Skip to main content
Top
Published in: European Child & Adolescent Psychiatry 2/2013

01-02-2013 | Original Contribution

Involvement in bullying and suicidal ideation in middle adolescence: a 2-year follow-up study

Authors: Hanna-Kaisa Heikkilä, Juha Väänänen, Mika Helminen, Sari Fröjd, Mauri Marttunen, Riittakerttu Kaltiala-Heino

Published in: European Child & Adolescent Psychiatry | Issue 2/2013

Login to get access

Abstract

The objective of the study was to ascertain whether involvement in bullying increases the risk for subsequent suicidal ideation. A total of 2,070 Finnish girls and boys aged 15 were surveyed in the ninth grade (age 15) in schools, and followed up 2 years later in the Adolescent Mental Health Cohort Study. Involvement in bullying was elicited at age 15 by two questions focusing on being a bully and being a victim of bullying. Suicidal ideation was elicited by one item of the short Beck Depression Inventory at age 17. Baseline depressive symptoms and externalizing symptoms, age and sex were controlled for. Statistical analyses were carried out using cross-tabulations with Chi-square/Fisher’s exact test and logistic regression. Suicidal ideation at age 17 was 3–4 times more prevalent among those who had been involved in bullying at age 15 than among those not involved. Suicidal ideation at age 17 was most prevalent among former victims of bullying. Being a victim of bullying at age 15 continued to predict subsequent suicidal ideation when depressive and externalizing symptoms were controlled for. Being a bully at age 15 also persisted as borderline significantly predictive of suicidal ideation when baseline symptoms were controlled for. Findings indicate adolescent victims and perpetrators of bullying alike are at long-term risk for suicidal ideation.
Literature
1.
go back to reference Achenbach T (1991) Manual for the youth self-report and 1991 profile. University of Vermont, Department of Psychiatry, Burlington Achenbach T (1991) Manual for the youth self-report and 1991 profile. University of Vermont, Department of Psychiatry, Burlington
2.
go back to reference American Academy of Child and Adolescent Psychiatry (2001) Practice parameter for the assessment and treatment of children and adolescents with suicidal behaviour. J Am Acad Child Adol Psychiatry 40(7S):24S–51S American Academy of Child and Adolescent Psychiatry (2001) Practice parameter for the assessment and treatment of children and adolescents with suicidal behaviour. J Am Acad Child Adol Psychiatry 40(7S):24S–51S
3.
go back to reference Ahlström S, Metso L, Tuovinen E-L (2001) ESPAD 1995 and 1999 Country Report Finland. Stakes Themes 1/2001. STAKES, Helsinki Ahlström S, Metso L, Tuovinen E-L (2001) ESPAD 1995 and 1999 Country Report Finland. Stakes Themes 1/2001. STAKES, Helsinki
4.
go back to reference Birmaher B, Brent D, AACAP Work Group on Quality Issues (2007) Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. J Am Acad Child Adol Psychiatry 46:1503–1526CrossRef Birmaher B, Brent D, AACAP Work Group on Quality Issues (2007) Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. J Am Acad Child Adol Psychiatry 46:1503–1526CrossRef
5.
go back to reference Beck AT, Beck RW (1972) Screening depressed patients in family practice. A rapid technique. Postgr Med 52(6):81–85 Beck AT, Beck RW (1972) Screening depressed patients in family practice. A rapid technique. Postgr Med 52(6):81–85
6.
go back to reference Bowers L, Smith PK, Binney V (1994) Perceived family relationships of bullies, victims and bully/victims in middle childhood. J Soc Pers Rel 11:215–232CrossRef Bowers L, Smith PK, Binney V (1994) Perceived family relationships of bullies, victims and bully/victims in middle childhood. J Soc Pers Rel 11:215–232CrossRef
7.
