{"id":"https://openalex.org/W7225338452","doi":"https://doi.org/10.1177/09727531261497509","title":"Cyberbullying, Digital Victimisation and Suicidality Among Adolescents and Sexual and Gender Minority Populations: A Systematic Review and Meta-analysis","display_name":"Cyberbullying, Digital Victimisation and Suicidality Among Adolescents and Sexual and Gender Minority Populations: A Systematic Review and Meta-analysis","publication_year":2026,"publication_date":"2026-11-04","ids":{"openalex":"https://openalex.org/W7225338452","doi":"https://doi.org/10.1177/09727531261497509","pmid":"https://pubmed.ncbi.nlm.nih.gov/42996446","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13739869"},"language":"en","primary_location":{"id":"doi:10.1177/09727531261497509","doi":"https://doi.org/10.1177/09727531261497509","is_oa":true,"landing_page_url":"https://doi.org/10.1177/09727531261497509","pdf_url":null,"source":{"id":"https://openalex.org/S22816821","display_name":"Annals of Neurosciences","issn_l":"0972-7531","issn":["0972-7531","0976-3260"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Neurosciences","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1177/09727531261497509","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160541589","display_name":"Debayan Mandal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210106490","display_name":"All India Institute of Medical Sciences Bhopal","ror":"https://ror.org/01rs0zz87","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210106490"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Debayan Mandal","raw_affiliation_strings":["Department of Psychiatry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210106490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001605338","display_name":"Roshan Fakirchand Sutar","orcid":"https://orcid.org/0000-0003-1027-1659","observed_orcids":["https://orcid.org/0000-0003-1027-1659"]},"institutions":[{"id":"https://openalex.org/I4210106490","display_name":"All India Institute of Medical Sciences Bhopal","ror":"https://ror.org/01rs0zz87","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210106490"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Roshan Sutar","raw_affiliation_strings":["Department of Psychiatry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"],"raw_orcid":"https://orcid.org/0000-0003-1027-1659","affiliations":[{"raw_affiliation_string":"Department of Psychiatry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210106490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000403190","display_name":"Ashish Pakhre","orcid":"https://orcid.org/0000-0001-9539-533X","observed_orcids":["https://orcid.org/0000-0001-9539-533X"]},"institutions":[{"id":"https://openalex.org/I4210106490","display_name":"All India Institute of Medical Sciences Bhopal","ror":"https://ror.org/01rs0zz87","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210106490"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Ashish Pakhre","raw_affiliation_strings":["Department of Psychiatry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210106490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052259766","display_name":"Vijender Singh","orcid":"https://orcid.org/0000-0002-0461-7767","observed_orcids":["https://orcid.org/0000-0002-0461-7767"]},"institutions":[{"id":"https://openalex.org/I4210106490","display_name":"All India Institute of Medical Sciences Bhopal","ror":"https://ror.org/01rs0zz87","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210106490"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Vijender Singh","raw_affiliation_strings":["Department of Psychiatry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"],"raw_orcid":"https://orcid.org/0000-0002-0461-7767","affiliations":[{"raw_affiliation_string":"Department of Psychiatry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210106490"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016432802","display_name":"Amit Agrawal","orcid":"https://orcid.org/0000-0002-3287-5448","observed_orcids":["https://orcid.org/0000-0002-3287-5448"]},"institutions":[{"id":"https://openalex.org/I4210106490","display_name":"All India Institute of Medical Sciences Bhopal","ror":"https://ror.org/01rs0zz87","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210106490"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Amit Agrawal","raw_affiliation_strings":["Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"],"raw_orcid":"https://orcid.org/0000-0002-3287-5448","affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India","institution_ids":["https://openalex.org/I4210106490"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5001605338"],"corresponding_institution_ids":["https://openalex.org/I4210106490"],"apc_list":{"value":395,"currency":"USD","value_usd":395},"apc_paid":{"value":395,"currency":"USD","value_usd":395},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.7012239,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"09727531261497509","last_page":"09727531261497509"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10485","display_name":"Bullying, Victimization, and Aggression","score":0.9096999764442444,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10485","display_name":"Bullying, Victimization, and Aggression","score":0.9096999764442444,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.04839999973773956,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13582","display_name":"Stalking, Cyberstalking, and