Reverse Buffering Effects of Active Coping on Suicidal Ideation in Bullied Adolescents: Age Cohort Differences
Abstract
1. Introduction
1.1. The Relationship Between Bullying Victimization and Suicidal Ideation
1.2. The Potential Moderating Role of Active Coping
1.3. The Difference Among Age Cohorts
1.4. The Current Study
2. Method
2.1. Participants
2.2. Study Procedure
2.3. Materials
2.3.1. Bullying and Victimization
2.3.2. Active Coping Strategy
2.3.3. Suicidal Ideation
2.3.4. Demographic Information
2.4. Data Analysis
3. Results
3.1. Visualizing Correlations Among Study Variables
3.2. Moderation Analysis
4. Discussion
4.1. The Moderating Effect of Active Coping
4.2. The Moderating Effect of Age Cohorts
4.3. Effects of Demographic Variables on Suicide Ideation
4.4. Practical Significance
4.5. Limitations and Future Directions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Ariani, T. A., Putri, A. R., Firdausi, F. A., & Aini, N. (2025). Global prevalence and psychological impact of bullying among children and adolescents: A meta-analysis. Journal of Affective Disorders, 385, 119446. [Google Scholar] [CrossRef]
- Baiden, P., & Tadeo, S. K. (2020). Investigating the association between bullying victimization and suicidal ideation among adolescents: Evidence from the 2017 youth risk behavior survey. Child Abuse & Neglect, 102, 104417. [Google Scholar] [CrossRef]
- Bauman, S., Toomey, R. B., & Walker, J. L. (2013). Associations among bullying, cyberbullying, and suicide in high school students. Journal of Adolescence, 36(2), 341–350. [Google Scholar] [CrossRef] [PubMed]
- Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: The Scale for Suicide Ideation. Journal of Consulting and Clinical Psychology, 47(2), 343–352. [Google Scholar] [CrossRef]
- Cao, G., Zhang, L., Deng, J., & Yin, H. (2023). Bullying victimization and suicidal ideation among adolescents: The mediating role of Psychological Suzhi and the moderating role of perceived school climate. Current Psychology, 42(20), 17454–17464. [Google Scholar] [CrossRef]
- Chen, J., Xiong, Y., Yang, L., Liang, Y., & Ren, P. (2025). Bullying victimization and self-harm in adolescents: The roles of emotion regulation and bullying peer norms. Child Abuse & Neglect, 160, 107199. [Google Scholar] [CrossRef]
- Chen, J., Zheng, X., Li, C., Xiong, Q., Yu, Q., Shi, S., & Hu, Y. (2020). The association between parental marriage satisfaction and adolescent suicidal ideation: The moderating effect of breastfeeding duration. Children and Youth Services Review, 118, 105459. [Google Scholar] [CrossRef]
- Chen, J. K., & Chen, L. M. (2020). Cyberbullying among adolescents in Taiwan, Hong Kong, and Mainland China: A cross-national study in Chinese societies. Asia Pacific Journal of Social Work and Development, 30(3), 227–241. [Google Scholar] [CrossRef]
- Chou, W. P., Yen, C. F., & Liu, T. L. (2018). Predicting effects of psychological inflexibility/experiential avoidance and stress coping strategies for internet addiction, significant depression, and suicidality in college students: A prospective study. International Journal of Environmental Research and Public Health, 15(4), 788. [Google Scholar] [CrossRef]
- Compas, B. E., Connor, J., Osowiecki, D., & Welch, A. (1999). Effortful and involuntary responses to stress. Coping with Chronic Stress, 105–130. [Google Scholar] [CrossRef]
- Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research. Psychological Bulletin, 127(1), 87–127. [Google Scholar] [CrossRef]
- Comtois, K. A., Rogers, A. H., Smythe, P., & Mosser, B. (2025). Empirical evaluation of three 21st century suicide theories: Interpersonal theory of suicide, cultural model of suicide, and the integrated motivational-volitional model. Journal of Affective Disorders, 388, 119400. [Google Scholar] [CrossRef]
- Gaffney, H., Ttofi, M. M., & Farrington, D. P. (2019). Evaluating the effectiveness of school-bullying prevention programs: An updated meta-analytical review. Aggression and Violent Behavior, 45, 111–133. [Google Scholar] [CrossRef]
- Ghardallou, M., Mtiraoui, A., Ennamouchi, D., Amara, A., Gara, A., Dardouri, M., Zedini, C., & Mtiraoui, A. (2024). Bullying victimization among adolescents: Prevalence, associated factors and correlation with mental health outcomes. PLoS ONE, 19(3), e0299161. [Google Scholar] [CrossRef]
- Glenn, C. R., Kleiman, E. M., Kellerman, J., Pollak, O., Cha, C. B., Esposito, E. C., Porter, A. C., Wyman, P. A., & Boatman, A. E. (2020). Annual research review: A Meta-analytic review of worldwide suicide rates in adolescents. Journal of Child Psychology and Psychiatry, 61(3), 294–308. [Google Scholar] [CrossRef]