go back to reference Carney A, Merrell K (2001) Bullying in schools. Perspectives on understanding and preventing an international problem. School Psychol Int 22:364–382CrossRef Carney A, Merrell K (2001) Bullying in schools. Perspectives on understanding and preventing an international problem. School Psychol Int 22:364–382CrossRef
8.
go back to reference Cole J, Cornell D, Sheras P (2006) Identification of school bullies by survey methods. Prof Sch Couns 9:p305–p313 Cole J, Cornell D, Sheras P (2006) Identification of school bullies by survey methods. Prof Sch Couns 9:p305–p313
9.
go back to reference Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psych 60:837–844CrossRef Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psych 60:837–844CrossRef
10.
go back to reference de los Reyes A, Prinstein MJ (2004) Applying depression-distortion hypotheses to the assessment of peer victimization in adolescents. J Clin Child Adol Psychol 33(2):325–335CrossRef de los Reyes A, Prinstein MJ (2004) Applying depression-distortion hypotheses to the assessment of peer victimization in adolescents. J Clin Child Adol Psychol 33(2):325–335CrossRef
11.
go back to reference Fekkes M, Pijpers F, Fredriks A, Vogels T, Verloove-Vanhorick S (2006) Do bullied children get ill, or do ill children get bullied? A prospective cohort study on the relationship between bullying and health-related symptoms. Pediatrics 117:1568–1574PubMedCrossRef Fekkes M, Pijpers F, Fredriks A, Vogels T, Verloove-Vanhorick S (2006) Do bullied children get ill, or do ill children get bullied? A prospective cohort study on the relationship between bullying and health-related symptoms. Pediatrics 117:1568–1574PubMedCrossRef
12.
go back to reference Hunter S, Boyle J, Warden D (2007) Perceptions and correlates of peer-victimization and bullying. Br J Educ Psychol 77:797–810PubMedCrossRef Hunter S, Boyle J, Warden D (2007) Perceptions and correlates of peer-victimization and bullying. Br J Educ Psychol 77:797–810PubMedCrossRef
13.
go back to reference Kaltiala-Heino R, Fröjd S, Marttunen M (2010) Involvement in bullying and depression in a 2-year follow-up in middle adolescence. Eur Child Adol Psychiatr 1(19):45–55CrossRef Kaltiala-Heino R, Fröjd S, Marttunen M (2010) Involvement in bullying and depression in a 2-year follow-up in middle adolescence. Eur Child Adol Psychiatr 1(19):45–55CrossRef
14.
go back to reference Kaltiala-Heino R, Fröjd S (2011) Correlation between bullying and clinical depression in adolescent patients. J Adolesc Health Med Ther 2:37–44CrossRef Kaltiala-Heino R, Fröjd S (2011) Correlation between bullying and clinical depression in adolescent patients. J Adolesc Health Med Ther 2:37–44CrossRef
15.
go back to reference Kaltiala-Heino R, Rimpelä M, Marttunen M, Rimpelä A, Rantanen P (1999) Bullying, depression, and suicidal ideation in Finnish adolescents: school survey. BMJ 319:348–351PubMedCrossRef Kaltiala-Heino R, Rimpelä M, Marttunen M, Rimpelä A, Rantanen P (1999) Bullying, depression, and suicidal ideation in Finnish adolescents: school survey. BMJ 319:348–351PubMedCrossRef
16.
go back to reference Kaltiala-Heino R, Rimpelä M, Rantanen P, Laippala P (1999) Finnish modification of the 13-item beck depression inventory in screening an adolescent population for depressiveness and positive mood. Nord J Psychiatry 53(6):451–457CrossRef Kaltiala-Heino R, Rimpelä M, Rantanen P, Laippala P (1999) Finnish modification of the 13-item beck depression inventory in screening an adolescent population for depressiveness and positive mood. Nord J Psychiatry 53(6):451–457CrossRef
17.
go back to reference Kaltiala-Heino R, Rimpelä M, Rantanen P, Rimpelä A (2000) Bullying at school—an indicator of adolescents at risk for mental disorders. J Adolesc 23(6):661–674PubMedCrossRef Kaltiala-Heino R, Rimpelä M, Rantanen P, Rimpelä A (2000) Bullying at school—an indicator of adolescents at risk for mental disorders. J Adolesc 23(6):661–674PubMedCrossRef