Harassment","score":0.009399999864399433,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cyberbullying","display_name":"cyberbullying","score":1.0},{"id":"https://openalex.org/keywords/suicidality","display_name":"suicidality","score":0.8479999899864197},{"id":"https://openalex.org/keywords/suicidal-ideation","display_name":"suicidal ideation","score":0.8309999704360962},{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.8790000081062317},{"id":"https://openalex.org/keywords/sexual-and-gender-minority-youth","display_name":"sexual and gender minority youth","score":0.8849999904632568},{"id":"https://openalex.org/keywords/minority-stress","display_name":"minority stress","score":0.8149999976158142},{"id":"https://openalex.org/keywords/online-harassment","display_name":"online harassment","score":0.6800000071525574},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.7860000133514404},{"id":"https://openalex.org/keywords/social-support","display_name":"social support","score":0.9649999737739563},{"id":"https://openalex.org/keywords/digital-literacy","display_name":"digital literacy","score":0.8820000290870667},{"id":"https://openalex.org/keywords/cyberbullying-prevention","display_name":"cyberbullying prevention","score":0.9160000085830688},{"id":"https://openalex.org/keywords/online-monitoring","display_name":"online monitoring","score":0.3319999873638153}],"concepts":[{"id":"https://openalex.org/C2776641880","wikidata":"https://www.wikidata.org/wiki/Q944142","display_name":"Suicidal ideation","level":4,"score":0.7728000283241272},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6352999806404114},{"id":"https://openalex.org/C2776886188","wikidata":"https://www.wikidata.org/wiki/Q373752","display_name":"Victimisation","level":4,"score":0.5975000262260437},{"id":"https://openalex.org/C2778976716","wikidata":"https://www.wikidata.org/wiki/Q3240539","display_name":"Harassment","level":2,"score":0.5892000198364258},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5454000234603882},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5379999876022339},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4641999900341034},{"id":"https://openalex.org/C2778973849","wikidata":"https://www.wikidata.org/wiki/Q589656","display_name":"Sexual minority","level":3,"score":0.4618000090122223},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4296000003814697},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4178999960422516},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.39100000262260437},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.3885999917984009},{"id":"https://openalex.org/C2777545354","wikidata":"https://www.wikidata.org/wiki/Q3557657","display_name":"Social anxiety","level":3,"score":0.3594000041484833},{"id":"https://openalex.org/C2992354236","wikidata":"https://www.wikidata.org/wiki/Q43414","display_name":"Sexual abuse","level":4,"score":0.3495999872684479},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.34299999475479126},{"id":"https://openalex.org/C2777005476","wikidata":"https://www.wikidata.org/wiki/Q17103967","display_name":"Minority stress","level":4,"score":0.3418999910354614},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.30880001187324524},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.30709999799728394},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.2985000014305115},{"id":"https://openalex.org/C2779671885","wikidata":"https://www.wikidata.org/wiki/Q189125","display_name":"Transgender","level":2,"score":0.29809999465942383},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.2948000133037567},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.2791999876499176},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.27639999985694885}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1177/09727531261497509","doi":"https://doi.org/10.1177/09727531261497509","is_oa":true,"landing_page_url":"https://doi.org/10.1177/09727531261497509","pdf_url":null,"source":{"id":"https://openalex.org/S22816821","display_name":"Annals of Neurosciences","issn_l":"0972-7531","issn":["0972-7531","0976-3260"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Neurosciences","raw_type":"journal-article"},{"id":"pmid:42996446","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42996446","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of neurosciences","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13739869","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13739869/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ann Neurosci","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1177/09727531261497509","doi":"https://doi.org/10.1177/09727531261497509","is_oa":true,"landing_page_url":"https://doi.org/10.1177/09727531261497509","pdf_url":null,"source":{"id":"https://openalex.org/S22816821","display_name":"Annals of