Involvement in bullying and suicide-related behavior at 11 years: a prospective birth cohort study.

OBJECTIVE To study the prospective link between involvement in bullying (bully, victim, bully/victim), and subsequent suicide ideation and suicidal/self-injurious behavior, in preadolescent children in the United Kingdom. METHOD A total of 6,043 children in the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort were assessed to ascertain involvement in bullying between 4 and 10 years and suicide related behavior at 11.7 years. RESULTS Peer victimization (victim, bully/victim) was significantly associated with suicide ideation and suicidal/self-injurious behavior after adjusting for confounders. Bully/victims were at heightened risk for suicide ideation (odds ratio [OR]; 95% confidence interval [CI]): child report at 8 years (OR = 2.84; CI = 1.81-4.45); child report at 10 years (OR = 3.20; CI = 2.07-4.95); mother report (OR = 2.71; CI = 1.81-4.05); teacher report (OR = 2.79; CI = 1.62-4.81), as were chronic victims: child report (OR = 3.26; CI = 2.24-4.75); mother report (OR = 2.49; CI = 1.64-3.79); teacher report (OR = 5.99; CI = 2.79-12.88). Similarly, bully/victims were at heightened risk for suicidal/self-injurious behavior: child report at 8 years (OR = 2.67; CI = 1.66-4.29); child report at 10 years (OR = 3.34; CI = 2.17-5.15); mother report (OR = 2.09; CI = CI = 1.36-3.20); teacher report (OR = 2.44, CI = 1.39-4.30); as were chronic victims: child report (OR = 4.10; CI = 2.76-6.08); mother report (OR = 1.91; 1.22-2.99); teacher report (OR = 3.26; CI = 1.38-7.68). Pure bullies had increased risk of suicide ideation according to child report at age 8 years (OR = 3.60; CI = 1.46-8.84), suicidal/self-injurious behavior according to child report at age 8 years (OR = 3.02; CI = 1.14-8.02), and teacher report (OR = 1.84; CI = 1.09-3.10). CONCLUSIONS Children involved in bullying, in any role, and especially bully/victims and chronic victims, are at increased risk for suicide ideation and suicidal/self-injurious behavior in preadolescence.

[1]  P. Lewinsohn,et al.  Psychosocial risk factors for future adolescent suicide attempts. , 1994, Journal of consulting and clinical psychology.

[2]  R. Nuttall,et al.  Risk for Preadolescent Suicidal Behavior: An Ecological Model , 2001 .

[3]  A. Spirito,et al.  Predictors of Continued Suicidal Behavior in Adolescents Following a Suicide Attempt , 2003, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[4]  K. Berger,et al.  Update on bullying at school: Science forgotten? , 2007 .

[5]  Ramani S. Pilla,et al.  Bullying Behaviors Among US Youth: Prevalence and Association With Psychosocial Adjustment , 2001 .

[6]  T. Stijnen,et al.  Victimization and suicide ideation in the TRAILS study: specific vulnerabilities of victims. , 2008, Journal of child psychology and psychiatry, and allied disciplines.

[7]  S. Salzinger,et al.  Adolescent physical abuse and suicide attempts. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[8]  Ricardo Araya,et al.  The association between bullying and early stages of suicidal ideation in late adolescents in Greece , 2011, BMC psychiatry.

[9]  Ana Paiva,et al.  Virtual learning intervention to reduce bullying victimization in primary school: a controlled trial. , 2010, Journal of child psychology and psychiatry, and allied disciplines.

[10]  Antonius H. N. Cillessen,et al.  Clueless or Powerful? Identifying Subtypes of Bullies in Adolescence , 2010, Journal of youth and adolescence.

[11]  R. Baumeister,et al.  Suicide as escape from self. , 1990, Psychological review.

[12]  K. Lamberts,et al.  Selective drop-out in longitudinal studies and non-biased prediction of behaviour disorders , 2009, The British journal of psychiatry : the journal of mental science.

[13]  A. Sourander,et al.  Bullying and Suicide Detection and Intervention , 2011 .

[14]  C. Zlotnick,et al.  Affect regulation and suicide attempts in adolescent inpatients. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[15]  C. Lombard,et al.  Bullying, violence, and risk behavior in South African school students. , 2007, Child abuse & neglect.

[16]  A Rimpelä,et al.  Bullying, depression, and suicidal ideation in Finnish adolescents: school survey , 1999, BMJ.

[17]  J. Dawkins.  Bullying in schools , 1995, BMJ.

[18]  Sarah N. Woods,et al.  Bullying and victimization of primary school children in England and Germany: prevalence and school factors. , 2001, British journal of psychology.

[19]  E. Paolucci,et al.  A Meta-Analysis of the Published Research on the Effects of Child Sexual Abuse , 2001, The Journal of psychology.

[20]  Sarah N. Woods,et al.  Does the Content of Anti-Bullying Policies Inform us About the Prevalence of Direct and Relational Bullying Behaviour in Primary Schools? , 2003 .

[21]  M. Gould,et al.  High school bullying as a risk for later depression and suicidality. , 2011, Suicide & life-threatening behavior.

[22]  B. Leventhal,et al.  Bullying Increased Suicide Risk: Prospective Study of Korean Adolescents , 2009, Archives of suicide research : official journal of the International Academy for Suicide Research.

