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Lin PI, Wu WT, Azasu EK, Wong TY. Pathway from attention-deficit/hyperactivity disorder to suicide/self-harm. Psychiatry Res 2024; 337:115936. [PMID: 38705042 DOI: 10.1016/j.psychres.2024.115936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Revised: 04/20/2024] [Accepted: 04/28/2024] [Indexed: 05/07/2024]
Abstract
To evaluate the effect of ADHD diagnosis by the age of 10 on the suicide/self-harm risk at age 14 and examine factors that may modify/mediate the association, a longitudinal study based on the nationwide survey consisting of 5,107 children in Australia was used. Self-harm and suicidal risks in children with ADHD at age 14 were the main outcomes; ADHD medication, history of bullied or depression, and other sociodemographic disadvantages, were treated as covariates. The diagnosis of ADHD at age 10 is associated with elevated risks of self-harm, suicidal thoughts, planning, or attempts by age 14, with greater susceptibility in males. The pathway from ADHD symptoms to suicide/self-harm could also be mediated by depression and exposure to bullying assessed at age 12. Note that depression and exposure to bullying might at best contribute to less than 10 % of the total effect of ADHD diagnosis on either the risk of suicide or self-harm. Early gender-tailored intervention and prevention strategies are crucial in clinical practice and health policy.
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Affiliation(s)
- Ping-I Lin
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, New South Wales, Australia; Department of Mental Health, Western Sydney University, New South Wales, Australia; Neuroscience Research Australia, Australia.
| | - Weng Tong Wu
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, New South Wales, Australia
| | - Enoch Kordjo Azasu
- Department of Psychiatry and Neurobehavioral Science, Saint Louis University, Missouri, USA
| | - Tsz Ying Wong
- Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, New South Wales, Australia
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2
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Palmu R, Partonen T. Childhood Bullying as a Predictor of Suicidality in Young Adults in a Nationwide Population-Based Health Examination Study. Arch Suicide Res 2024:1-10. [PMID: 38279827 DOI: 10.1080/13811118.2024.2307891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2024]
Abstract
OBJECTIVE Having been bullied at school in childhood links to suicidality. We aimed at verifying earlier findings and delivering diverse data from a representative population-based sample of young adults to characterize the impacts beyond childhood. METHOD A random sample of adults, aged 18-28 years and representative of the general population living in Finland, participated in a nationwide health examination study. Adverse childhood experiences before the age of 16 years were analyzed for 779 participants in relation to lifetime suicidality (suicidal ideation, suicide attempts), current suicidal thoughts (HSCL-25), mental disorders (self-reports for lifetime, M-CIDI for DSM-IV during the past 12 months), current usage of mental health services, current usage of prescription medicines (ATC codes), current psychological distress (GHQ-12), and current work capacity and work ability. RESULTS Having been bullied in childhood contributed to greater suicidality (p < 0.001), more frequent current usage of antipsychotics (p < 0.001) as well as antidepressants (p < 0.001), greater current psychological distress (p < 0.001), and poorer current work capacity (p < 0.001) as well as work ability (p < 0.001). Of the self-reported mental disorders on lifetime basis, psychosis had the strongest association (p = 0.03) with having been bullied, whereas the interview-based diagnosis of mental disorders during the past 12 months had no significant association. CONCLUSIONS Having been bullied at school before the age of 16 years was independently associated not only with suicidality, but also with the self-report of psychosis as well as a range of indicators of poorer mental health at the age of 18-28 years.
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Sares-Jäske L, Czimbalmos M, Majlander S, Siukola R, Klemetti R, Luopa P, Lehtonen J. Gendered Differences in Experiences of Bullying and Mental Health Among Transgender and Cisgender Youth. J Youth Adolesc 2023:10.1007/s10964-023-01786-7. [PMID: 37199852 DOI: 10.1007/s10964-023-01786-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 04/28/2023] [Indexed: 05/19/2023]
Abstract
Even though previous studies have shown that transgender youth have poorer mental health and more experiences of being bullied than their cisgender counterparts, and that bullying associates with poorer mental health, knowledge on such associations in different gender identity groups is scarce. This study investigated how mental health problems and experiences of being bullied appear across different gender identity groups, and how bullying is associated with mental health among the groups in question. Data from the Finnish School Health Promotion 2021 study (n = 152,880, mean age 16.2 years (standard deviation 1.22)) was used and categorized into four gender identity groups: cisgender girls (n = 76,521), cisgender boys (n = 69,735), transfeminine youth (n = 1317), and transmasculine youth (n = 5307). Transgender youth experienced more bullying and reported poorer mental health than cisgender youth. While transfeminine youth faced the most bullying, transmasculine youth had the most mental health symptoms. In each group, bullying associated with poorer mental health. Compared to cisgender boys without bullying experiences, odds of poorer mental health were dozens-fold among transmasculine youth with weekly bullying experiences. In addition, compared to cisgender boys with bullying experiences, odds of poorer mental health were greater among all other gender identity groups with bullying experiences, and among transmasculine youth in particular (e.g., odds ratio of generalized anxiety = 8.36 (95% confidence interval, 6.59-10.6)). Bullying is associated with poorer mental health in all youth, but transgender youth, and especially transmasculine youth, may be in an even more vulnerable position for its implications. This suggests that there is a need for improving effective measures to decrease bullying in schools and to improve wellbeing of transgender youth.
