Advancements in internet technology are on the rise and so is the concern for its detrimental effects on youth like cyberbullying. Cyberbullying is on the rise and may cause adverse effects on mental health. The objective of the present study was to identify the prevalence of cyberbullying and its associated risk factors and to measure its association with mental health among adolescents. An online self-administered questionnaire was distributed to 761 high school students aged 15 - 19 years from Riyadh, Saudi Arabia. A quantitative cross-sectional design was integrated, and logistic regression analysis was performed to determine the association. As part of assessing mental health, a questionnaire on the use of cigarettes, e-cigarettes, and hookah was also administered. The prevalence of cyberbullying was 18%. Although a significant association between cyberbullying and mental health status was obtained (OR = 1.04; p =0.03), the risk of Odds was found to be weak and therefore did not favor the hypothesis. The significant risk factors associated with cyberbullying include being traditionally bullied (OR= 4.76; p = <.001), e-cigarette use (OR = 2.73; p = <.001), and male gender (OR = 1.64; p = .04). Despite the findings not favouring the hypothesis, a few striking associations were obtained in the study. Traditional bullying and e-cigarette use increased the risk of cyberbullying. This is a matter of rising concern since e-cigarette use has witnessed a surging rise in popularity. These findings may serve as early warning on the rising issue of cyberbullying and could pave way for formulating early preventive strategies and promulgate awareness by the concerned authorities.

Mental health disorders are increasingly being recognized as a major global challenge. In the Arabic-speaking Middle East and North Africa (MENA) region, this challenge is compounded by sociocultural stigma, political instability, and limited mental health infrastructure, all of which restrict access to effective care. While neurostimulation modalities such as electroconvulsive therapy (ECT) and repetitive transcranial magnetic stimulation (rTMS) have proven effective and are gaining traction, their use in the MENA region remains limited and underexplored. This narrative review aims to bridge critical gaps by examining knowledge levels, attitudes, perceptions, and the clinical application and accessibility of ECT and rTMS across Arabic-speaking countries. We searched multiple databases using keywords related to neurostimulation and psychiatry, covering all 22 Arabic-speaking MENA countries. Studies were included if they were published in English and were related to psychiatric applications of ECT or rTMS. Findings were categorized by geography and grouped into four thematic domains: knowledge, perception, availability, and clinical use. The findings revealed an uneven distribution of neurostimulation research and services across the region; ECT is more established than rTMS. Additionally, public awareness remains low, and high levels of stigma persist. Among clinicians, psychiatrists tend to support neurostimulation, while general medical staff show mixed opinions. rTMS is gaining clinical interest but remains limited in accessibility due to high costs and limited infrastructure. Although neurostimulation should be more widely implemented in psychiatry in the MENA region, it is still underrecognized and underused. Region-specific strategies addressing stigma, training gaps, and policy standardization are essential to optimize neurostimulation use and its public acceptance.