Neurosciences","issn_l":"0972-7531","issn":["0972-7531","0976-3260"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Neurosciences","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.6000000238418579,"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":67,"referenced_works":["https://openalex.org/W2004375093","https://openalex.org/W2042775112","https://openalex.org/W2043831524","https://openalex.org/W2061582928","https://openalex.org/W2116975456","https://openalex.org/W2125408374","https://openalex.org/W2126006743","https://openalex.org/W2193074097","https://openalex.org/W2256932263","https://openalex.org/W2346159647","https://openalex.org/W2366058824","https://openalex.org/W2611741985","https://openalex.org/W2750807191","https://openalex.org/W2791325365","https://openalex.org/W2802043748","https://openalex.org/W2890051191","https://openalex.org/W2905460374","https://openalex.org/W2906814179","https://openalex.org/W2914420962","https://openalex.org/W2924596372","https://openalex.org/W2982013838","https://openalex.org/W2989025850","https://openalex.org/W3005179126","https://openalex.org/W3022258242","https://openalex.org/W3023267085","https://openalex.org/W3047300414","https://openalex.org/W3080613857","https://openalex.org/W3083320816","https://openalex.org/W3108539406","https://openalex.org/W3118634480","https://openalex.org/W3139277624","https://openalex.org/W3153879689","https://openalex.org/W3175609641","https://openalex.org/W3177086099","https://openalex.org/W3183523400","https://openalex.org/W3186356299","https://openalex.org/W3199599975","https://openalex.org/W4205111151","https://openalex.org/W4206736184","https://openalex.org/W4223917147","https://openalex.org/W4224275331","https://openalex.org/W4225155388","https://openalex.org/W4225939181","https://openalex.org/W4228997530","https://openalex.org/W4308959497","https://openalex.org/W4318015226","https://openalex.org/W4366316574","https://openalex.org/W4385689283","https://openalex.org/W4386810862","https://openalex.org/W4387610494","https://openalex.org/W4387881314","https://openalex.org/W4389552249","https://openalex.org/W4390820841","https://openalex.org/W4391821609","https://openalex.org/W4393949415","https://openalex.org/W4399422981","https://openalex.org/W4399595434","https://openalex.org/W4399745422","https://openalex.org/W4401444957","https://openalex.org/W4401989909","https://openalex.org/W4402601354","https://openalex.org/W4402693935","https://openalex.org/W4403891814","https://openalex.org/W4405258514","https://openalex.org/W4406232008","https://openalex.org/W4408808709","https://openalex.org/W4417357969"],"related_works":["https://openalex.org/W3207306785","https://openalex.org/W6910560543","https://openalex.org/W6911905245","https://openalex.org/W4213063376","https://openalex.org/W4229041724","https://openalex.org/W4293068275","https://openalex.org/W6906448840","https://openalex.org/W4402568313","https://openalex.org/W4224863684","https://openalex.org/W7035980658"],"abstract_inverted_index":{"Background":[0],"Cybersuicide":[1],"refers":[2],"to":[3,19,41,54,66,226],"suicidal":[4,26,179,196],"behaviour":[5],"influenced":[6],"by":[7,199],"online":[8,38,59,221],"activities,":[9],"particularly":[10],"cyberbullying":[11,132,150,211],"and":[12,28,44,57,73,77,98,118,133,158,203,218],"cyber-victimisation.":[13],"Digital":[14],"harassment":[15],"is":[16,64,190],"strongly":[17],"linked":[18],"mental":[20,78,215],"health":[21,71,79,216],"problems":[22],"that":[23],"can":[24],"precipitate":[25],"ideation":[27,180],"attempts,":[29],"especially":[30],"among":[31],"adolescents,":[32,113],"who":[33],"experience":[34],"multiple":[35],"forms":[36],"of":[37],"abuse":[39],"leading":[40],"depression,":[42,200],"anxiety":[43],"stress.":[45],"Gender":[46],"minority":[47,55,122,169,201],"populations":[48],"may":[49],"face":[50],"greater":[51],"risk":[52,193],"due":[53],"stress":[56,202],"disproportionate":[58],"harassment.":[60],"A":[61,82],"comprehensive":[62],"review":[63],"needed":[65],"understand":[67],"this":[68],"emerging":[69],"public":[70],"challenge":[72],"inform":[74],"targeted":[75],"prevention":[76,212],"interventions.":[80],"Summary":[81],"systematic":[83],"search":[84],"following":[85],"PRISMA":[86],"guidelines":[87],"was":[88,138,152,173,182],"conducted":[89],"on":[90,104],"17":[91],"March":[92],"2025":[93],"across":[94,135],"PubMed,":[95],"Scopus,":[96],"ScienceDirect":[97],"Cochrane":[99],"CENTRAL":[100],"after":[101],"registering":[102],"protocol":[103],"PROSPERO":[105],"(CRD420251061647).":[106],"Of":[107],"400":[108],"studies":[109,137],"identified,":[110],"21":[111],"involved":[112],"youth":[114],"or":[115],"university":[116],"students,":[117],"7":[119],"examined":[120],"gender":[121,168],"populations.":[123],"The":[124],"pooled":[125,171],"odds":[126],"ratio":[127],"for":[128,195],"the":[129],"association":[130],"between":[131],"suicidality":[134],"9":[136],"3.22":[139],"(95%":[140,154,160,175,184],"CI:":[141,155,161,176,185],"1.9\u20135.5;":[142],"z":[143],"=":[144,165],"4.33,":[145],"p":[146],"<":[147],".0001).":[148],"Pooled":[149,178],"prevalence":[151,172,181],"13.9%":[153],"7.8\u201323.5)":[156],"pre-2020":[157],"13.2%":[159],"6.7\u201324.1)":[162],"post-2020":[163],"(I\u00b2":[164],"99.7%).":[166],"Among":[167],"groups,":[170],"39.89%":[174],"18.56\u201365.91).":[177],"21.39%":[183],"13.30\u201332.56).":[186],"Key":[187],"Message":[188],"Cyberbullying":[189],"a":[191],"consistent":[192],"factor":[194],"behaviour,":[197],"amplified":[198],"low":[204],"social":[205],"support.":[206],"Strengthening":[207],"digital":[208],"literacy,":[209],"integrating":[210],"into":[213],"adolescent":[214],"programmes":[217],"implementing":[219],"inclusive":[220],"monitoring":[222],"protocols":[223],"are":[224],"essential":[225],"mitigate":[227],"these":[228],"risks.":[229]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-06T00:00:00"}
