Peer victimisation and depression among gender conforming and non-conforming Thai adolescents

Abstract Like most low- and middle-income countries, Thailand is facing an increasing burden of depressive disorders among adolescents, but research and services for them are largely neglected. This study explored the association between types of peer victimisation, gender non-conformity, health risk behaviours, and depressive symptoms among Thai students aged 13–18 years. Overall, prevalence of depressive symptoms was 14.7% (95% CI: 12.6–15.6), 12.2% (95% CI: 9.5–13.9) among male students and 16.5% (95% CI: 13.8–18.0) among female students. Among both sexes, social and sexual victimisation in the past month were strongly associated with depressive symptoms in the past week. Gender non-conforming female adolescents, as well as male and female adolescents who had experienced sexual and social victimisation, had a high burden of depressive symptoms. Mental health professionals and educators working with young people in Thailand should consider assessment for clinically significant depressive disorders.

[1]  Direk Patmasiriwat,et al.  Vocational Education Choice and Fiscal Incentive for Low-Income Families , 2019 .

[2]  M. Kihara,et al.  Disparities in Mental Well-being between Non-Minority and Sexual Minority Male Youth in Bangkok, Thailand: Quantitative Findings from a Mixed Method Study , 2017 .

[3]  S. Gilman.  Commentary : Childhood socioeconomic status , life course pathways and adult mental health , 2017 .

[4]  Michaela M. Bucchianeri,et al.  Multiple types of harassment: associations with emotional well-being and unhealthy behaviors in adolescents. , 2014, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[5]  Paul Vedder,et al.  Relationship between peer victimization, cyberbullying, and suicide in children and adolescents: a meta-analysis. , 2014, JAMA pediatrics.

[6]  S. Tortolero,et al.  Peer Victimization in Fifth Grade and Health in Tenth Grade , 2014, Pediatrics.

[7]  G. Freedman,et al.  Burden of Depressive Disorders by Country, Sex, Age, and Year: Findings from the Global Burden of Disease Study 2010 , 2013, PLoS medicine.

[8]  Abdullah Al Mamun,et al.  Early childhood predictors of early onset of smoking: a birth prospective study. , 2013, Addictive behaviors.

[9]  E. Costello,et al.  Adult psychiatric outcomes of bullying and being bullied by peers in childhood and adolescence. , 2013, JAMA psychiatry.

[10]  M. Janosz,et al.  School Environment and Adolescent Depressive Symptoms: A Multilevel Longitudinal Study , 2013, Pediatrics.

[11]  K. Peltzer,et al.  Bullying and Its Associated Factors among School-Aged Adolescents in Thailand , 2013, TheScientificWorldJournal.

[12]  S. Austin,et al.  Childhood gender nonconformity, bullying victimization, and depressive symptoms across adolescence and early adulthood: an 11-year longitudinal study. , 2013, Journal of the American Academy of Child and Adolescent Psychiatry.

[13]  Durham County.  Youth Risk Behavior Survey , 2013 .

[14]  J. Schulenberg,et al.  Longitudinal Associations Between Smoking and Depressive Symptoms Among Adolescent Girls , 2013, Prevention Science.

[15]  U. Trangkasombat,et al.  Gender differences in depressive symptoms in Thai adolescents , 2012 .

[16]  D. Pine,et al.  Depression in adolescence , 2012, The Lancet.

[17]  Kathleen C. Basile,et al.  Bullying perpetration and subsequent sexual violence perpetration among middle school students. , 2012, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[18]  C. Kieling,et al.  Child and adolescent mental health worldwide: evidence for action , 2011, The Lancet.

[19]  Patarapan Odton,et al.  Burden of disease in Thailand: changes in health gap between 1999 and 2004 , 2011, BMC public health.

[20]  S. Lindberg,et al.  Adolescent gender-role identity and mental health: gender intensification revisited. , 2009, Child development.

[21]  T. Ojanen.  Sexual/gender minorities in Thailand: Identities, challenges, and voluntary-sector counseling , 2009 .

[22]  R. Kaltiala-Heino,et al.  Involvement in bullying and depression in a 2-year follow-up in middle adolescence , 2009, European Child & Adolescent Psychiatry.

[23]  J. Gruber,et al.  Comparing the Impact of Bullying and Sexual Harassment Victimization on the Mental and Physical Health of Adolescents , 2008 .

[24]  C. Bain,et al.  Cohort profile: The Thai Cohort of 87,134 Open University students. , 2008, International journal of epidemiology.

[25]  John Mahoney,et al.  Barriers to improvement of mental health services in low-income and middle-income countries , 2007, The Lancet.

[26]  R. Araya,et al.  Treatment and prevention of mental disorders in low-income and middle-income countries , 2007, The Lancet.

[27]  P. Bolton,et al.  Do not forget culture when studying mental health , 2007, The Lancet.

[28]  A. Sourander,et al.  What Is the Early Adulthood Outcome of Boys Who Bully or Are Bullied in Childhood? The Finnish “From a Boy to a Man” Study , 2007, Pediatrics.

[29]  S. Ruangkanchanasetr,et al.  Youth risk behavior survey: Bangkok, Thailand. , 2005, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[30]  M. Sinnott.  Toms and Dees: Transgender Identity and Female Same-Sex Relationships in Thailand , 2017 .

[31]  Gitanjali Saluja,et al.  Prevalence of and risk factors for depressive symptoms among young adolescents. , 2004, Archives of pediatrics & adolescent medicine.

[32]  S. Gilman.  Childhood socioeconomic status, life course pathways and adult mental health. , 2002, International journal of epidemiology.

[33]  W. Courtenay.  Constructions of masculinity and their influence on men's well-being: a theory of gender and health. , 2000, Social science & medicine.

[34]  C. Hoven,et al.  Mental health service use in the community and schools: Results from the four-community MECA study , 1996 .

[35]  S L Zeger,et al.  Regression analysis for correlated data. , 1993, Annual review of public health.