- Guadalupe, C., & DeShong, H. L. (2025). Personality and coping: A systematic review of recent literature. Personality and Individual Differences, 239, 113119. [Google Scholar] [CrossRef]
- Hansen, T. B., Steenberg, L. M., Palic, S., & Elklit, A. (2012). A review of psychological factors related to bullying victimization in schools. Aggression and Violent Behavior, 17(4), 383–387. [Google Scholar] [CrossRef]
- Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford publications. [Google Scholar]
- Henry, K. L., Lovegrove, P. J., Steger, M. F., Chen, P. Y., Cigularov, K. P., & Tomazic, R. G. (2014). The potential role of meaning in life in the relationship between bullying victimization and suicidal ideation. Journal of Youth and Adolescence, 43(2), 221–232. [Google Scholar] [CrossRef]
- Hinch, R., & Sirois, F. M. (2024). A meta-analysis of coping strategies and psychological distress in rheumatoid arthritis. British Journal of Health Psychology, 29(3), 771–787. [Google Scholar] [CrossRef]
- Holt, M. K., Vivolo-Kantor, A. M., Polanin, J. R., Holland, K. M., DeGue, S., Matjasko, J. L., Wolfe, M., & Reid, G. (2015). Bullying and suicidal ideation and behaviors: A meta-analysis. Pediatrics, 135(2), e496–e509. [Google Scholar] [CrossRef]
- Jiang, X., Wei, Q., Yin, W., Pan, S., Dai, C., Zhou, L., Wang, C., Lin, X., & Wu, J. (2025). Bullying victimization and suicidal ideation among Chinese adolescents: A moderated mediation model of depressive symptoms and perceived family economic strain. BMC Public Health, 25(1), 393. [Google Scholar] [CrossRef] [PubMed]
- Kerns, K., Jawad, K., Feygin, Y., Jones, V. F., Lohr, W. D., Le, J., Fields, K., Porter, J., Ouellette, S., Kluthe, T., & Davis, D. W. (2025). The Positive Association of physical activity on sadness and suicide behaviors for youth who have been bullied. Journal of Affective Disorders, 378, 248–253. [Google Scholar] [CrossRef] [PubMed]
- Kim, Y. S., & Leventhal, B. (2008). Bullying and suicide. A Review. International Journal of Adolescent Medicine and Health, 20(2), 133–154. [Google Scholar] [CrossRef] [PubMed]
- Kim, Y. S., Leventhal, B. L., Koh, Y. J., & Boyce, W. T. (2009). Bullying increased suicide risk: Prospective study of Korean adolescents. Archives of Suicide Research, 13(1), 15–30. [Google Scholar] [CrossRef]
- Klomek, A. B., Marrocco, F., Kleinman, M., Schonfeld, I. S., & Gould, M. S. (2007). Bullying, depression, and suicidality in adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 46(1), 40–49. [Google Scholar] [CrossRef]
- Klomek, A. B., Sourander, A., & Gould, M. (2010). The association of suicide and bullying in childhood to young adulthood: A review of cross-sectional and longitudinal research findings. The Canadian Journal of Psychiatry, 55(5), 282–288. [Google Scholar] [CrossRef]
- Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016). Suicide, suicide attempts, and suicidal ideation. Annual Review of Clinical Psychology, 12(1), 307–330. [Google Scholar] [CrossRef]
- Labelle, R., Breton, J. J., Pouliot, L., Dufresne, M.-J., & Berthiaume, C. (2013). Cognitive correlates of serious suicidal ideation in a community sample of adolescents. Journal of Affective Disorders, 145(3), 370–377. [Google Scholar] [CrossRef]
- Lai, W., Li, W., Guo, L., Wang, W., Xu, K., Dou, Q., Shi, J., Teopiz, K. M., McIntyre, R. S., & Lu, C. (2023). Association between bullying victimization, coping style, and mental health problems among Chinese adolescents. Journal of Affective Disorders, 324, 379–386. [Google Scholar] [CrossRef]
- Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer publishing company. [Google Scholar]
- Li, X.-Y., Phillips, M. R., Zhang, Y.-L., Xu, D., Tong, Y.-S., Yang, F.-D., & Kuang, L. (2011). Reliability and validity of the Chinese version of Beck Scale for Suicide Ideation (BSI-CV) among university students. Chinese Mental Health Journal, 25(11), 862–866. [Google Scholar]
- Liang, J., Kõlves, K., Lew, B., de Leo, D., Yuan, L., Abu Talib, M., & Jia, C. (2020). Coping strategies and Suicidality: A cross-sectional study from China. Frontiers in Psychiatry, 11, 129. [Google Scholar] [CrossRef] [PubMed]
- Liao, Y., Peng, X., Wang, H., Xie, R., Wang, R., Cao, X., & Chen, R. (2025). Experiences of bullying and coping resources in nursing students during clinical placement. Nurse Education Today, 147, 106622. [Google Scholar] [CrossRef]
