TY - JOUR
T1 - Bullying Victimization and Suicide Ideation and Behavior Among Adolescents in Europe
T2 - A 10-Country Study
AU - Barzilay, Shira
AU - Brunstein Klomek, Anat
AU - Apter, Alan
AU - Carli, Vladimir
AU - Wasserman, Camilla
AU - Hadlaczky, Gergö
AU - Hoven, Christina W.
AU - Sarchiapone, Marco
AU - Balazs, Judit
AU - Kereszteny, Agnes
AU - Brunner, Romuald
AU - Kaess, Michael
AU - Bobes, Julio
AU - Saiz, Pilar
AU - Cosman, Doina
AU - Haring, Christian
AU - Banzer, Raphaela
AU - Corcoran, Paul
AU - Kahn, Jean Pierre
AU - Postuvan, Vita
AU - Podlogar, Tina
AU - Sisask, Merike
AU - Varnik, Airi
AU - Wasserman, Danuta
N1 - Publisher Copyright: © 2017
PY - 2017/8
Y1 - 2017/8
N2 - 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.
AB - 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.
KW - Adolescence
KW - Bullying
KW - Ideation
KW - SEYLE
KW - Suicide
KW - Suicide attempt
KW - Victimization
UR - http://www.scopus.com/inward/record.url?scp=85017187660&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jadohealth.2017.02.002
DO - https://doi.org/10.1016/j.jadohealth.2017.02.002
M3 - Article
C2 - 28391968
SN - 1054-139X
VL - 61
SP - 179
EP - 186
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 2
ER -