Prevention Science

, Volume 16, Issue 3, pp 451–462

Understanding Linkages Between Bullying and Suicidal Ideation in a National Sample of LGB and Heterosexual Youth in the United States

  • Michele L. Ybarra
  • Kimberly J. Mitchell
  • Joseph G. Kosciw
  • Josephine D. Korchmaros
Article

Abstract

While there is an extant research base regarding suicidal ideation in relation to bullying and peer harassment, how findings may be similar and different for lesbian, gay, and bisexual (LGB) and non-LGB youth is less well understood. To address this gap, we analyzed data from 5,542 13- to 18-year-old youth who were nationally surveyed online in the United States in 2010. Results suggest that the relative odds of suicidal ideation are elevated for youth who are victims of bullying (OR = 5.61, 95 % CI, 4.11, 7.64), as well as those who are victims of peer harassment (OR = 2.06, 95 % CI, 1.53, 2.79). Within the context of other important factors, bullying was associated with odds of suicidal ideation twice that of non-victimized youth (aOR = 2.02, 95 % CI, 1.30, 3.13). Within sexual identity, the relation between bullying and suicidal ideation was particularly strong for gay, lesbian, and queer youth, even after adjusting for other influential factors (aOR = 6.29, 95 % CI, 2.69, 14.66). Across sexual identities, the odds of suicidal ideation are higher for bisexual youth (aOR = 1.77, 95 % CI, 1.23, 2.55) but not for other sexual minority youth when compared with otherwise similar heterosexual youth. Other factors, including depressive symptomatology and low self-esteem, were also predictive of recent ideation across all sexual identities. Findings highlight the complexity of bullying and suicidal ideation. Furthermore, given the relation between bullying and suicidal ideation, and the disproportionate level of bullying experienced by LGB youth, our findings suggest the need for more protective environments for LGB youth.

Keywords

Peer victimization Bullying Suicidal ideation Adolescents Lesbian, gay, bisexual (LGB) 