18.
go back to reference Kaukiainen A, Salmivalli C, Lagerspetz K, Tamminen M, Vauras M, Mäki H et al (2002) Learning difficulties, social intelligence and self-concept: connections to bully-victim problems. Scand J Psychol 43:269–278PubMedCrossRef Kaukiainen A, Salmivalli C, Lagerspetz K, Tamminen M, Vauras M, Mäki H et al (2002) Learning difficulties, social intelligence and self-concept: connections to bully-victim problems. Scand J Psychol 43:269–278PubMedCrossRef
19.
go back to reference Kim YS, Leventhal B, Koh Y-J, Hubbard A, Boyce T (2006) School bullying and youth violence. Causes or consequences of psychopathologic behavior? Arch Gen Psychiatry 63:1035–1041PubMedCrossRef Kim YS, Leventhal B, Koh Y-J, Hubbard A, Boyce T (2006) School bullying and youth violence. Causes or consequences of psychopathologic behavior? Arch Gen Psychiatry 63:1035–1041PubMedCrossRef
20.
go back to reference Kim YS, Leventhal BL, Koh YJ, Boyce WT (2009) Bullying increased suicide risk: prospective study of Korean adolescents. Arch Suic Res 13:15–30CrossRef Kim YS, Leventhal BL, Koh YJ, Boyce WT (2009) Bullying increased suicide risk: prospective study of Korean adolescents. Arch Suic Res 13:15–30CrossRef
21.
go back to reference King A, Wold B, Tudor-Smith C, Yossi H (1996) The health of youth, a cross national survey. European series No 69. WHO Regional Publications, Canada King A, Wold B, Tudor-Smith C, Yossi H (1996) The health of youth, a cross national survey. European series No 69. WHO Regional Publications, Canada
22.
go back to reference Klomek AB, Marrocco F, Kleinman M, Schonfeld I, Gould M (2007) Bullying, depression and suicidality in adolescents. J Am Acad Child Adol Psychiatry 46:40–49CrossRef Klomek AB, Marrocco F, Kleinman M, Schonfeld I, Gould M (2007) Bullying, depression and suicidality in adolescents. J Am Acad Child Adol Psychiatry 46:40–49CrossRef
23.
go back to reference Klomek AB, Sourander A, Kumpulainen K, Piha J, Tamminen T, Moilanen I, Almqvist F, Gould MS (2008) Childhood bullying as a risk for later depression and suicidal ideation among Finnish males. J Affect Disord 109(1–2):47–55PubMedCrossRef Klomek AB, Sourander A, Kumpulainen K, Piha J, Tamminen T, Moilanen I, Almqvist F, Gould MS (2008) Childhood bullying as a risk for later depression and suicidal ideation among Finnish males. J Affect Disord 109(1–2):47–55PubMedCrossRef
24.
go back to reference Klomek AB, Sourander A, Niemelä S, Kumpulainen K, Piha J, Tamminen T, Almqvisti F, Gould MS (2009) Childhood bullying behaviors as a risk for suicide attempts and completed suicides: a population-based birth cohort study. J Am Acad Child Adol Psychiatry 48:254–261CrossRef Klomek AB, Sourander A, Niemelä S, Kumpulainen K, Piha J, Tamminen T, Almqvisti F, Gould MS (2009) Childhood bullying behaviors as a risk for suicide attempts and completed suicides: a population-based birth cohort study. J Am Acad Child Adol Psychiatry 48:254–261CrossRef
25.
go back to reference Larson R, Richards MH (1991) Daily companionship in late childhood and early adolescence. Changing developmental contexts. Child Dev 62:284–300PubMedCrossRef Larson R, Richards MH (1991) Daily companionship in late childhood and early adolescence. Changing developmental contexts. Child Dev 62:284–300PubMedCrossRef
26.
go back to reference Laugharne J, Lillee A, Janca A (2010) Role of psychological trauma in the cause and treatment of anxiety and depressive disorders. Curr Opin Psych 23:25–29CrossRef Laugharne J, Lillee A, Janca A (2010) Role of psychological trauma in the cause and treatment of anxiety and depressive disorders. Curr Opin Psych 23:25–29CrossRef
27.
