Bullying victimization and suicide ideation and behavior among adolescents in Europe: a 10-country study

Purpose: To examine risk and protective factors moderating the associations between three types of bullying victimization (physical, verbal, and relational bullying) with suicide ideation/attempts in a large representative sample of European adolescents. Methods: We analyzed cross-sectional data on...

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Hauptverfasser: Barzilay, Shira (VerfasserIn) , Brunner, Romuald (VerfasserIn) , Kaess, Michael (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2017
In: Journal of adolescent health
Year: 2017, Jahrgang: 61, Heft: 2, Pages: 179-186
ISSN:1879-1972
DOI:10.1016/j.jadohealth.2017.02.002
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1016/j.jadohealth.2017.02.002
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S1054139X1730068X
Volltext
Verfasserangaben:Shira Barzilay, Anat Brunstein Klomek, Alan Apter, Vladimir Carli, Camilla Wasserman, Gergö Hadlaczky, Christina W. Hoven, Marco Sarchiapone, Judit Balazs, Agnes Kereszteny, Romuald Brunner, Michael Kaess, Julio Bobes, Pilar Saiz, Doina Cosman, Christian Haring, Raphaela Banzer, Paul Corcoran, Jean-Pierre Kahn, Vita Postuvan, Tina Podlogar, Merike Sisask, Airi Varnik, Danuta Wasserman

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500 |a Received 22 September 2016, Accepted 2 February 2017, Available online 5 April 2017 
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520 |a Purpose: To examine risk and protective factors moderating the associations between three types of bullying victimization (physical, verbal, and relational bullying) with suicide ideation/attempts in a large representative sample of European adolescents. Methods: We analyzed cross-sectional data on 11,110 students (mean age = 14.9, standard deviation = .89) recruited from 168 schools in 10 European Union countries involved in the Saving and Empowering Young Lives in Europe study. A self-report questionnaire was used to measure victimization types, depression, anxiety, parental and peer support, and suicide ideation and attempts. For each outcome, we applied hierarchical nonlinear models controlling for sociodemographics. Results: Prevalence of victimization was 9.4% physical, 36.1% verbal, and 33.0% relational. Boys were more likely to be physically and verbally victimized, whereas girls were more prone to relational victimization. Physical victimization was associated with suicide ideation, and relational victimization was associated with suicide attempts. Other associations between victimization and suicidality (ideation/attempts) were identified through analysis of interactions with additional risk and protective factors. Specifically, verbal victimization was associated with suicide ideation among adolescents with depression who perceived low parental support. Similarly, low peer support increased the associations between verbal victimization and suicide ideation. Verbal victimization was associated with suicide attempts among adolescents with anxiety who perceived low parental support. Conclusions: Findings support the development of prevention strategies for adolescent victims of bullying who may be at elevated risk for suicide ideation/behavior, by taking into account gender, the type of bullying, symptomatology, and availability of interpersonal support. 
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