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Affiliation(s)
- Laura Sares-Jäske
- Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland.
| | - Mercedesz Czimbalmos
- Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland
- Åbo Akademi University, Tuomiokirkontori 3, FI-20500, Turku, Finland
| | - Satu Majlander
- Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland
| | - Reetta Siukola
- Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland
| | - Reija Klemetti
- Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland
| | - Pauliina Luopa
- Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland
| | - Jukka Lehtonen
- Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland
- University of Oulu, P.O. Box 8000, FI-90014, Oulu, Finland
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Wilson E, Crudgington H, Morgan C, Hirsch C, Prina M, Gayer-Anderson C. The longitudinal course of childhood bullying victimization and associations with self-injurious thoughts and behaviors in children and young people: A systematic review of the literature. J Adolesc 2023; 95:5-33. [PMID: 36210652 PMCID: PMC10092090 DOI: 10.1002/jad.12097] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 09/09/2022] [Accepted: 09/14/2022] [Indexed: 11/07/2022]
Abstract
INTRODUCTION Bullying victimization has consistently been highlighted as a risk factor for self-injurious thoughts and behaviors (SITBs) in young people. This systematic review of prospective, community-based studies explored associations between bullying victimization (traditional/face-to-face and cyber) across the full spectrum of self-harm and suicidality, in children and young people aged up to (and including) 25 years. Importantly, associations by sex/gender were explored. METHODS MEDLINE, Embase, PsycINFO, CINAHL and Scopus were searched for articles meeting the inclusion criteria. Articles were screened by title, abstract and full text. Quality appraisal was performed using the Newcastle-Ottawa Scale for cohort studies. Data were synthesized narratively. The protocol is registered on PROSPERO (CRD42021261916) and followed PRISMA 2020 guidelines. RESULTS A total of 35 papers were included, across 17 countries. Results were presented by bullying type: traditional/face-to-face (n = 25), cyber (n = 7) and/or an aggregate of both types (n = 7). Outcomes included suicidal ideation (n = 17), self-harm (n = 10), suicide attempt (n = 4), NSSI (n = 4), other (n = 7). Studies measured outcomes in under 18s (n = 24), 18-25-year-olds (n = 8) and both under 18s and 18-25-year-olds (n = 3). Studies exploring the role of sex/gender (20%) found some interesting nuances. CONCLUSIONS Some weak to strong associations between bullying and SITBs were found yet conclusions are tentative due to study heterogeneity (e.g., methods used, conceptualizations and operationalisations of exposures/outcomes). Future research should address methodological issues raised in this review, and further explore gender differences in bullying, including by bullying sub-types (e.g., overt or relational) and victim status (e.g., victim or bully-victim).
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Affiliation(s)
- Emma Wilson
- Department of Health Service & Population Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- ESRC Centre for Society and Mental Health, King's College London, London, UK
| | - Holly Crudgington
- Department of Health Service & Population Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- ESRC Centre for Society and Mental Health, King's College London, London, UK
| | - Craig Morgan
- Department of Health Service & Population Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- ESRC Centre for Society and Mental Health, King's College London, London, UK
| | - Colette Hirsch
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Kent, UK
| | - Matthew Prina
- Department of Health Service & Population Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | - Charlotte Gayer-Anderson
- Department of Health Service & Population Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- ESRC Centre for Society and Mental Health, King's College London, London, UK
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John A, Lee SC, Puchades A, Del Pozo-Baños M, Morgan K, Page N, Moore G, Murphy S. Self-harm, in-person bullying and cyberbullying in secondary school-aged children: A data linkage study in Wales. J Adolesc 2023; 95:97-114. [PMID: 36210647 DOI: 10.1002/jad.12102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 08/31/2022] [Accepted: 09/20/2022] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Although the evidence base on bullying victimization and self-harm in young people has been growing, most studies were cross-sectional, relied on self-reported non-validated measures of self-harm, and did not separate effects of in-person and cyberbullying. This study aimed to assess associations of self-harm following in-person bullying at school and cyberbullying victimization controlling for covariates. METHODS School survey data from 11 to 16 years pupils collected in 2017 from 39 Welsh secondary schools were linked to routinely collected data. Inverse probability weighting was performed to circumvent selection bias. Survival analyses for recurrent events were conducted to evaluate relative risks (adjusted hazard ratios [AHR]) of self-harm among bullying groups within 2 years following survey completion. RESULTS A total of 35.0% (weighted N = 6813) of pupils reported being bullied, with 18.1%, 6.4% and 10.5% being victims of in-person bullying at school only, cyberbullying only and both in-person bullying at school and cyberbullying respectively. Adjusting for covariates, effect sizes for self-harm were significant after being in-person bullied at school only (AHR = 2.2 [1.1-4.3]) and being both in-person bullied at school and cyberbullied (AHR = 2.2 [1.0-4.7]) but not being cyberbullied only (AHR = 1.2 [0.4-3.3]). Feeling lonely during recent summer holidays was also a robust predictor (AHR = 2.2 [1.2-4.0]). CONCLUSIONS We reaffirm the role of in-person bullying victimization on self-harm. Pupils were twice as likely to self-harm following in-person bullying as their nonvictimised peers. Interventions for young people that minimize the potential impacts of bullying on self-harm should also include strategies to prevent loneliness.