- López-Castro, L., Smith, P. K., Robinson, S., & Görzig, A. (2023). Age differences in bullying victimization and perpetration: Evidence from cross-cultural surveys. Aggression and Violent Behavior, 73, 101888. [Google Scholar] [CrossRef]
- Meltzer, H., Vostanis, P., Ford, T., Bebbington, P., & Dennis, M. S. (2011). Victims of bullying in childhood and suicide attempts in adulthood. European Psychiatry, 26(8), 498–503. [Google Scholar] [CrossRef]
- Modecki, K. L., Minchin, J., Harbaugh, A. G., Guerra, N. G., & Runions, K. C. (2014). Bullying prevalence across contexts: A meta-analysis measuring cyber and traditional bullying. Journal of Adolescent Health, 55(5), 602–611. [Google Scholar] [CrossRef]
- Nederhof, A. J. (1985). Methods of coping with social desirability bias: A review. European Journal of Social Psychology, 15(3), 263–280. [Google Scholar] [CrossRef]
- Nixon, C. L., Jairam, D., Davis, S., Linkie, C. A., Chatters, S., & Hodge, J. J. (2020). Effects of students’ grade level, gender, and form of bullying victimization on coping strategy effectiveness. International Journal of Bullying Prevention, 2(3), 190–204. [Google Scholar] [CrossRef]
- Nowotny, K. M., Peterson, R. L., & Boardman, J. D. (2015). Gendered contexts: Variation in Suicidal Ideation by Female and Male Youth across U.S. States. Journal of Health and Social Behavior, 56(1), 114–130. [Google Scholar] [CrossRef]
- O’Connor, R. C., & Kirtley, O. J. (2018). The integrated motivational–volitional model of suicidal behaviour. Philosophical Transactions of the Royal Society B: Biological Sciences, 373(1754), 20170268. [Google Scholar] [CrossRef] [PubMed]
- Olweus, D. (2006). Revised Olweus bully/victim questionnaire. PsycTESTS Dataset. [Google Scholar] [CrossRef]
- Pichel, R., Foody, M., O’Higgins Norman, J., Feijóo, S., Varela, J., & Rial, A. (2021). Bullying, cyberbullying and the overlap: What does age have to do with it? Sustainability, 13(15), 8527. [Google Scholar] [CrossRef]
- Rice, T., & Sher, L. (2022). Identifying and managing suicidality in children and adolescents with chronic pain: Evidence-based treatment strategies. Psychology Research and Behavior Management, 15, 3561–3574. [Google Scholar] [CrossRef]
- Rosenfield, S. (2000). Gender and dimensions of the self: Implications for internalizing and externalizing behavior. In E. Frank (Ed.), Gender and its effects on psychopathology (pp. 23–36). American Psychiatric Publishing, Inc. [Google Scholar]
- Sun, J., Ban, Y., & Liu, J. (2024). Relationship between bullying victimization and suicide ideation among Chinese adolescents: A moderated chain Mediation Model. Children and Youth Services Review, 156, 107304. [Google Scholar] [CrossRef]
- Sun, P., Sun, Y., Jiang, H., Jia, R., & Li, Z. (2019). Gratitude and problem behaviors in adolescents: The mediating roles of positive and negative coping styles. Frontiers in Psychology, 10, 1547. [Google Scholar] [CrossRef]
- Sveticic, J., & Leo, D. D. (2012). The hypothesis of a continuum in suicidality: A discussion on its validity and practical implications. Mental Illness, 4(2), 73–78. [Google Scholar] [CrossRef]
- Tang, N. K., & Crane, C. (2006). Suicidality in chronic pain: A review of the prevalence, risk factors and psychological links. Psychological medicine, 36(5), 575–586. [Google Scholar] [CrossRef]
- Tran, H. G., Thai, T. T., Dang, N. T., Vo, D. K., & Duong, M. H. (2021). Cyber-victimization and its effect on depression in adolescents: A systematic review and meta-analysis. Trauma, Violence, & Abuse, 24(2), 1124–1139. [Google Scholar] [CrossRef] [PubMed]
- Türk, N., Arslan, G., Kaya, A., Güç, E., & Turan, M. E. (2024). Psychological maltreatment, meaning-centered coping, psychological flexibility, and suicide cognitions: A moderated mediation model. Child Abuse & Neglect, 152, 106735. [Google Scholar] [CrossRef]
- van Tilburg, M. A. L., Spence, N. J., Whitehead, W. E., Bangdiwala, S., & Goldston, D. B. (2011). Chronic pain in adolescents is associated with suicidal thoughts and behaviors. The Journal of Pain, 12(10), 1032–1039. [Google Scholar] [CrossRef]
- Woodhead, E. L., Cronkite, R. C., Moos, R. H., & Timko, C. (2014). Coping strategies predictive of adverse outcomes among community adults. Journal of Clinical Psychology, 70(12), 1183–1195. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization. (2025). Suicide in the world: Global health estimates. Available online: https://www.who.int/data/gho/data/themes/mental-health/suicide-rates (accessed on 7 May 2025).