References

  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (DSM-IV-TR). Washington: American Psychiatric Association.Google Scholar
  2. Bauman, S., Toomey, R. B., & Walker, J. L. (2013). Associations among bullying, cyberbullying, and suicide in high school students. Journal of Adolescence, 36, 341–350. doi:10.1016/j.adolescence.2012.12.001.CrossRefPubMedGoogle Scholar
  3. Beautrais, A. L. (2000). Risk factors for suicide and attempted suicide among young people. Australian & New Zealand Journal of Psychiatry, 34, 420–436. doi:10.1080/j.1440-1614.2000.00691.x.CrossRefGoogle Scholar
  4. Birkett, M., Espelage, D., & Koenig, B. (2009). LGB and questioning students in schools: The moderating effects of homophobic bullying and school climate on negative outcomes. Journal of Youth and Adolescence, 38, 989–1000. doi:10.1007/s10964-008-9389-1.CrossRefPubMedGoogle Scholar
  5. Birmaher, B., Williamson, D. E., Dahl, R. E., Axelson, D. A., Kaufman, J., Dorn, L. D., & Ryan, N. D. (2004). Clinical presentation and course of depression in youth: Does onset in childhood differ from onset in adolescence? Journal of the American Academy of Child and Adolescent Psychiatry, 43, 63–70. doi:10.1097/00004583-200401000-00015.CrossRefPubMedGoogle Scholar
  6. Cash, S. J., & Bridge, J. A. (2009). Epidemiology of youth suicide and suicidal behavior. Current Opinion in Pediatrics, 21, 613–619. doi:10.1097/MOP.0b013e32833063e1.PubMedCentralCrossRefPubMedGoogle Scholar
  7. Centers for Disease Control and Prevention. (2010). Understanding suicide fact sheet. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Retrieved from http://www.cdc.gov/ViolencePrevention/pdf/Suicide-FactSheet-a.pdf.
  8. Centers for Disease Control and Prevention. (2013). Suicide prevention: Youth suicide. Retrieved from http://www.cdc.gov/ViolencePrevention/suicide/youth_suicide.html.
  9. Eaton, W. W., Muntaner, C., Smith, C., Tien, A., & Ybarra, M. L. (2004). Center for epidemiologic studies depression scale: Review and revision (CESD and CESD-R). In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (3rd ed., pp. 363–377). Mahwah: Lawrence Erlbaum.Google Scholar
  10. Espelage, D. L., Aragon, S. R., Birkett, M., & Koenig, B. W. (2008). Homophobic teasing, psychological outcomes, and sexual orientation among high school students: What influence do parents and schools have? School Psychology Review, 37, 202–216.Google Scholar
  11. Faulkner, A. H., & Cranston, K. (1998). Correlates of same-sex sexual behavior in a random sample of Massachusetts high school students. American Journal of Public Health, 88, 262–266. doi:10.2105/ajph.88.2.262.PubMedCentralCrossRefPubMedGoogle Scholar
  12. Fergusson, D. M., Horwood, L. J., & Beautrais, A. L. (1999). Is sexual orientation related to mental health problems and suicidality in young people? Archives of General Psychiatry, 56, 876–880. doi:10.1001/archpsyc.56.10.876.CrossRefPubMedGoogle Scholar
  13. Finkelhor, D., Turner, H. A., & Hamby, S. (2012). Let’s prevent peer victimization, not just bullying. Child Abuse & Neglect, 36, 271–274. doi:10.1016/j.chiabu.2011.12.001.CrossRefGoogle Scholar
  14. Foley, D. L., Goldston, D. B., Costello, E. J., & Angold, A. (2006). Proximal psychiatric risk factors for suicidality in youth: The Great Smoky Mountains study. Archives of General Psychiatry, 63, 1017–1024. doi:10.1001/archpsyc.63.9.1017.CrossRefPubMedGoogle Scholar
  15. Garofalo, R., Wolf, R., Wissow, L. S., Woods, E. R., & Goodman, E. (1999). Sexual orientation and risk of suicide attempts among a representative sample of youth. Archives of Pediatrics & Adolescent Medicine, 153, 487–493. doi:10.1001/archpedi.153.5.487.CrossRefGoogle Scholar
  16. Gay, Lesbian & Straight Education Network. (2013). The safe space kit: Guide to being an ally to LGBT Students. Retrieved from http://glsen.org/sites/default/files/SSK_2013_book.pdf.
  17. Gee, D. (2013, February 09). Cyberbullying and suicide, WAVE News. Retrieved from http://www.wave3.com/story/21089473/cyberbullying-and-suicide.
