Bullying and Suicidality in Children and Adolescents Without Predisposing Factors: A Systematic Review and Meta-analysis
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Published evidence has suggested that engaging in school or cyber bullying may potentially be associated with a suicidal ideation and suicide attempts. The aim of our review/meta-analysis was to evaluate the potential association between school and cyber bullying and suicidality (including suicidal ideation, planning and/or committing a suicide attempt) in children and adolescents (< 19 years old) who are considered as a “healthy” population, without predispositions for suicidality factors (not subpopulations with characteristics that may constitute proneness to bullying and its consequences, including sexual minorities, drug users and youth with psychiatric comorbidity). Regarding school bullying, victims and bullies independently, and victims and bullies together, were significantly more likely to present suicidal ideation and commit a suicide attempt, compared to non-involved participants. Victims of school bullying were found to be significantly more likely to commit a suicide attempt that required medical treatment. Victims of cyber bullying were significantly more likely to present suicidal ideation and commit a suicide attempt. A positive relationship between involvement in both school bullying and cyber-bullying with suicidal ideation and suicidal behavior was observed. This review/meta-analysis contributes to further understanding bullying and suicidality as it includes results of participants without any predisposing factors for suicidality, thus providing more clear results with regard to the magnitude of the effects of both school and cyber bullying on suicidality.
KeywordsSchool bullying Cyber bullying Suicidal ideation Suicide attempt
GNK conceived study, participated in its design and coordination, collection and interpretation of the data; he also performed the data collection and extraction, as well as the statistical analyses, and helped to draft the manuscript; EKV contributed to the data collection and also participated in drafting the manuscript; GK participated in the manuscript’s design and coordination and also performed the statistical analyses; EK participated in the manuscript’s design and coordination; EE participated in the manuscript’s design and coordination; CB participated in the manuscript’s design and coordination. All authors have read and approved the final version of the manuscript.
Compliance with ethical standards
Data sharing declaration
All data generated or analyzed during this study are included in this published article (and its supplementary information files).
Conflict of interest
The authors report no conflict of interests.
Ethical approval for this study was not needed.
This study included only already published data.
- American Academy of Child & Adolescent Psychiatry. (2001). Practice parameter for the assessment and treatment of children and adolescents with suicidal behavior. American Academy of Child and Adolescent Psychiatry. Journal of American Academy of Child Adolescent Psychiatry, 40(7 Suppl), 24S–51S.Google Scholar
- Bannink, R., Broeren, S., van de Looij-Jansen, P. M., de Waart, F. G., & Raat, H. (2014). Cyber and traditional bullying victimization as a risk factor for mental health problems and suicidal ideation in adolescents. PLoS One, 9(4), e94026. https://doi.org/10.1371/journal.pone.0094026.CrossRefPubMedPubMedCentralGoogle Scholar
- Brunstein Klomek, A., 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(1), 40–49. https://doi.org/10.1097/01.chi.0000242237.84925.18.CrossRefPubMedGoogle Scholar
- Elgar, F. J., Napoletano, A., Saul, G., Dirks, M. A., Craig, W., Poteat, V. P., Koenig, B. W. (2014). Cyberbullying victimization and mental health in adolescents and the moderating role of family dinners. JAMA Pediatrics, 168(11), 1015–1022. https://doi.org/10.1001/jamapediatrics.2014.1223.CrossRefPubMedGoogle Scholar
- Heikkila, H. K., Vaananen, J., Helminen, M., Frojd, S., Marttunen, M., & Kaltiala-Heino, R. (2013). Involvement in bullying and suicidal ideation in middle adolescence: A 2-year follow-up study. European Child & Adolescent Psychiatry, 22(2), 95–102. https://doi.org/10.1007/s00787-012-0327-0.CrossRefGoogle Scholar
- Herba, C. M., Ferdinand, R. F., Stijnen, T., Veenstra, R., Oldehinkel, A. J., Ormel, J., & Verhulst, F. C. (2008). Victimization and suicide ideation in the TRAILS study: Specific vulnerabilities of victims. Journal of Child Psychology and Psychiatry, 49(8), 867–876. https://doi.org/10.1111/j.1469-7610.2008.01900.x.CrossRefPubMedGoogle Scholar
- Kelly, E. V., Newton, N. C., Stapinski, L. A., Slade, T., Barrett, E. L., Conrod, P. J., & Teesson, M. (2015). Suicidality, internalizing problems and externalizing problems among adolescent bullies, victims and bully-victims. Preventive Medicine, 73, 100–105. https://doi.org/10.1016/j.ypmed.2015.01.020.CrossRefPubMedGoogle Scholar
- Klomek, A. B., Sourander, A., Niemela, S., Kumpulainen, K., Piha, J., Tamminen, T., 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(3), 254–261. https://doi.org/10.1097/CHI.0b013e318196b91f.CrossRefPubMedGoogle Scholar
- Mark, L., Samm, A., Tooding, L. M., Sisask, M., Aasvee, K., Zaborskis, A., Varnik, A. (2013). Suicidal ideation, risk factors, and communication with parents. An HBSC study on school children in Estonia, Lithuania, and Luxembourg. Crisis, 34(1), 3–12. https://doi.org/10.1027/0227-5910/a000153.CrossRefPubMedGoogle Scholar
- Preferred reporting items for systematic reviews and meta-analyses. http://www.prisma-statement.org/. Accessed 15 Oct 2015
- Sampasa-Kanyinga, H., Roumeliotis, P., & Xu, H. (2014). Associations between cyberbullying and school bullying victimization and suicidal ideation, plans and attempts among Canadian schoolchildren. PLoS One, 9(7), e102145. https://doi.org/10.1371/journal.pone.0102145.CrossRefPubMedPubMedCentralGoogle Scholar
- Schneider, S. K., O’Donnell, L., Stueve, A., & Coulter, R. W. (2012). Cyberbullying, school bullying, and psychological distress: A regional census of high school students. American Journal of Public Health, 102(1), 171–177. https://doi.org/10.2105/AJPH.2011.300308.CrossRefPubMedPubMedCentralGoogle Scholar
- Skapinakis, P., Bellos, S., Gkatsa, T., Magklara, K., Lewis, G., Araya, R., Mavreas, V. (2011). The association between bullying and early stages of suicidal ideation in late adolescents in Greece. BMC Psychiatry, 11, 22. https://doi.org/10.1186/1471-244X-11-22.CrossRefPubMedPubMedCentralGoogle Scholar
- Sterne, J. A., Bradburn, M. J., & Egger, M. (2001). 18 Meta-analysis in StataTM. http://www.biostat.jhsph.edu/~fdominic/teaching/bio656/software/meta.analysis.pdf.
- van Heeringen, K. (2012). The neurobiological basis of suicide. Chapter 6. Stress–diathesis model of suicidal behavior. Boca Raton, FL: CRC Press.Google Scholar
- Winsper, C., Lereya, T., Zanarini, M., & Wolke, D. (2012). Involvement in bullying and suicide-related behavior at 11 years: A prospective birth cohort study. Journal of the American Academy Child and Adolescent Psychiatry, 51(3), 271–282 e273. https://doi.org/10.1016/j.jaac.2012.01.001.CrossRefGoogle Scholar
- Yen, C. F., Yang, P., Wang, P. W., Lin, H. C., Liu, T. L., Wu, Y. Y., & Tang, T. C. (2014). Association between school bullying levels/types and mental health problems among Taiwanese adolescents. Comprehensive Psychiatry, 55(3), 405–413. https://doi.org/10.1016/j.comppsych.2013.06.001.CrossRefPubMedGoogle Scholar