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Affiliation(s)
- Ann John
- Population Data Science, Swansea University Medical School, Swansea, UK
- Public Health Wales, 2 Capital Quarter, Cardiff, UK
- Wolfson Centre for Young People's Mental Health, Cardiff University, Cardiff, UK
| | - Sze Chim Lee
- Population Data Science, Swansea University Medical School, Swansea, UK
| | - Alice Puchades
- Population Data Science, Swansea University Medical School, Swansea, UK
- Public Health Wales, 2 Capital Quarter, Cardiff, UK
| | - Marcos Del Pozo-Baños
- Population Data Science, Swansea University Medical School, Swansea, UK
- Wolfson Centre for Young People's Mental Health, Cardiff University, Cardiff, UK
| | - Kelly Morgan
- Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, Cardiff, UK
| | - Nicholas Page
- Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, Cardiff, UK
| | - Graham Moore
- Wolfson Centre for Young People's Mental Health, Cardiff University, Cardiff, UK
- Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, Cardiff, UK
| | - Simon Murphy
- Wolfson Centre for Young People's Mental Health, Cardiff University, Cardiff, UK
- Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, Cardiff, UK
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Heino E, Ellonen N, Kaltiala R. Transgender Identity Is Associated With Bullying Involvement Among Finnish Adolescents. Front Psychol 2021; 11:612424. [PMID: 33488479 PMCID: PMC7820417 DOI: 10.3389/fpsyg.2020.612424] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Accepted: 12/09/2020] [Indexed: 12/17/2022] Open
Abstract
Background During adolescence, bullying often has a sexual content. Involvement in bullying as a bully, victim or both has been associated with a range of negative health outcomes. Transgender youth appear to face elevated rates of bullying in comparison to their mainstream peers. However, the involvement of transgender youth as perpetrators of bullying remains unclear in the recent literature. Objective The aim of this study was to compare involvement in bullying between transgender and mainstream youth and among middle and late adolescents in a general population sample. Methods Our study included 139,829 students in total, divided between a comprehensive school and an upper secondary education sample. Associations between gender identity and involvement in bullying were first studied using cross-tabulations with chi-square statistics. Logistic regression was used to study multivariate associations. Gender identity was used as the independent variable, with cisgender as the reference category. Subjection to and perpetration of bullying were entered each in turn as the dependent variable. Demographic factors, family characteristics, internalizing symptoms, externalizing behaviors, and involvement in bullying in the other role were added as confounding factors. Odds ratios (OR) with 95% confidence intervals (95% CI) are given. The limit for statistical significance was set at p < 0.001. Results Both experiences of being bullied and perpetrating bullying were more commonly reported by transgender youth than by cisgender youth. Among transgender youth, all involvement in bullying was more commonly reported by non-binary youth than those identifying with the opposite sex. Logistic regression revealed that non-binary identity was most strongly associated with involvement in bullying, followed by opposite sex identity and cisgender identity. Transgender identities were also more strongly associated with perpetration of bullying than subjection to bullying. Conclusion Transgender identity, especially non-binary identity, is associated with both being bullied and perpetrating bullying even when a range of variables including internal stress and involvement in bullying in the opposite role are taken into account. This suggests that bullying during adolescence may serve as a mechanism of maintaining heteronormativity.
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Affiliation(s)
- Elias Heino
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Noora Ellonen
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Riittakerttu Kaltiala
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.,Department of Adolescent Psychiatry, Tampere University Hospital, Tampere, Finland.,Vanha Vaasa Hospital, Vaasa, Finland
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7
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Bullying involvement, family background, school life, and well-being feelings among adolescents. J Public Health (Oxf) 2020. [DOI: 10.1007/s10389-019-01076-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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8
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Ceballos Ospino GA, Campo-Arias A, Rodríguez-De Ávila U. Consistencia interna y dimensionalidad del cuestionario breve para detectar intimidación escolar. PENSAMIENTO PSICOLÓGICO 2020. [DOI: 10.11144/javerianacali.ppsi18-1.cidc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
Objetivo. Corroborar el desempeño psicométrico, la consistencia interna y la dimensionalidad del Cuestionario Breve de Detección de Intimidación Escolar (CBDIE). Método. Se diseñó un estudio de validación en el que participaron 350 estudiantes, entre los 10 y los 17 años (M = 13.3; DE = 1.8), 53.7% de género femenino. Se calcularon indicadores de consistencia interna (Kuder-Richardson, K-R, y omega de McDonald) para las tres subescalas del CBDIE. Resultados. La subescala de intimidación percibida mostró K-R de 0.55 y omega de McDonald de 0.58; la subescala de síntomas emocionales, 0.80 y 0.81; y la subescala de intimidación perpetrada, 0.41 y 0.33. No fue posible demostrar la dimensionalidad del instrumento. Conclusión. Solo la subescala de síntomas emocionales de CBDIE presenta alta consistencia interna. Se necesitan más investigaciones de la dimensionalidad del CBDIE, para dar cuenta de su estructura interna.
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Ceballos-Ospino G, Suárez-Colorado YP, Campo-Arias A. Asociación entre matoneo escolar, síntomas depresivos e ideación suicida. ACTA ACUST UNITED AC 2019. [DOI: 10.21615/cesp.12.3.7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
El objetivo de la presente investigación fue estimar la relación entre matoneo escolar (ME), síntomas depresivos con importancia clínica (SDIC) y alto nivel de ideación suicida (ANIS) en adolescentes estudiantes de la ciudad de Santa Marta, Colombia. Se diseñó un estudio transversal en el que participaron estudiantes entre 10 y 17 años, de sexto a undécimo grado escolar, quienes diligenciaron una versión de cinco ítems del Cuestionario de Intimidación Escolar Abreviado, CIE-A; la versión de diez ítems de la Escala del Centro de Estudios Epidemiológicos de la Depresión, CES-D-10; y la Escala de Okasha para Suicidalidad, EOS. Participaron 350 estudiantes (M=13,3; DE=1,8), 188 mujeres y 162 hombres, 236 estudiantes de básica secundaria y 114 en media vocacional. Un total de 58 (16,6%) informó ME, 59 (16,9%) SDIC y 33 (9,4%) ANIS. El ME se asoció significativamente a ANIS (OR=3,1; IC95% 1,3-7,9), después de controlar por SDIC y sexo. Se evidencia la relevancia de evaluar SDIC en víctimas de ME, y las posibilidades de reducir el riesgo de ANIS a partir de la identificación y realización de programas de intervención en adolescentes con SDIC.