  18. Haroz, E. E., Ybarra, M. L., & Eaton, W. W. (2014). Psychometric evaluation of a self-report scale to measure adolescent depression: The CESDR-10 in two representative adolescent samples in the United States. Journal of Affective Disorders, 158, 154–160. doi:10.1016/j.jad.2014.02.009.PubMedCentralCrossRefPubMedGoogle Scholar
  19. Heckathorn, D. D. (1997). Respondent-driven sampling: A new approach to the study of hidden populations. Social Problems, 44, 174–199. doi:10.1525/sp.1997.44.2.03x0221m.CrossRefGoogle Scholar
  20. Herba, C. M., Ferdinand, R. F., van der Ende, J. A. N., & Verhulst, F. C. (2007). Long-term associations of childhood suicide ideation. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1473–1481. doi:10.1097/chi.0b013e318149e66f.CrossRefPubMedGoogle Scholar
  21. Hershberger, S. L., Pilkington, N. W., & D’Augelli, A. R. (1997). Predictors of suicide attempts among gay, lesbian, and bisexual youth. Journal of Adolescent Research, 12, 477–497. doi:10.1177/0743554897124004.CrossRefGoogle Scholar
  22. Hewitt, J. (2012, October 16). His name was Steven: A 13-year-old victim of bullycide, Huffington Post. Retrieved from http://www.huffingtonpost.com/jonathan-hewitt/bullying_b_1968592.html.
  23. Hillier, L., Jones, T., Monagle, M., Overton, N., Gahan, L., Blackman, J., & Mitchell, A. (2010). Writing themselves in 3: The third national study on the sexual health and well being of same sex attracted and gender questioning young people. Melbourne, Australia: Australian Research Centre in Sex Health and Society, La Trobe University. Retrieved from http://www.glhv.org.au/files/wti3_web_sml.pdf.
  24. Hinduja, S., & Patchin, J. W. (2010). Bullying, cyberbullying, and suicide. Archives of Suicide Research, 14, 206–221. doi:10.1080/13811118.2010.494133.CrossRefPubMedGoogle Scholar
  25. James, S. D. (2009, April 2). Teen commits suicide due to bullying: Parents sue school for son’s death, ABC News. Retrieved from http://abcnews.go.com/Health/MindMoodNews/story?id=7228335&page=2.
  26. Kann, L., Olsen, E. O., McManus, T., Kinchen, S., Chyen, D., Harris, W. A., Wechsler, H., & Centers for Disease Control and Prevention (CDC). (2011). Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9–12–youth risk behavior surveillance, selected sites, United States, 2001–2009. Morbidity and Mortality Weekly Report Surveillance Summary, 60, 1–133.Google Scholar
  27. Kerr, D. C. R. (2008). Replicated prediction of men’s suicide attempt history from parent reports in late childhood. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 834–835. doi:10.1097/CHI.0b013e31817395e4.CrossRefPubMedGoogle Scholar
  28. King, M., Semlyen, J., Tai, S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70. doi:10.1186/1471-244X-8-70.PubMedCentralCrossRefPubMedGoogle Scholar
  29. Klomek, A. B., Marrocco, F., Kleinman, M., Schonfeld, I. S., & Gould, M. S. (2007). Bullying, depression, and suicidality in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 40–49. doi:10.1097/01.chi.0000242237.84925.18.CrossRefGoogle Scholar
  30. Klomek, A. B., Marrocco, F., Kleinman, M., Schonfeld, I. S., & Gould, M. S. (2008a). Peer victimization, depression, and suicidiality in adolescents. Suicide & Life-Threatening Behavior, 38, 166–180. doi:10.1521/suli.2008.38.2.166.CrossRefGoogle Scholar
  31. Klomek, A. B., Sourander, A., Kumpulainen, K., Piha, J., Tamminen, T., Moilanen, I., Almqvist, F., & Gould, M. S. (2008b). Childhood bullying as a risk for later depression and suicidal ideation among Finnish males. Journal of Affective Disorders, 109, 47–55. doi:10.1016/j.jad.2007.12.226.CrossRefPubMedGoogle Scholar
  32. Klomek, A. B., Sourander, A., Niemelä, S., Kumpulainen, K., Piha, J., Tamminen, T., Almqvist, F., & Gould, M. S. (2009). Childhood bullying behaviors as a risk for suicide attempts and completed suicides: A population-based birth cohort study. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 254–261. doi:10.1097/CHI.0b013e318196b91f.CrossRefPubMedGoogle Scholar
