Suicide Ideation and Attempts and Bullying in Children and Adolescents
Psychiatric and General Population Samples
Abstract
Background: Studies of the relationship between bullying and suicide behavior yield mixed results. Aims: This is the first study comparing frequencies of suicide behavior in four bullying groups (bully, victim, bully/victim, and neither) in two large psychiatric and community samples of young children and adolescents. Method: Maternal ratings of bullying and suicide ideation and attempts were analyzed for 1,291 children with psychiatric disorders and 658 children in the general population 6–18 years old. Results: For both the psychiatric and community samples, suicide ideation and attempt scores for bully/victims were significantly higher than for victims only and for neither bullies nor victims. Differences between victims only and neither victims nor bullies were nonsignificant. Controlling for sadness and conduct problems, suicide behavior did not differ between the four bullying groups. All children with suicide attempts had a comorbid psychiatric disorder, as did all but two children with suicide ideation. Conclusion: Although the contribution of bullying per se to suicide behavior independent of sadness and conduct problems is small, bullying has obvious negative psychological consequences that make intervention imperative. Interventions need to focus on the psychopathology associated with being a victim and/or perpetrator of bullying in order to reduce suicide behavior.
References
(2010). Bullying victimization in youths and mental health problems: ’Much ado about nothing’? Psychological Medicine, 40, 717–729.
(2006). Bullying victimization uniquely contributes to adjustment problems in young children: A nationally representative cohort study. Pediatrics, 118, 130–138.
(2012). Examining school-based bullying interventions using multilevel discrete time hazard modeling. Prevention Science, 13, 539–550.
(2005). Clinical differences between suicidal and nonsuicidal depressed children and adolescents. Journal of Clinical Psychiatry, 66, 492–498.
(2008). Joint development of bullying and victimization in adolescence: Relations to delinquency and self-harm. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 1030–1038.
(2013). Associations among bullying, cyberbullying, and suicide in high school students. Journal of Adolescence, 36, 341–350.
(2009). Sleep disordered breathing in children in a general population sample: Prevalence and risk factors. Sleep, 32, 731–736.
(2013). Suicidal thinking and behavior among youth involved in verbal and social bullying: Risk and protective factors. Journal of Adolescent Health, 53, S4–S12.
(2013). Protecting adolescents from self-harm: A critical review of intervention studies. Journal of the American Academy of Child and Adolescent Psychiatry, 10, doi:10:1016/j.jaac.2013.09.009
(2013). National Center for Injury Prevention and Control Web-based Injury Statistics Query and Reporting System. Retrieved from www.cdc.gov/ncipc/wisqars
(2008). Association between symptoms of attention deficit hyperactivity disorder, depression, and suicide in Korean female adolescents. Depression and Anxiety, 25, E142–E146.
(1998). The relationship among bullying victimization, depression, anxiety, and aggression in elementary school children. Personality and Individual Differences, 24, 123–130.
(2006). The impact of insomnia and sleep disturbances on depression and suicidality. Dreaming, 16, 1–10.
(2003). The nature and extent of bullying at school. Journal of School Health, 73, 173–180.
(2013). Suicidal ideation and school bullying experiences after controlling for depression and delinquency. Journal of Adolescent Health, 53, S27–S31.
(2006). Proximal psychiatric risk factors for suicidality in youth. Archives of General Psychiatry, 63, 1017–1024.
(2012). Successful bullying prevention programs: Influence of research design, implementation features, and program components. International Journal of Conflict and Violence, 6, 273–283.
(2005). Bullying, psychosocial adjustment, and academic performance in elementary school. Archives of Pediatric and Adolescent Medicine, 159, 1026–1031.
(2008). Sleep disturbance preceding completed suicide in adolescents. Journal of Consulting and Clinical Psychology, 76, 84–91.
(2009). Psychiatric diagnoses as contemporaneous risk factors for suicide attempts among adolescents and young adults: Developmental changes. Journal of Consulting and Clinical Psychology, 77, 281–290.
(2011). Aggression, impulsivity, and suicide behavior: A review of the literature. Archives of Suicide Research, 15, 93–112.
(2012). Bullying and suicidal behaviors among urban high school youth. Journal of Adolescent Health, 51, 93–95.
(2010). Bullying, cyberbullying, and suicide. Archives of Suicide Research, 14, 206–221.
(2012). Suicidal and self-harm behaviour associated with adolescent attention deficit hyperactivity disorder – a study in the Northern Finland Birth Cohort 1986. Nordic Journal of Psychiatry, 66, 320–328.
(2004). African American children’s reports of depressed mood, hopelessness, and suicidal ideation and later suicide attempts. Suicide and Life-Threatening Behavior, 34, 395–407.
(2005). Bullying in adolescence: Psychiatric problems in victims and bullies as measured by the Youth Self Report (YSR) and the Depression Self-Rating Scale (DSRS). Nordic Journal of Psychiatry, 59, 365–373.
(1999). Bullying, depression, and suicidal ideation in Finnish adolescents: School survey. British Medical Journal, 319, 348–351.
(2000). Bullying at school – an indicator of adolescents at risk for mental disorders. Journal of Adolescence, 23, 661–674.