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Heerde JA, Hemphill SA. Are Bullying Perpetration and Victimization Associated with Adolescent Deliberate Self-Harm? A Meta-Analysis. Arch Suicide Res 2019; 23:353-381. [PMID: 29791272 DOI: 10.1080/13811118.2018.1472690] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
This study sought to appraise internationally published literature investigating bullying in its association with deliberate self-harm (DSH). A systematic review and series of meta-analyses using random effects models were conducted. A total of 68 effect sizes, analyzing data from 156,284 adolescents aged 11-19 years were examined. Results showed significant associations between both traditional bullying perpetration (OR 1.81, 95% CI [1.33, 2.47], p < .0001) and victimization (OR 2.34, 95% CI [1.89, 2.89], p < .0001) and DSH. Cyber-bullying victimization (OR 3.55, 95% CI [2.71, 4.65], p < .0001) and the co-occurrence of traditional and cyber-bullying victimization (OR 3.39, 95% CI [1.56, 7.37], p = .002) were also associated with DSH. Moderator analyses showed variation in results based on methodological- and sample-level variables. Findings suggested that exposure to bullying, either as perpetrators or victims, poses risks for DSH.
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Affiliation(s)
- Jessica A Heerde
- a Department of Paediatrics , The University of Melbourne, Murdoch Children's Research Institute , Parkville , VIC , Australia
| | - Sheryl A Hemphill
- b The University of Melbourne, Murdoch Children's Research Institute , Deakin University , Parkville , VIC , Australia
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11
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Fredrick SS, Demaray MK. Peer victimization and suicidal ideation: The role of gender and depression in a school-based sample. J Sch Psychol 2018; 67:1-15. [PMID: 29571526 DOI: 10.1016/j.jsp.2018.02.001] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2017] [Revised: 11/16/2017] [Accepted: 02/08/2018] [Indexed: 12/15/2022]
Abstract
The current study investigated the relations among traditional and cyber victimization, depressive symptoms, suicidal ideation, and gender in a school-based sample of 403 9th grade (13 to 16-year-old) adolescents. Path analyses indicated that both traditional victimization and cyber victimization were associated with suicidal ideation indirectly through depressive symptoms. Although there was little evidence of gender differences in the associations among peer victimization and depressive symptoms and suicidal ideation, the relation between depressive symptoms and suicidal ideation was found to be significantly stronger for girls than boys. The current investigation confirms the complexity of the association between peer victimization and suicidal ideation and that depressive symptoms, as well as gender, may play a role in this complex relation. Future research should continue to explore the associations among victimization, depressive symptoms, and suicidal ideation within a social ecological framework.
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Affiliation(s)
- Stephanie Secord Fredrick
- Department of Psychology, Central Michigan University, 1101 S. Franklin, Mt. Pleasant, MI 48859, United States.
| | - Michelle K Demaray
- Department of Psychology, Northern Illinois University, DeKalb, IL 60115, United States.
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12
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Leader H, Singh J, Ghaffar A, de Silva C. Association between bullying and pediatric psychiatric hospitalizations. SAGE Open Med 2018; 6:2050312117750808. [PMID: 29326819 PMCID: PMC5758959 DOI: 10.1177/2050312117750808] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Accepted: 12/06/2017] [Indexed: 11/21/2022] Open
Abstract
Objectives: Bullying is a serious public health issue. We sought to demonstrate an association between bullying victimization and hospital admissions for acute psychiatric problems. We described the demographics and types of bullying in a sample of hospitalized patients in Staten Island, NY, and compared bullying victimization scores with psychiatric versus medical admissions. Methods: Patients in grades 3–12 were recruited from the Staten Island University Hospital Inpatient Pediatrics unit and emergency department. Patients completed the validated Olweus Bully/Victim Questionnaire (OBQ) was analyzed to formulate a report of bullying in our sample as well as a sub-score measurement of bullying victimization. Pediatric residents simultaneously documented whether the subject was a medical versus an in-patient psychiatry admission. Statistical analysis was performed to look for an association between the victimization sub-score and a psychiatric indication for admission. Results: A total of 185 surveys were analyzed. Peak bullying occurred in 7th and 8th grades. Demographics and types of bullying in our sample were described. A strong association between bullying victimization and hospitalization for in-patient psychiatry was demonstrated. Association between bullying victimization and suicidal ideation, psychiatry, and social work consults was also shown. Concern for an association between hospitalization for psychogenic illness and bullying victimization was also raised. Conclusions: There is a significant association between bullying victimization and psychiatric hospital admissions. This raises the specter of the serious consequences of bullying as it is the first study to prospectively link hospital admissions to bullying. Studies using a valid measure of psychogenic illness to look for an association with bullying victimization are needed.
