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Adolescent Research Review

, Volume 3, Issue 2, pp 193–217 | Cite as

Bullying and Suicidality in Children and Adolescents Without Predisposing Factors: A Systematic Review and Meta-analysis

  • George N. Katsaras
  • Evridiki K. Vouloumanou
  • Georgia Kourlaba
  • Eleni Kyritsi
  • Eleni Evagelou
  • Chryssa Bakoula
Quantitative Review
  • 564 Downloads

Abstract

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.

Keywords

School bullying Cyber bullying Suicidal ideation Suicide attempt 

Notes

Author contributions

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.

Funding

None.

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

Ethical approval for this study was not needed.

Informed consent

This study included only already published data.

References

  1. Abell, W. D., Sewell, C., Martin, J. S., Bailey-Davidson, Y., & Fox, K. (2012). Suicide ideation in Jamaican youth: sociodemographic prevalence, protective and risk factors. West Indian Medical Journal, 61(5), 521–525.CrossRefPubMedGoogle Scholar
  2. 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
  3. 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
  4. Bauman, S., Toomey, R. B., & Walker, J. L. (2013). Associations among bullying, cyberbullying, and suicide in high school students. Journal of Adolescence, 36(2), 341–350.  https://doi.org/10.1016/j.adolescence.2012.12.001.CrossRefPubMedGoogle Scholar
  5. Bhatta, M. P., Shakya, S., & Jefferis, E. (2014). Association of being bullied in school with suicide ideation and planning among rural middle school adolescents. Journal of School Health, 84(11), 731–738.  https://doi.org/10.1111/josh.12205.CrossRefPubMedGoogle Scholar
  6. 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
  7. Brunstein Klomek, A., Sourander, A., & Gould, M. (2010). The association of suicide and bullying in childhood to young adulthood: A review of cross-sectional and longitudinal research findings. The Canadian Journal of Psychiatry, 55(5), 282–288.CrossRefPubMedGoogle Scholar
  8. Cui, S., Cheng, Y., Xu, Z., Chen, D., & Wang, Y. (2011). Peer relationships and suicide ideation and attempts among Chinese adolescents. Child: Care, Health and Development, 37(5), 692–702.  https://doi.org/10.1111/j.1365-2214.2010.01181.x.Google Scholar
  9. Duval, S., & Tweedie, R. (2000). Trim and fill: A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56(2), 455–463.CrossRefPubMedGoogle Scholar
  10. 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
  11. Finkelhor, D., Turner, H. A., Shattuck, A., & Hamby, S. L. (2013). Violence, crime, and abuse exposure in a national sample of children and youth: An update. JAMA Pediatrics, 167(7), 614–621.  https://doi.org/10.1001/jamapediatrics.2013.42.CrossRefPubMedGoogle Scholar
  12. Fisher, H. L., Moffitt, T. E., Houts, R. M., Belsky, D. W., Arseneault, L., & Caspi, A. (2012). Bullying victimisation and risk of self harm in early adolescence: Longitudinal cohort study. BMJ, 344, e2683.  https://doi.org/10.1136/bmj.e2683.CrossRefPubMedPubMedCentralGoogle Scholar
  13. Hay, C., & Meldrum, R. (2010). Bullying victimization and adolescent self-harm: Testing hypotheses from general strain theory. Journal of Youth and Adolescence, 39(5), 446–459.  https://doi.org/10.1007/s10964-009-9502-0.CrossRefPubMedGoogle Scholar
  14. 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
  15. Hepburn, L., Azrael, D., Molnar, B., & Miller, M. (2012). Bullying and suicidal behaviors among urban high school youth. Journal of Adolescent Health, 51(1), 93–95.  https://doi.org/10.1016/j.jadohealth.2011.12.014.CrossRefPubMedGoogle Scholar