(2013). Precipitating circumstances of suicide among youth aged 10–17 years by sex: Data from the National Violent Death Reporting System, 16 states, 2005-2008. Journal of Adolescent Health, 53, S51–S53.
(2011). Going to scale: A nonrandomized nationwide trial of the KiVa antibullying program for grades 1-9. Journal of Consulting and Clinical Psychology, 79, 796–805.
(2011). A large scale evaluation of the KiVa antibullying program: Grades 4–6. Child Development, 82, 311–330.
(2004). Psychiatric disorders and attempted suicide among adolescents with substance use disorders. Drug and Alcohol Dependence, 73, 87–97.
(2005). School bullying and suicidal risk in Korean middle school students. Pediatrics, 115, 357–363.
(2009). Bullying increased suicide risk: Prospective study of Korean adolescents. Archives of Suicide Research, 13, 15–30.
(2013). Acutely suicidal adolescents who engage in bullying behavior: 1-year trajectories. Journal of Adolescent Health, 53, S43–S50.
(2011). High school bullying as a risk for later depression and suicidality. Suicide and Life-Threatening Behavior, 41, 501–516.
(2013).Suicidal adolescents’ experiences with bullying perpetration and victimization during high school as risk factors for later depression. Journal of Adolescent Health, 53, S37–S42.
(2007). Bullying, depression, and suicidality in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 40–49.
(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.
(1987). Assessing child behavior problems in a medical setting: Development of the Pediatric Behavior Scale. In , Advances in behavioral assessment of children and families (pp. 57–90). Greenwich, CT: JAI Press.
(2004). Sleep and adolescent suicidal behavior. Sleep, 27, 1351–1358.
(2009). Bullying behavior is related to suicide attempts but not self-mutilation among psychiatric inpatient adolescents. Psychopathology, 42, 131–138.
(2012). Relationship between learning disability, executive function, and psychopathology in children with ADHD. Journal of Attention Disorders, 16, 138–146.
(1997). Attention-deficit hyperactivity symptomatology after traumatic brain injury: A prospective study. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 841–847.
(2009). Variables related to sleep problems in children with autism. Research in Autism Spectrum Disorders, 3, 931–941.
(2013, 10). Comorbid oppositional-defiant disorder and depression predict suicide ideation and attempts in children with ADHD. Poster presented at the American Academy of Child Adolescent Psychiatry Annual Meeting, Orlando, FL.
(2009). Sleep problems in children with autism, ADHD, anxiety, depression, acquired brain injury, and typical development. Sleep Medicine Clinics, 4, 19–25.
(2011). Anxiety, depression, and irritability in children with autism relative to children with other neuropsychiatric disorders and typical development. Research in Autism Spectrum Disorders, 5, 474–485.
(2014). Correlates of suicide ideation and attempts in children and adolescents with eating disorders. Eating Disorders, 22, 352–366.
(2013). Suicide ideation and attempts in children with autism. Research in Autism Spectrum Disorders, 7, 109–119.
(2009). Suicide prevention programs in the schools: A review and public health perspective. School Psychology Review, 38, 168–188.
(2011). Insomnia symptoms, nightmares, and suicidal ideation in a college student sample. Sleep, 34, 93–98.
(2013). Insomnia symptoms, nightmares, and suicide risk: Duration of sleep disturbance matters. Suicide and Life-Threatening Behavior, 43, 139–149.
(2001). Bullying behaviors among US youth: Prevalence and association with psychosocial adjustment. Journal of the American Medical Association, 285, 2094–2100.
(2000). HIV-associated changes in adaptive, emotional, and behavioral functioning in children and adolescents with hemophilia: Results from the Hemophilia Growth and Development Study. Journal of Pediatric Psychology, 25, 545–556.
(1999). School bullies, victims, and aggressive victims: Factors relating to group affiliation and victimization in early adolescence. Journal of Educational Psychology, 91, 216–224.
(2013). Potential suicide ideation and its association with observing bullying at school. Journal of Adolescent Health, 53, S32–S36.
(2011). The association between bullying and early stages of suicidal ideation in late adolescents in Greece. BMC Psychiatry, 11, 22–31.
(2004). The effectiveness of whole-school antibullying programs: A synthesis of evaluation research. School Psychology Review, 33, 547–560.
(2010). Child mental health problems as risk factors for victimization. Child Maltreatment, 15, 132–143.
(2010). Bullying and ostracism experiences in children with special health care needs. Journal of Developmental and Behavioral Pediatrics, 31, 1–8.
(2003). Psychosocial health among young victims and offenders of direct and indirect bullying. Pediatrics, 111, 1312–1317.
(2007). A systematic review of school-based interventions to prevent bullying. Archives of Pediatric and Adolescent Medicine, 161, 78–88.
(2012). Adolescent bullying involvement and psychosocial aspects of family and school life: A cross-sectional study from Guangdong Province in China. PLOS ONE, 7, e38619.
(2012). Involvement in bullying and suicide-related behavior at 11 years: A prospective birth cohort study. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 271–282.
(1994). Effects of diets high in sucrose or aspartame on the behavior and cognitive performance of children. New England Journal of Medicine, 330, 301–307.
(2013). The association between bullying and the psychological functioning of children with autism spectrum disorders. Journal of Developmental and Behavioral Pediatrics, 34, 1–8.