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Affiliation(s)
- Hadassa Leader
- Department of Pediatrics, Staten Island University Hospital, Northwell Health, Staten Island, NY, USA.,Department of Pediatrics, Hofstra-Northwell School of Medicine, Hempstead, NY, USA
| | - Jasmine Singh
- Department of Pediatrics, Staten Island University Hospital, Northwell Health, Staten Island, NY, USA
| | - Ayesha Ghaffar
- Department of Pediatrics, Staten Island University Hospital, Northwell Health, Staten Island, NY, USA
| | - Cheryl de Silva
- Department of Pediatrics, Staten Island University Hospital, Northwell Health, Staten Island, NY, USA.,Department of Pediatrics, Hofstra-Northwell School of Medicine, Hempstead, NY, USA
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Marschall-Lévesque S, Castellanos-Ryan N, Parent S, Renaud J, Vitaro F, Boivin M, Tremblay RE, Séguin JR. Victimization, Suicidal Ideation, and Alcohol Use From Age 13 to 15 Years: Support for the Self-Medication Model. J Adolesc Health 2017; 60:380-387. [PMID: 27914973 PMCID: PMC5366256 DOI: 10.1016/j.jadohealth.2016.09.019] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2016] [Revised: 09/20/2016] [Accepted: 09/20/2016] [Indexed: 10/20/2022]
Abstract
PURPOSE Recent years have seen increased coverage of adolescent victimization and suicide. Both adolescent peer victimization and substance use have been associated with suicidal ideation, with evidence suggesting that all three factors are interrelated. There are at least four models which can explain the associations between these factors (i.e., self-medication, secondary mental disorder, bidirectional, and common factor). However, none of them is being empirically supported as the dominant model because few longitudinal studies have explored the association between these factors. METHODS The present study compared longitudinal paths of all four models simultaneously using a cross-lagged model. This was done using self-reported measures of peer victimization, suicidal ideation, and alcohol use at age 13, 14, and 15 years in a longitudinal sample of 238 adolescents. RESULTS All three variables were moderately stable across time. Significant cross-lagged associations were found, showing that frequent peer victimization at age 13 years was associated with higher odds of having suicidal ideation at age 14 years (odds ratio, 1.82; p < .05). In turn, presence of suicidal ideation at age 14 years was significantly associated with higher alcohol use frequency at age 15 years (β = .13; p < .05). CONCLUSIONS Results support previous literature suggesting that peer victimization predates alcohol use and extends it by showing clear directionality between suicidal ideation and alcohol use over 1 year, supporting the self-medication model. Clarifying the empirical basis of these underlying models could allow for earlier prevention strategies, by targeting the risk factor that appears the earliest in the model.
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Affiliation(s)
| | | | - Sophie Parent
- School of Psychoeducation, Université de Montréal, Montréal, Québec, Canada
| | - Johanne Renaud
- Department of Psychiatry, McGill University, and Douglas Mental Health University Institute, Montréal, Québec, Canada
| | - Frank Vitaro
- School of Psychoeducation, Université de Montréal, Montréal, Québec, Canada; Centre de recherche du CHU Ste-Justine, Montréal, Québec, Canada
| | - Michel Boivin
- Psychology Department, Université Laval, Québec, Québec, Canada
| | - Richard E Tremblay
- Centre de recherche du CHU Ste-Justine, Montréal, Québec, Canada; Department of Pediatrics and Psychology, Université de Montréal, Québec, Canada; Institute of Genetic, Neurobiological, Social Foundations of Child Development, Tomsk State University, Russian Federation; School of Public Health and Population Science, University College, Dublin, Ireland
| | - Jean R Séguin
- Centre de recherche du CHU Ste-Justine, Montréal, Québec, Canada; Department of Psychiatry, Université de Montréal, Montréal, Québec, Canada
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Geoffroy MC, Boivin M, Arseneault L, Turecki G, Vitaro F, Brendgen M, Renaud J, Séguin JR, Tremblay RE, Côté SM. Associations Between Peer Victimization and Suicidal Ideation and Suicide Attempt During Adolescence: Results From a Prospective Population-Based Birth Cohort. J Am Acad Child Adolesc Psychiatry 2016; 55:99-105. [PMID: 26802776 DOI: 10.1016/j.jaac.2015.11.010] [Citation(s) in RCA: 93] [Impact Index Per Article: 11.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Revised: 11/06/2015] [Accepted: 11/20/2015] [Indexed: 01/17/2023]
Abstract
OBJECTIVE To test whether adolescents who are victimized by peers are at heightened risk for suicidal ideation and suicide attempt, using both cross-sectional and prospective investigations. METHOD Participants are from the Quebec Longitudinal Study of Child Development, a general population sample of children born in Quebec in 1997 through 1998 and followed up until 15 years of age. Information about victimization and serious suicidal ideation and suicide attempt in the past year was obtained at ages 13 and 15 years from self-reports (N = 1,168). RESULTS Victims reported concurrently higher rates of suicidal ideation at age 13 years (11.6-14.7%) and suicide attempt at age 15 years (5.4-6.8%) compared to those who had not been victimized (2.7-4.1% for suicidal ideation and 1.6-1.9% for suicide attempt). Being victimized by peers at 13 years predicted suicidal ideation (odds ratio [OR] = 2.27; 95% CI = 1.25-4.12) and suicide attempt (OR = 3.05, 95% CI = 1.36-6.82) 2 years later, even after adjusting for baseline suicidality and mental health problems and a series of confounders (socioeconomic status, intelligence, family's functioning and structure, hostile-reactive parenting, maternal lifetime suicidal ideation/suicide attempt). Those who were victimized at both 13 and 15 years had the highest risk of suicidal ideation (OR = 5.41, 95% CI = 2.53-11.53) and suicide attempt (OR = 5.85, 95% CI = 2.12-16.18) at 15 years. CONCLUSION Victimization is associated with an increased risk of suicidal ideation and suicide attempt over and above concurrent suicidality and prior mental health problems. The longer the history of victimization, the greater the risk.
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Affiliation(s)
- Marie-Claude Geoffroy
- McGill University, Montreal and the McGill Group for Suicide Studies at the Douglas Mental Health University Institute, Montreal; Research Unit on Children's Psychosocial Maladjustment at University of Montreal.