  33. Kloos, A. L., Collins, R., Weller, R. A., & Weller, E. B. (2007). Suicide in preadolescents: Who is at risk? Current Psychiatry Reports, 9, 89–93. doi:10.1007/s11920-007-0076-9.CrossRefPubMedGoogle Scholar
  34. Kosciw, J., & Diaz, E. M. (2006). The 2005 National School Climate Survey: The experiences of lesbian, gay, bi-sexual, and transgendered youth in our nation’s schools. New York, NY: GLSEN. Retrieved from http://www.glsen.org/sites/default/files/2005%20National%20School%20Climate%20Survey%20Full%20Report.pdf.
  35. Leff, S. S., & Waasdorp, T. E. (2013). Effect of aggression and bullying on children and adolescents: Implications for prevention and intervention. Current Psychiatry Reports, 15, 1–10. doi:10.1007/s11920-012-0343-2.CrossRefGoogle Scholar
  36. Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1994). Psychosocial risk factors for future adolescent suicide attempts. Journal of Consulting and Clinical Psychology, 62, 297–305. doi:10.1037/0022-006X.62.2.297.CrossRefPubMedGoogle Scholar
  37. Luk, J., Wang, J., & Simons-Morton, B. (2010). Bullying victimization and substance use among U.S. adolescents: Mediation by depression. Prevention Science, 11, 355–359. doi:10.1007/s11121-010-0179-0.PubMedCentralCrossRefPubMedGoogle Scholar
  38. Magnani, R., Sabin, K., Saidel, T., & Heckathorn, D. (2005). Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS, 19, S67–S72. doi:10.1097/01.aids.0000172879.20628.e1.CrossRefPubMedGoogle Scholar
  39. McDaniel, J. S., Purcell, D., & D’Augelli, A. R. (2001). The relationship between sexual orientation and risk for suicide: Research findings and future directions for research and prevention. Suicide & Life-Threatening Behavior, 31, 84–105. doi:10.1521/suli.31.1.5.84.24224.CrossRefGoogle Scholar
  40. Mills, R. (2013, February 5). Bullying apparent cause of 9th grader’s suicide in Coweta, KRMG. Retrieved from http://www.krmg.com/news/news/local/bullying-apparent-root-cause-9th-graders-suicide-c/nWFgN/.
  41. Olweus, D. (1996). The revised Olweus bully/victim questionnaire. Bergen: Research Center for Health Promotion (HIMIL), University of Bergen.Google Scholar
  42. Pew Research Center for the People & the Press. (2012). Assessing the representativeness of public opinion surveys. Washington, DC: Pew Research Center. Retrieved from http://www.people-press.org/2012/05/15/assessing-the-representativeness-of-public-opinion-surveys/.
  43. Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., & Man, J. J. (2011). The Columbia-suicide severity rating scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168, 1266–1277. doi:10.1176/appi.ajp.2011.10111704.PubMedCentralCrossRefPubMedGoogle Scholar
  44. Poteat, V. P., Mereish, E. H., Digiovanni, C. D., & Koenig, B. W. (2011). The effects of general and homophobic victimization on adolescents’ psychosocial and educational concerns: The importance of intersecting identities and parent support. Journal of Counseling Psychology, 58, 597–609. doi:10.1037/a0025095.CrossRefPubMedGoogle Scholar
  45. Potter, F. (1990). A study of procedures to identify and trim extreme sampling weights. Proceedings of the Section on Survey Research Methods, American Statistical Association. Retrieved from http://www.amstat.org/sections/srms/Proceedings/papers/1990_034.pdf.
  46. Reinherz, H. Z., Tanner, J. L., Berger, S. R., Beardslee, W. R., & Fitzmaurice, G. M. (2006). Adolescent suicidal ideation as predictive of psychopathology, suicidal behavior, and compromised functioning at age 30. American Journal of Psychiatry, 163, 1226–1232. doi:10.1176/appi.ajp.163.7.1226.CrossRefPubMedGoogle Scholar
  47. Remafedi, G., Resnick, M. D., Blum, R., & Harris, L. (1992). Demography of sexual orientation in adolescents. Pediatrics, 89, 714–721. doi:10.1016/0197-0070(91)90473-Y.PubMedGoogle Scholar
  48. Remafedi, G., French, S., Story, M., Resnick, M. D., & Blum, R. (1998). The relationship between suicide risk and sexual orientation: Results of a population-based study. American Journal of Public Health, 88, 57–60. doi:10.2105/AJPH.88.1.57.PubMedCentralCrossRefPubMedGoogle Scholar