  16. 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
  17. Hertz, M. F., Donato, I., & Wright, J. (2013). Bullying and suicide: A public health approach. Journal of Adolescent Health, 53(1 Suppl), 1–3.  https://doi.org/10.1016/j.jadohealth.2013.05.002.CrossRefGoogle Scholar
  18. Higgins, J., Thompson, S., Deeks, J., & Altman, D. (2002). Statistical heterogeneity in systematic reviews of clinical trials: A critical appraisal of guidelines and practice. Journal of Health Services Research & Policy, 7(1), 51–61.  https://doi.org/10.1258/1355819021927674.CrossRefGoogle Scholar
  19. Hinduja, S., & Patchin, J. W. (2010). Bullying, cyberbullying, and suicide. Archives of Suicide Research, 14(3), 206–221.  https://doi.org/10.1080/13811118.2010.494133.CrossRefPubMedGoogle Scholar
  20. Holt, M. K., Vivolo-Kantor, A. M., Polanin, J. R., Holland, K. M., DeGue, S., Matjasko, J. L., Reid, G. (2015). Bullying and suicidal ideation and behaviors: A meta-analysis. Pediatrics, 135(2), e496–e509.  https://doi.org/10.1542/peds.2014-1864.CrossRefGoogle Scholar
  21. Juvonen, J., & Gross, E. (2008). Extending the school grounds? Bullying experiences in cyberspace. Journal of School Health, 78, 496e505.CrossRefGoogle Scholar
  22. Kaltiala-Heino, R., Rimpela, M., Marttunen, M., Rimpela, A., & Rantanen, P. (1999). Bullying, depression, and suicidal ideation in Finnish adolescents: School survey. BMJ, 319(7206), 348–351.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 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
  24. Kim, Y. S., Koh, Y. J., & Leventhal, B. (2005). School bullying and suicidal risk in Korean middle school students. Pediatrics, 115(2), 357–363.  https://doi.org/10.1542/peds.2004-0902.CrossRefPubMedGoogle Scholar
  25. Kim, Y. S., & Leventhal, B. (2008). Bullying and suicide. A review. International Journal of Adolescent Medicine and Health, 20(2), 133–154.CrossRefPubMedGoogle Scholar
  26. 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
  27. Kowalski, R., Giumetti, G., Schroeder, A., & Lattanner, M. (2014). Bullying in the digital age: A critical review and meta-analysis of cyberbullying research among youth. Psychological Bulletin, 140, 1073e1137.CrossRefGoogle Scholar
  28. Kowalski, R., & Limber, S. (2007). Electronic bullying among middle school students. Journal of Adolescent Health, 41, S22e30.CrossRefGoogle Scholar
  29. Laukkanen, E., Honkalampi, K., Hintikka, J., Hintikka, U., & Lehtonen, J. (2005). Suicidal ideation among help-seeking adolescents: Association with a negative self-image. Archives of Suicide Research, 9(1), 45–55.  https://doi.org/10.1080/13811110590512930.CrossRefPubMedGoogle Scholar
  30. Litwiller, B. J., & Brausch, A. M. (2013). Cyber bullying and physical bullying in adolescent suicide: The role of violent behavior and substance use. Journal of Youth and Adolescence, 42(5), 675–684.  https://doi.org/10.1007/s10964-013-9925-5.CrossRefPubMedGoogle Scholar
  31. 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
  32. Meltzer, H., Vostanis, P., Ford, T., Bebbington, P., & Dennis, M. S. (2011). Victims of bullying in childhood and suicide attempts in adulthood. European Psychiatry, 26(8), 498–503.  https://doi.org/10.1016/j.eurpsy.2010.11.006.CrossRefPubMedGoogle Scholar
  33. Messias, E., Kindrick, K., & Castro, J. (2014). School bullying, cyberbullying, or both: Correlates of teen suicidality in the 2011 CDC Youth Risk Behavior Survey. Comprehensive Psychiatry, 55(5), 1063–1068.  https://doi.org/10.1016/j.comppsych.2014.02.005.CrossRefPubMedPubMedCentralGoogle Scholar