| | - Michel Boivin
- Laval University, Quebec, the Research Unit on Children's Psychosocial Maladjustment at Laval University, and the Institute of Genetic, Neurobiological, and Social Foundations of Child Development at the Tomsk State University, Tomsk, Russian Federation
| | - Louise Arseneault
- Institute of Psychiatry, Psychology and Neuroscience at King's College London
| | - Gustavo Turecki
- McGill University, Montreal and the McGill Group for Suicide Studies at the Douglas Mental Health University Institute, Montreal
| | - Frank Vitaro
- University of Montreal, the Research Unit on Children's Psychosocial Maladjustment at the University of Montreal, and the Sainte-Justine Hospital Research Centre, Montreal
| | - Mara Brendgen
- University of Quebec in Montreal, the Research Unit on Children's Psychosocial Maladjustment at the University of Montreal, and the Sainte-Justine Hospital Research Centre
| | - Johanne Renaud
- McGill University, and with the McGill Group for Suicide Studies and the Manulife Centre for Breakthroughs in Teen Depression and Suicide Prevention at the Douglas Mental Health University Institute
| | - Jean R Séguin
- University of Montreal, the Research Unit on Children's Psychosocial Maladjustment at the University of Montreal, and the Sainte-Justine Hospital Research Centre, Montreal
| | - Richard E Tremblay
- University of Montreal, the University College Dublin, and the Institute of Genetic, Neurobiological, and Social Foundations of Child Development at the Tomsk State University
| | - Sylvana M Côté
- University of Montreal, the Institute of Genetic, Neurobiological, and Social Foundations of Child Development at the Tomsk State University, the Research Unit on Children's Psychosocial Maladjustment at the University of Montreal, and the Sainte-Justine Hospital Research Centre
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15
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Hirschtritt ME, Ordóñez AE, Rico YC, LeWinn KZ. Internal resilience, peer victimization, and suicidal ideation among adolescents. Int J Adolesc Med Health 2015; 27:415-423. [PMID: 25719294 DOI: 10.1515/ijamh-2014-0060] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2014] [Accepted: 11/22/2014] [Indexed: 06/04/2023]
Abstract
PURPOSE Our goal was to examine the association between peer victimization (PV) and suicidal ideation (SI), and the degree to which internal resilience moderates this association. MATERIALS AND METHODS We examined the independent associations between PV frequency and type (verbal, cyber, physical, and relational), internal resilience, and the risk of SI within the last 12 months among 9th and 11th grade students participating in the California Healthy Kids Survey (CHKS) (n=42,594; 55.2% female; 72.2% non-white). RESULTS Odds ratios (OR) of SI associated with very low- (at least 1 PV type 1 time, but none more than 1 time), low- (at least 1 PV type 2-3 times, but none more than 2-3 times), and moderate/high- (at least 1 PV type 4 times or more) frequency PV compared with no PV were 1.30 (95% CI=1.15-1.45), 1.70 (95% CI=1.51-1.90) and 2.47 (95% CI=1.23-2.73), respectively. Any exposure to physical (OR=1.31; 95% CI=1.19-1.44), relational (OR=1.26; 95% CI=1.15-1.38), verbal (OR=1.38; 95% CI=1.27-1.50), or cyber (OR=1.26; 95% CI=1.15-1.39) PV was associated with increased odds of SI compared with no PV. Internal resilience was associated with lower odds of SI (OR=0.98, 95% CI=0.98-0.99), regardless of PV exposure. The slope between internal resilience and SI was significantly steeper for those subjects who experienced verbal PV (OR interaction=0.99; 95% CI=0.98-1.00). CONCLUSION Even infrequent PV was found to be associated with increased risk for SI. Internal resilience was associated with reduced SI, particularly for verbal forms of PV. Our results suggested that efforts to decrease SI among adolescents should be directed toward both preventing PV and strengthening internal resilience.
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Impact of adolescent peer aggression on later educational and employment outcomes in an Australian cohort. J Adolesc 2015; 43:39-49. [DOI: 10.1016/j.adolescence.2015.05.007] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Revised: 05/11/2015] [Accepted: 05/12/2015] [Indexed: 11/17/2022]
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Abstract
OBJECTIVE School victimization has adverse effects on mental and physical health. However, little is known about the influence of protective factors, socioeconomic status (SES), or a migration background (MB) on this association. The authors analyzed data from a multicenter longitudinal school study with a high proportion of pupils with a low SES and an MB. Victimization was defined as bullying or the experiences of interpersonal violence. METHODS In a cross-sectional design, 2483 pupils of secondary schools in northern Germany completed standardized questionnaires measuring families' SES, MB, school victimization, psychosomatic complaints, life satisfaction, health-related quality of life (HRQoL), and social and personal protective factors. The authors tested the association between victimization, low protective factors, low SES and MB, and subjective health parameters using linear regression models. RESULTS A total of 39% of the pupils reported being bullied, and 16% had experienced interpersonal violence. Victimized children reported twice as many psychosomatic problems, lower life satisfaction, and reduced HRQoL (p < .001) compared with children without victimization experiences. Regression models confirmed this association; in addition to victimization, low social and especially low personal protective factors increased the risk for low subjective health parameters. The SES and MB had no influence on the outcomes. CONCLUSION The results underscore the strong association between school victimization and low subjective health factors. Strengthening pupils' self-efficacy and a supportive school climate can diminish the health consequences of victimization.
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Yen CF, Liu TL, Yang P, Hu HF. Risk and Protective Factors of Suicidal Ideation and Attempt among Adolescents with Different Types of School Bullying Involvement. Arch Suicide Res 2015; 19:435-52. [PMID: 26566860 DOI: 10.1080/13811118.2015.1004490] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Suicide has been found to be prevalent among adolescents involved in bullying; however, there has been a lack of research examining whether the risk and protective factors of suicidal ideation and attempt are different among adolescents with different types of bullying involvement. The aims of this study were to examine the risk and protective factors of suicidal ideation and attempt among adolescents with different experiences of bullying involvement, victimization, and perpetration. A total of 4,533 adolescents participated in this study. Different groups of bullying involvement, victimization, and perpetration were determined through use of the Chinese version of the School Bullying Experience Questionnaire. The associations of suicidal ideation and attempt with possible risk factors (domestic violence, overweight, depression, anxiety, and alcohol abuse) and protective factors (family support and self-esteem) were examined using logistic regression analysis. Pure victims, pure perpetrators, and victim-perpetrators were more likely to report suicidal ideation and attempt than the neutral group. The risk and protective factors of suicidal ideation and attempt were different across adolescents with different experiences of bullying involvement, victimization, and perpetrators. The risk of suicide should be monitored among adolescents who are involved in any type of bullying. The risk and protective factors of suicide identified in this study should be taken into consideration in prevention and intervention programs for suicide in adolescents involved in bullying.
