@article{ref1,
title="Suicidal Adolescents' Experiences With Bullying Perpetration and Victimization during High School as Risk Factors for Later Depression and Suicidality",
journal="Journal of Adolescent Health",
year="2013",
author="Klomek, Anat Brunstein and Kleinman, Marjorie and Altschuler, Elizabeth and Marrocco, Frank and Amakawa, Lia and Gould, Madelyn S.",
volume="53",
number="1 Suppl",
pages="S37-S42",
abstract="This is the first study to examine the extent to which frequent involvement in high-school bullying (as a bullying perpetrator, victim of bullying, or bully-victim) increases the risk for later depression and suicidality beyond other well-established risk factors of suicide. The study included 96 students who reported being a bully, a victim, or a bully-victim, and also reported depression, suicidality, or substance problems during an initial suicide screen. These students were interviewed 2 years later and were compared with 142 youth identified during the initial screen as &quot;suicide-at-risk&quot; by virtue of their depression, suicidal ideation, attempts, and substance problems, but who did not report any involvement in bullying behavior. Students who reported both bullying others and other suicide-related behaviors at baseline had higher suicide ideation and were more functionally impaired at follow-up than students who reported suicide-related behaviors but were not involved in bullying. Preventive efforts in high school should target those children who are characterized by both psychological disturbance and bullying, especially the frequent bullies.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2012.12.008",
url="http://dx.doi.org/10.1016/j.jadohealth.2012.12.008"
}