  49. Robinson, J. P., & Espelage, D. L. (2011). Inequities in educational and psychological outcomes between LGBTQ and straight students in middle and high school. Educational Researcher, 40, 315–330. doi:10.3102/0013189x11422112.CrossRefGoogle Scholar
  50. Rosario, M., Hunter, J., Maguen, S., Gwadz, M., & Smith, R. (2001). The coming-out process and its adaptational and health-related associations among gay, lesbian, and bisexual youths: Stipulation and exploration of a model. American Journal of Community Psychology, 29, 133–160. doi:10.1023/A:1005205630978.CrossRefPubMedGoogle Scholar
  51. Russell, S. T., & Joyner, K. (2001). Adolescent sexual orientation and suicide risk: Evidence from a national study. American Journal of Public Health, 91, 1276–1281. doi:10.2105/ajph.91.8.1276.PubMedCentralCrossRefPubMedGoogle Scholar
  52. Salganik, M. J., & Heckathorn, D. D. (2004). Sampling and estimation in hidden populations using respondent-driven sampling. Sociological Methodology, 34, 193–240. doi:10.1111/j.0081-1750.2004.00152.x.CrossRefGoogle Scholar
  53. Silenzio, V. M. B., Pena, J. B., Duberstein, P. R., Cerel, J., & Knox, K. L. (2007). Sexual orientation and risk factors for suicidal ideation and suicide attempts among adolescents and young adults. American Journal of Public Health, 97, 2017–2019. doi:10.2105/ajph.2006.095943.PubMedCentralCrossRefPubMedGoogle Scholar
  54. Sinclair, K. O., Bauman, S., Poteat, V. P., Koenig, B., & Russell, S. T. (2012). Cyber and bias-based harassment: Associations with academic, substance use, and mental health problems. Journal of Adolescent Health, 50, 521–523. doi:10.1016/j.jadohealth.2011.09.009.CrossRefPubMedGoogle Scholar
  55. StataCorp. (2009). Stata statistical software: Release 11 [computer program]. College Station: StataCorp LP.Google Scholar
  56. Thompson, R., Briggs, E., English, D. J., Dubowitz, H., Lee, L.-C., Brody, K., Everson, M. D., & Hunter, W. M. (2005). Suicidal ideation among 8-year-olds who are maltreated and at risk: Findings from the LONGSCAN studies. Child Maltreatment, 10, 26–36. doi:10.1177/1077559504271271.CrossRefPubMedGoogle Scholar
  57. Udry, J. R. (1996). The National Longitudinal Study of Adolescent Health (AddHealth) [Wave I and Wave II]. Chapel Hill, NC: Carolina Population Center, University of North Carolina at Chapel Hill. Retrieved from http://www.cpc.unc.edu/projects/addhealth.
  58. United States Census Bureau. (2009). Current Population Survey: Population estimates, vintage 2009, national tables. Retrieved from http://www.census.gov/popest/data/historical/2000s/vintage_2009/index.html.
  59. Van Dam, N. T., & Earleywine, M. (2011). Validation of the center for epidemiologic studies depression scale–revised (CESD-R): Pragmatic depression assessment in the general population. Psychiatry Research, 186, 128–132. doi:10.1016/j.psychres.2010.08.018.CrossRefPubMedGoogle Scholar
  60. Ybarra, M. L., Boyd, D., Korchmaros, J. D., & Oppenheim, J. K. (2012). Defining and measuring cyberbullying within the larger context of bullying victimization. Journal of Adolescent Health, 51, 53–58. doi:10.1016/j.jadohealth.2011.12.031.PubMedCentralCrossRefPubMedGoogle Scholar
  61. Ybarra, M. L., Espelage, D. L., & Mitchell, K. J. (2014). Differentiating youth who are bullied from other victims of peer-aggression: The importance of differential power and repetition. Journal of Adolescent Health, 55, 293–300. doi:10.1016/j.jadohealth.2014.02.009.PubMedCentralCrossRefPubMedGoogle Scholar

Copyright information

© Society for Prevention Research 2014

Authors and Affiliations

  • Michele L. Ybarra
    • 1
  • Kimberly J. Mitchell
    • 2
  • Joseph G. Kosciw
    • 3
  • Josephine D. Korchmaros
    • 1
    • 4
  1. 1.Center for Innovative Public Health ResearchSan ClementeUSA
  2. 2.Crimes against Children Research CenterUniversity of New HampshireDurhamUSA
  3. 3.Gay, Lesbian & Straight Education Network (GLSEN)New York CityUSA
  4. 4.Southwest Institute for Research on WomenUniversity of ArizonaTucsonUSA

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