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Suicidal feelings interfere with help-seeking in bullied adolescents [corrected]. PLoS One 2014; 9:e106031. [PMID: 25188324 PMCID: PMC4154872 DOI: 10.1371/journal.pone.0106031] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2014] [Accepted: 07/27/2014] [Indexed: 11/19/2022] Open
Abstract
Purpose Being bullied is associated with the manifestation of suicidal feelings, which sharply increase in middle(-late) adolescence. Whether or not bullied middle(-late) adolescents with suicidal feelings seek help is therefore a critical issue, given that help-seeking plays a key role in the prevention of suicide. The aim of the present study is to investigate the effects of bullying, suicidal feelings and the interaction between these two factors on help-seeking behavior in adolescents. Methods Japanese middle(-late) adolescents (aged 15–18 years; n = 9484) were studied using self-report questionnaires. The rate of adolescents who actually sought help was examined for bullying status and suicidal feelings. Results The rate of adolescents who sought help was significantly higher when they were bullied (p<0.001) and also when they had mild suicidal feelings (p<0.001), but not when they displayed serious suicidal feelings. In the case of adolescents who were bullied, however, having suicidal feelings significantly decreased the rate of help-seeking (OR = 0.47, p<0.05 and OR = 0.32, p = 0.002 for having mild and serious suicidal feelings, respectively). The decrease was remarkable when suicidal feelings were serious. Specifically, the decrease was significant in seeking help from peers and family members, who are the most frequent source of the help for adolescents, when they had serious suicidal feelings (OR = 0.21, p<0.01 and OR = 0.13, p<0.001, respectively). Conclusions Suicidal feelings may interfere with help-seeking behavior, which could be critical in suicide prevention in bullied middle(-late) adolescents.
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Bannink R, Broeren S, van de Looij – Jansen PM, de Waart FG, Raat H. Cyber and traditional bullying victimization as a risk factor for mental health problems and suicidal ideation in adolescents. PLoS One 2014; 9:e94026. [PMID: 24718563 PMCID: PMC3981739 DOI: 10.1371/journal.pone.0094026] [Citation(s) in RCA: 104] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2013] [Accepted: 03/09/2014] [Indexed: 11/18/2022] Open
Abstract
PURPOSE To examine whether traditional and cyber bullying victimization were associated with adolescent's mental health problems and suicidal ideation at two-year follow-up. Gender differences were explored to determine whether bullying affects boys and girls differently. METHODS A two-year longitudinal study was conducted among first-year secondary school students (N = 3181). Traditional and cyber bullying victimization were assessed at baseline, whereas mental health status and suicidal ideation were assessed at baseline and follow-up by means of self-report questionnaires. Logistic regression analyses were conducted to assess associations between these variables while controlling for baseline problems. Additionally, we tested whether gender differences in mental health and suicidal ideation were present for the two types of bullying. RESULTS There was a significant interaction between gender and traditional bullying victimization and between gender and cyber bullying victimization on mental health problems. Among boys, traditional and cyber bullying victimization were not related to mental health problems after controlling for baseline mental health. Among girls, both traditional and cyber bullying victimization were associated with mental health problems after controlling for baseline mental health. No significant interaction between gender and traditional or cyber bullying victimization on suicidal ideation was found. Traditional bullying victimization was associated with suicidal ideation, whereas cyber bullying victimization was not associated with suicidal ideation after controlling for baseline suicidal ideation. CONCLUSIONS Traditional bullying victimization is associated with an increased risk of suicidal ideation, whereas traditional, as well as cyber bullying victimization is associated with an increased risk of mental health problems among girls. These findings stress the importance of programs aimed at reducing bullying behavior, especially because early-onset mental health problems may pose a risk for the development of psychiatric disorders in adulthood.
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Affiliation(s)
- Rienke Bannink
- Department of Public Health, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Suzanne Broeren
- Department of Public Health, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands
| | | | | | - Hein Raat
- Department of Public Health, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands
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Leiner M, Dwivedi AK, Villanos MT, Singh N, Blunk D, Peinado J. Psychosocial profile of bullies, victims, and bully-victims: a cross-sectional study. Front Pediatr 2014; 2:1. [PMID: 24459665 PMCID: PMC3891170 DOI: 10.3389/fped.2014.00001] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2013] [Accepted: 01/03/2014] [Indexed: 11/13/2022] Open
Abstract
While adverse conditions in a child's life do not excuse inappropriate behavior, they may cause emotional and behavioral problems that require treatment as a preventive measure to reduce the likelihood of bullying. We aimed to identify differences in the psychosocial profiles of adolescents who classified themselves as bullies, victims, or bully-victims. We performed a cross-sectional study in which data were collected between January 2009 and January 2010 from seven university-based clinics in a large metropolitan area with a predominantly Mexican-American population. We collected data on physical aggression among adolescents who self-categorized into the following groups: uninvolved, bullies, victims, and bully-victims. We determined the psychosocial profiles of the adolescents based on responses to the Youth Self Report (YSR) and parent's responses to the Child Behavior Checklist (CBCL). A one-way analysis of variance and multivariate regression analyses were performed to compare the various components of the psychosocial profiles among the groups. Our analysis of the CBCL and the YSR assessments identified differences between the uninvolved group and one or more of the other groups. No significant differences were observed among the bully, victim, and bully-victim groups based on the CBCL. We did find significant differences among those groups based on the YSR, however. Our results suggest that emotional and behavioral problems exist among bullies, victims, and bully-victims. Therefore, treatment should not focus only on the victims of bullying; treatment is equally important for the other groups (bullies and bully-victims). Failure to adequately treat the underlying problems experienced by all three groups of individuals could allow the problems of bullying to continue.