[23]  J. Srabstein.  Be aware of bullying: a critical public health responsibility. , 2009, The virtual mentor : VM.

[24]  G. Lewis,et al.  Prospective study of peer victimization in childhood and psychotic symptoms in a nonclinical population at age 12 years. , 2009, Archives of general psychiatry.

[25]  K Rigby,et al.  Suicidal ideation among adolescent school children, involvement in bully-victim problems, and perceived social support. , 1999, Suicide & life-threatening behavior.

[26]  Ellie L. Young,et al.  RELATIONAL AGGRESSION: UNDERSTANDING, IDENTIFYING, AND RESPONDING IN SCHOOLS , 2006 .

[27]  C. A. Barrio.  Assessing Suicide Risk in Children: Guidelines for Developmentally Appropriate Interviewing , 2007 .

[28]  Gitanjali Saluja,et al.  Cross-national consistency in the relationship between bullying behaviors and psychosocial adjustment. , 2004, Archives of pediatrics & adolescent medicine.

[29]  D. Wolke,et al.  Domestic violence risk during and after pregnancy: findings from a British longitudinal study , 2005, BJOG : an international journal of obstetrics and gynaecology.

[30]  Irma Moilanen,et al.  Cross-informant agreement about bullying and victimization among eight-year-olds: whose information best predicts psychiatric caseness 10–15 years later? , 2008, Social Psychiatry and Psychiatric Epidemiology.

[31]  R. Berk.  An introduction to sample selection bias in sociological data. , 1983 .

[32]  A. Sourander,et al.  The Association of Suicide and Bullying in Childhood to Young Adulthood: A Review of Cross-Sectional and Longitudinal Research Findings , 2010, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[33]  M. Pembrey,et al.  ALSPAC--the Avon Longitudinal Study of Parents and Children. I. Study methodology. , 2001, Paediatric and perinatal epidemiology.

[34]  J. Ballenger.  Childhood bullying as a risk for later depression and suicidal ideation among Finnish males , 2009 .

[35]  D. Brent,et al.  Adolescent suicide and suicidal behavior. , 2006, Journal of child psychology and psychiatry, and allied disciplines.

[36]  H. Cabral,et al.  Suicidal Ideation Among Urban Nine and Ten Year Olds , 2006, Journal of developmental and behavioral pediatrics : JDBP.

[37]  Young Shin Kim,et al.  Bullying and suicide. A review , 2008, International journal of adolescent medicine and health.

[38]  Per Magnus,et al.  Self-selection and bias in a large prospective pregnancy cohort in Norway. , 2009, Paediatric and perinatal epidemiology.

[39]  S. Joseph,et al.  Bully/victim problems and their association with Eysenck's personality dimensions in 8 to 13 year-olds. , 1997, The British journal of educational psychology.

[40]  Avshalom Caspi,et al.  Bullying Victimization Uniquely Contributes to Adjustment Problems in Young Children: A Nationally Representative Cohort Study , 2006, Pediatrics.

[41]  A. Sourander,et al.  Childhood bullying behaviors as a risk for suicide attempts and completed suicides: a population-based birth cohort study. , 2009, Journal of the American Academy of Child and Adolescent Psychiatry.

[42]  Surveys.,et al.  Standard occupational classification , 1990 .

[43]  H. Meltzer,et al.  The Development and Well-Being Assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology. , 2000, Journal of child psychology and psychiatry, and allied disciplines.

[44]  M. Gould,et al.  Bullying, depression, and suicidality in adolescents. , 2007, Journal of the American Academy of Child and Adolescent Psychiatry.

[45]  S. Cleary.  Adolescent victimization and associated suicidal and violent behaviors. , 2000, Adolescence.

[46]  S. Stewart-Brown,et al.  Parenting and health in mid-childhood: a longitudinal study. , 2008, European journal of public health.

[47]  S. Coyne,et al.  An Integrated Review of Indirect, Relational, and Social Aggression , 2005, Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc.

[48]  E. Shearin,et al.  Self-injurious behavior and mood regulation in borderline patients. , 1997, Journal of personality disorders.

[49]  A. Caspi,et al.  A discordant monozygotic twin design shows blunted cortisol reactivity among bullied children. , 2011, Journal of the American Academy of Child and Adolescent Psychiatry.

[50]  Sarah Woods,et al.  The association between bullying behaviour, arousal levels and behaviour problems. , 2005, Journal of adolescence.

[51]  G. Canino,et al.  Psychopathology associated with suicidal ideation and attempts among children and adolescents. , 1998, Journal of the American Academy of Child and Adolescent Psychiatry.

[52]  L Bowes,et al.  Bullying victimization in youths and mental health problems: ‘Much ado about nothing’? , 2009, Psychological Medicine.

[53]  R. Goodman.  The Strengths and Difficulties Questionnaire: a research note. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[54]  L. Roeger,et al.  Sexual abuse and suicidal behavior: a model constructed from a large community sample of adolescents. , 2003, Journal of the American Academy of Child and Adolescent Psychiatry.

[55]  Young Shin Kim,et al.  School Bullying and Suicidal Risk in Korean Middle School Students , 2005, Pediatrics.