emotion dysregulation and social exclusion

Objectives This study aimed to elucidate the relationship between cybervictimisation and non-suicidal self-injury (NSSI) behaviours among college students in China, with a particular focus on the mediating roles of emotion dysregulation and social exclusion.Design A cross-sectional survey was conduc...

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Main Authors: Juan Ni, Xiaoli Liao, Liu Xine
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/1/e087346.full
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author Juan Ni
Xiaoli Liao
Liu Xine
author_facet Juan Ni
Xiaoli Liao
Liu Xine
author_sort Juan Ni
collection DOAJ
description Objectives This study aimed to elucidate the relationship between cybervictimisation and non-suicidal self-injury (NSSI) behaviours among college students in China, with a particular focus on the mediating roles of emotion dysregulation and social exclusion.Design A cross-sectional survey was conducted among a convenience sample of college students.Setting The study was performed among college students from public universities in Hunan Province, China, between October 26 and November 26, 2023.Participants A total of 1467 college students aged 19.52±1.16 years participated in the survey.Outcome measures Data were collected through an online questionnaire that included a general information form, the Ottawa Self-Injury Inventory, the Brief Cyberbullying and Cybervictimisation Scale, the Social Exclusion Questionnaire for Chinese Undergraduates and the Difficulties in Emotion Regulation Scale.Results The study sample consisted of 1467 college students, with a mean age of 19.52±1.16 years. Pearson’s correlation analysis revealed significant positive correlations between NSSI behaviours and cybervictimisation (r=0.58, p<0.01), social exclusion (r=0.64, p<0.01) and emotion dysregulation (r=0.69, p<0.01). Multivariate regression analysis identified significant predictors of NSSI behaviours, including gender (β=0.06, p<0.05), being a left-behind child (β=−0.20, p<0.05), being the only child (β=0.07, p<0.05), cybervictimisation (β=0.32, p<0.001), emotion dysregulation (β=0.41, p<0.001) and social exclusion (β=0.15, p<0.001). Mediation effect analysis revealed a chain mediation effect where cybervictimisation influenced NSSI behaviours through the mediating roles of emotion dysregulation and subsequent social exclusion (all p<0.001).Conclusions This study confirms previous research by highlighting the positive relationship between cybervictimisation and NSSI behaviours, and advances the field by identifying a chain mediation effect involving emotion dysregulation and social exclusion among this relationship. These findings highlight the critical need to incorporate strategies for managing both emotion dysregulation and social exclusion in the prevention and intervention of NSSI behaviours among adolescents exposed to cybervictimisation.
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spelling doaj-art-3bb3792401be4ba1bd4d67cc79bbf2ee2025-02-03T11:20:10ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-087346Cross-sectional study of cybervictimisation and non-suicidal self-injury among college students in China: a chain mediation effect of emotion dysregulation and social exclusionJuan Ni0Xiaoli Liao1Liu Xine2Department of Respiratory and Critical Care Medicine, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China2 School of Nursing, Sun Yat-Sen University, Guangzhou, Guangdong, China2 Xiangya School of Nursing, Central South University, Changsha, Hunan, ChinaObjectives This study aimed to elucidate the relationship between cybervictimisation and non-suicidal self-injury (NSSI) behaviours among college students in China, with a particular focus on the mediating roles of emotion dysregulation and social exclusion.Design A cross-sectional survey was conducted among a convenience sample of college students.Setting The study was performed among college students from public universities in Hunan Province, China, between October 26 and November 26, 2023.Participants A total of 1467 college students aged 19.52±1.16 years participated in the survey.Outcome measures Data were collected through an online questionnaire that included a general information form, the Ottawa Self-Injury Inventory, the Brief Cyberbullying and Cybervictimisation Scale, the Social Exclusion Questionnaire for Chinese Undergraduates and the Difficulties in Emotion Regulation Scale.Results The study sample consisted of 1467 college students, with a mean age of 19.52±1.16 years. Pearson’s correlation analysis revealed significant positive correlations between NSSI behaviours and cybervictimisation (r=0.58, p<0.01), social exclusion (r=0.64, p<0.01) and emotion dysregulation (r=0.69, p<0.01). Multivariate regression analysis identified significant predictors of NSSI behaviours, including gender (β=0.06, p<0.05), being a left-behind child (β=−0.20, p<0.05), being the only child (β=0.07, p<0.05), cybervictimisation (β=0.32, p<0.001), emotion dysregulation (β=0.41, p<0.001) and social exclusion (β=0.15, p<0.001). Mediation effect analysis revealed a chain mediation effect where cybervictimisation influenced NSSI behaviours through the mediating roles of emotion dysregulation and subsequent social exclusion (all p<0.001).Conclusions This study confirms previous research by highlighting the positive relationship between cybervictimisation and NSSI behaviours, and advances the field by identifying a chain mediation effect involving emotion dysregulation and social exclusion among this relationship. These findings highlight the critical need to incorporate strategies for managing both emotion dysregulation and social exclusion in the prevention and intervention of NSSI behaviours among adolescents exposed to cybervictimisation.https://bmjopen.bmj.com/content/15/1/e087346.full
spellingShingle Juan Ni
Xiaoli Liao
Liu Xine
Cross-sectional study of cybervictimisation and non-suicidal self-injury among college students in China: a chain mediation effect of emotion dysregulation and social exclusion
BMJ Open
title Cross-sectional study of cybervictimisation and non-suicidal self-injury among college students in China: a chain mediation effect of emotion dysregulation and social exclusion
title_full Cross-sectional study of cybervictimisation and non-suicidal self-injury among college students in China: a chain mediation effect of emotion dysregulation and social exclusion
title_fullStr Cross-sectional study of cybervictimisation and non-suicidal self-injury among college students in China: a chain mediation effect of emotion dysregulation and social exclusion
title_full_unstemmed Cross-sectional study of cybervictimisation and non-suicidal self-injury among college students in China: a chain mediation effect of emotion dysregulation and social exclusion
title_short Cross-sectional study of cybervictimisation and non-suicidal self-injury among college students in China: a chain mediation effect of emotion dysregulation and social exclusion
title_sort cross sectional study of cybervictimisation and non suicidal self injury among college students in china a chain mediation effect of emotion dysregulation and social exclusion
url https://bmjopen.bmj.com/content/15/1/e087346.full
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AT xiaoliliao crosssectionalstudyofcybervictimisationandnonsuicidalselfinjuryamongcollegestudentsinchinaachainmediationeffectofemotiondysregulationandsocialexclusion
AT liuxine crosssectionalstudyofcybervictimisationandnonsuicidalselfinjuryamongcollegestudentsinchinaachainmediationeffectofemotiondysregulationandsocialexclusion