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Affiliation(s)
- Marie Leiner
- Department of Pediatrics, Texas Tech University Health Sciences Center, El Paso, TX, USA
| | - Alok Kumar Dwivedi
- Division of Biostatistics and Epidemiology, Department of Biomedical Sciences, Texas Tech University Health Sciences Center, El Paso, TX, USA
| | - Maria Theresa Villanos
- Department of Pediatrics, Texas Tech University Health Sciences Center, El Paso, TX, USA
| | - Namrata Singh
- Department of Pediatrics, Texas Tech University Health Sciences Center, El Paso, TX, USA
| | - Dan Blunk
- Department of Medical Education, Paul L. Foster School of Medicine, El Paso, TX, USA
| | - Jesus Peinado
- Department of Pediatrics, Texas Tech University Health Sciences Center, El Paso, TX, USA
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Jormanainen E, Fröjd S, Marttunen M, Kaltiala-Heino R. Is pubertal timing associated with involvement in bullying in middle adolescence? Health Psychol Behav Med 2014; 2:144-159. [PMID: 25750774 PMCID: PMC4346060 DOI: 10.1080/21642850.2014.881259] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2013] [Accepted: 01/06/2014] [Indexed: 12/13/2022] Open
Abstract
Off-time pubertal maturation is associated with mental disorders, presumably due to stress caused by deviation from peers that could also attract negative attention and result in being bullied. Stress related to off-time maturation could be acted out by involving oneself in bullying behavior. The associations between pubertal timing and involvement in bullying have so far not been a focus of research. The objective is to explore associations between off-time pubertal maturation and involvement in bullying. Cross-sectional and longitudinal associations between self-reported pubertal timing and involvement in bullying as victims and perpetrators were studied in a sample of 2070 Finnish adolescents aged 15-17 who participated in the Adolescent Mental Health Cohort Study. Internalizing (depression) and externalizing (conduct disorder) symptoms were controlled for. The adolescents were recruited to response the baseline survey in 2002-2003 (T1) and follow-up two years later (T2). In T1, response rate was 94.4% of all eligible students. The 2070 participants in T2 comprised 63.1% of the T1 participants. Early maturation among boys was cross-sectionally associated with being a bully, and late maturation with exclusion from peer group. After two years, the associations had disappeared. Among girls, no associations were detected between pubertal timing and involvement in bullying. Off-time pubertal maturation places boys at risk for involvement in bullying. The influence is transient and supports the stressful change hypothesis of pubertal timing.
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Affiliation(s)
| | - Sari Fröjd
- School of Public Health, University of Tampere, Tampere, Finland
| | - Mauri Marttunen
- National Institute for Health and Welfare, Helsinki, Finland
- Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Department of Adolescent Psychiatry, Helsinki University Hospital, Helsinki, Finland
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Moore SE, Norman RE, Sly PD, Whitehouse AJO, Zubrick SR, Scott J. Adolescent peer aggression and its association with mental health and substance use in an Australian cohort. J Adolesc 2013; 37:11-21. [PMID: 24331300 DOI: 10.1016/j.adolescence.2013.10.006] [Citation(s) in RCA: 63] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2013] [Revised: 09/25/2013] [Accepted: 10/12/2013] [Indexed: 02/08/2023]
Abstract
Prospective longitudinal birth cohort data was used to examine the association between peer aggression at 14 years and mental health and substance use at 17 years. A sample of 1590 participants from the Western Australian Pregnancy Cohort (Raine) study were divided into mutually exclusive categories (victims, perpetrators, victim-perpetrators and uninvolved). Involvement in any type of peer aggression as a victim (10.1%), perpetrator (21.4%), or a victim-perpetrator (8.7%) was reported by 40.2% of participants. After adjusting for confounding factors, those who were a victim of peer aggression had increased odds of later depression and internalising symptoms whilst perpetrators of peer aggression were found to be at increased risk of depression and harmful alcohol use. Victim-perpetrators of peer aggression were more likely to have externalising behaviours at 17 years. These results show an independent temporal relationship between peer aggression and later mental health and substance use problems in adolescence.
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Affiliation(s)
- Sophie E Moore
- Children's Health and Environment Program, Queensland Children's Medical Research Institute, University of Queensland, Royal Children's Hospital, Herston, QLD, 4029, Australia
| | - Rosana E Norman
- Children's Health and Environment Program, Queensland Children's Medical Research Institute, University of Queensland, Royal Children's Hospital, Herston, QLD, 4029, Australia; School of Population Health, University of Queensland, Herston, QLD, 4006, Australia
| | - Peter D Sly
- Children's Health and Environment Program, Queensland Children's Medical Research Institute, University of Queensland, Royal Children's Hospital, Herston, QLD, 4029, Australia
| | - Andrew J O Whitehouse
- Telethon Institute for Child Health Research, Centre for Child Health Research, University of Western Australia, Subiaco, WA, 6008, Australia; School of Psychology, University of Western Australia, Crawley, WA, 6009, Australia
| | - Stephen R Zubrick
- Telethon Institute for Child Health Research, Centre for Child Health Research, University of Western Australia, Subiaco, WA, 6008, Australia
| | - James Scott
- Metro North Mental Health, Royal Brisbane and Women's Hospital, Herston, QLD, 4029, Australia; The University of Queensland Centre for Clinical Research, Herston, QLD, 4029, Australia.
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European child and adolescent psychiatry-endorse the importance of prospective longitudinal study designs. Eur Child Adolesc Psychiatry 2012; 21:655-6. [PMID: 23129271 DOI: 10.1007/s00787-012-0342-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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