- Xie, S., Xu, J., & Gao, Y. (2022). Bullying victimization, coping strategies, and depression of children of China. Journal of Interpersonal Violence, 37(1–2), 195–220. [Google Scholar] [CrossRef] [PubMed]
- Xie, Y. (1998). Reliability and validity of the simplified Coping Style Questionnaire. Chinese Journal of Clinical Psychology, 6(2), 114–115. [Google Scholar]
- Xie, Z., & Wang, J. L. (2025). (In)Congruence effect of individual and classroom victimization on internalizing problems: Examine healthy context paradox using response surface analysis. Journal of Youth and Adolescence, 54, 2155–2167. [Google Scholar] [CrossRef] [PubMed]
- Yeager, D. S., Fong, C. J., Lee, H. Y., & Espelage, D. L. (2019). Declines in efficacy of anti-bullying programs among older adolescents: Theory and a three-level meta-analysis. Journal of Applied Developmental Psychology, 37, 36–51. [Google Scholar] [CrossRef]
- Yin, X. Q., Wang, L. H., Zhang, G. D., Liang, X.-B., Li, J., Zimmerman, M. A., & Wang, J. L. (2017). The promotive effects of peer support and active coping on the relationship between bullying victimization and depression among Chinese boarding students. Psychiatry Research, 256, 59–65. [Google Scholar] [CrossRef]
- Zhang, W. X., & Wu, J. F. (1999). Revision of the Chinese version of Qlweus child bullying questionnaire. Psychological Development and Education, 15(2), 7–11. [Google Scholar]
- Zhang, X., Wang, H., Xia, Y., Liu, X., & Jung, E. (2012). Stress, coping and suicide ideation in Chinese college students. Journal of Adolescence, 35(3), 683–690. [Google Scholar] [CrossRef]



| Predictor Variable | Outcome Variable: Suicidal Ideation | |||||
|---|---|---|---|---|---|---|
| Model 1 | Model 2 | Model 3 | ||||
| B | SE | B | SE | B | SE | |
| Gender | 0.07 *** | 0.02 | 0.08 *** | 0.02 | 0.08 *** | 0.02 |
| Age cohort | −0.35 | 0.19 | −0.35 | 0.19 | −0.35 | 0.19 |
| Health condition | −0.12 *** | 0.02 | −0.11 *** | 0.02 | −0.11 *** | 0.02 |
| Bullying victimization | −0.03 | 0.04 | −0.58 *** | 0.15 | ||
| Active Coping | −0.20 *** | 0.02 | −0.37 *** | 0.08 | ||
| Bullying Victimization × Active Coping | 0.07 *** | 0.01 | 0.27 *** | 0.05 | ||
| Active Coping × Age cohort | 0.14 * | 0.06 | ||||
| Bullying Victimization × Age Cohort | 0.45 *** | 0.12 | ||||
| Bullying Victimization × Active Coping × Age cohort | −0.16 *** | 0.04 | ||||
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Liu, S.; Xiong, Q.; Gao, Y.; Wang, L.; Yu, Q. Reverse Buffering Effects of Active Coping on Suicidal Ideation in Bullied Adolescents: Age Cohort Differences. Behav. Sci. 2025, 15, 1619. https://doi.org/10.3390/bs15121619
Liu S, Xiong Q, Gao Y, Wang L, Yu Q. Reverse Buffering Effects of Active Coping on Suicidal Ideation in Bullied Adolescents: Age Cohort Differences. Behavioral Sciences. 2025; 15(12):1619. https://doi.org/10.3390/bs15121619
Chicago/Turabian StyleLiu, Sichen, Qing Xiong, Ya Gao, Le Wang, and Quanlei Yu. 2025. "Reverse Buffering Effects of Active Coping on Suicidal Ideation in Bullied Adolescents: Age Cohort Differences" Behavioral Sciences 15, no. 12: 1619. https://doi.org/10.3390/bs15121619
APA StyleLiu, S., Xiong, Q., Gao, Y., Wang, L., & Yu, Q. (2025). Reverse Buffering Effects of Active Coping on Suicidal Ideation in Bullied Adolescents: Age Cohort Differences. Behavioral Sciences, 15(12), 1619. https://doi.org/10.3390/bs15121619