  34. Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Group, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Journal of Clinical Epidemiology, 62(10), 1006–1012.  https://doi.org/10.1016/j.jclinepi.2009.06.005.CrossRefPubMedGoogle Scholar
  35. Owusu, A., Hart, P., Oliver, B., & Kang, M. (2011). The association between bullying and psychological health among senior high school students in Ghana, West Africa. Journal of School Health, 81(5), 231–238.  https://doi.org/10.1111/j.1746-1561.2011.00590.x.CrossRefPubMedGoogle Scholar
  36. Preferred reporting items for systematic reviews and meta-analyses. http://www.prisma-statement.org/. Accessed 15 Oct 2015
  37. Rudatsikira, E., Muula, A. S., Siziya, S., & Twa-Twa, J. (2007). Suicidal ideation and associated factors among school-going adolescents in rural Uganda. BMC Psychiatry, 7, 67.  https://doi.org/10.1186/1471-244X-7-67.CrossRefPubMedPubMedCentralGoogle Scholar
  38. 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
  39. 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
  40. 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
  41. 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.
  42. Sterne, J. A., & Egger, M. (2001). Funnel plots for detecting bias in meta-analysis: Guidelines on choice of axis. Journal of Clinical Epidemiology, 54(10), 1046–1055.CrossRefPubMedGoogle Scholar
  43. Sterne, J. A., Egger, M., & Smith, G. D. (2001). Systematic reviews in health care: Investigating and dealing with publication and other biases in meta-analysis. BMJ, 323(7304), 101–105.CrossRefPubMedPubMedCentralGoogle Scholar
  44. Turner, H. A., Finkelhor, D., Shattuck, A., & Hamby, S. (2012). Recent victimization exposure and suicidal ideation in adolescents. Archives of Pediatrics & Adolescent Medicine, 166(12), 1149–1154.  https://doi.org/10.1001/archpediatrics.2012.1549.CrossRefGoogle Scholar
  45. van Geel, M., Vedder, P., & Tanilon, J. (2014). Relationship between peer victimization, cyberbullying, and suicide in children and adolescents: A meta-analysis. JAMA Pediatrics, 168(5), 435–442.  https://doi.org/10.1001/jamapediatrics.2013.4143.CrossRefPubMedGoogle Scholar
  46. van Heeringen, K. (2012). The neurobiological basis of suicide. Chapter 6. Stress–diathesis model of suicidal behavior. Boca Raton, FL: CRC Press.Google Scholar
  47. Wang, R. H., Lai, H. J., Hsu, H. Y., & Hsu, M. T. (2011). Risk and protective factors for suicidal ideation among Taiwanese adolescents. Nursing Research, 60(6), 413–421.  https://doi.org/10.1097/NNR.0b013e3182337d83.CrossRefPubMedGoogle Scholar
  48. 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
  49. 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

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • George N. Katsaras
    • 1
  • Evridiki K. Vouloumanou
    • 2
    • 3
  • Georgia Kourlaba
    • 4
  • Eleni Kyritsi
    • 5
  • Eleni Evagelou
    • 5
  • Chryssa Bakoula
    • 6
  1. 1.NICUGeneral Hospital of Nikaia-Piraeus “Ag. Panteleimon”Nikaia-PiraeusGreece
  2. 2.Department of PaediatricsTzaneion General HospitalPiraeusGreece
  3. 3.Alfa Institute of Biomedical Sciences (AIBS)AthensGreece
  4. 4.The Stavros Niarchos Foundation-Collaborative Center for Clinical Epidemiology and Outcomes Research (CLEO)National and Kapodistrian University of Athens, School of MedicineAthensGreece
  5. 5.Nursing Department ATechnological Educational Institute of AthensAthensGreece
  6. 6.1st Department of Paediatrics, Children’s Hospital “Agia Sophia”, Medical SchoolUniversity of AthensAthensGreece

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