go back to reference Liang H, Flisher AJ, Lombard CJ (2007) Bullying, violence and risk behaviour in South African School students. Child Abuse Negl 31:161–171PubMedCrossRef Liang H, Flisher AJ, Lombard CJ (2007) Bullying, violence and risk behaviour in South African School students. Child Abuse Negl 31:161–171PubMedCrossRef
29.
go back to reference McLaughlin K, Hatzenbuechler M, Hilt L (2009) Emotion dysregulation as a mechanism linking peer victimization to internalizing symptoms in adolescents. J Cons Clin Psychol 77:894–904CrossRef McLaughlin K, Hatzenbuechler M, Hilt L (2009) Emotion dysregulation as a mechanism linking peer victimization to internalizing symptoms in adolescents. J Cons Clin Psychol 77:894–904CrossRef
30.
go back to reference Morgan CJ, Cauce AM (1999) Predicting DSM-III-R disorders from the youth self-report: analysis of data from a field study. J Am Acad Child Adol Psychiatry 38:1237–1245CrossRef Morgan CJ, Cauce AM (1999) Predicting DSM-III-R disorders from the youth self-report: analysis of data from a field study. J Am Acad Child Adol Psychiatry 38:1237–1245CrossRef
31.
go back to reference Nansel T, Overpeck M, Pilla R, Ruan W, Simons-Mortin B, Scheidt P (2001) Bullying behaviours among US youth: prevalence and association with poor adjustment. J Am Med Ass 285:2094–2100CrossRef Nansel T, Overpeck M, Pilla R, Ruan W, Simons-Mortin B, Scheidt P (2001) Bullying behaviours among US youth: prevalence and association with poor adjustment. J Am Med Ass 285:2094–2100CrossRef
32.
go back to reference Nansel T, Overpeck M, Haynie D, Ruan J, Scheidt P (2003) Relationships between bullying and violence among US youth. Arch Pediatr Adolesc Med 157:348–353PubMedCrossRef Nansel T, Overpeck M, Haynie D, Ruan J, Scheidt P (2003) Relationships between bullying and violence among US youth. Arch Pediatr Adolesc Med 157:348–353PubMedCrossRef
33.
go back to reference Pelkonen M, Marttunen M, Aro H (2003) Risk for depression: a 6-year follow up of Finnish adolescents. J Affect Disord 77:41–51PubMedCrossRef Pelkonen M, Marttunen M, Aro H (2003) Risk for depression: a 6-year follow up of Finnish adolescents. J Affect Disord 77:41–51PubMedCrossRef
34.
go back to reference Pelkonen M, Marttunen M (2003) Child and adolescent suicide: epidemiology, risk factors, and approaches to prevention. Paediatr Drugs 5:243–265PubMed Pelkonen M, Marttunen M (2003) Child and adolescent suicide: epidemiology, risk factors, and approaches to prevention. Paediatr Drugs 5:243–265PubMed
35.
go back to reference Pelkonen M, Karlsson L, Marttunen M (2011) Adolescent suicide: epidemiology, psychological theories, risk factors, and prevention. Curr Pediatr Rev (accepted for publication) Pelkonen M, Karlsson L, Marttunen M (2011) Adolescent suicide: epidemiology, psychological theories, risk factors, and prevention. Curr Pediatr Rev (accepted for publication)
36.
go back to reference Raitasalo R (2007) Mood questionnaire. Finnish modification of the short form of the beck depression inventory measuring depression symptoms and self-esteem. Studies in social security and health, 86. The Social Insurance Institution, Helsinki Raitasalo R (2007) Mood questionnaire. Finnish modification of the short form of the beck depression inventory measuring depression symptoms and self-esteem. Studies in social security and health, 86. The Social Insurance Institution, Helsinki
37.
go back to reference Ritakallio M, Koivisto A, Pelkonen M, Marttunen M, Kaltiala-Heino R (2008) Continuity, comorbidity and longitudinal associations between adolescent depression and antisocial behaviour in middle adolescence: a 2-year prospective follow-up study. J Adol 31:355–370CrossRef Ritakallio M, Koivisto A, Pelkonen M, Marttunen M, Kaltiala-Heino R (2008) Continuity, comorbidity and longitudinal associations between adolescent depression and antisocial behaviour in middle adolescence: a 2-year prospective follow-up study. J Adol 31:355–370CrossRef
38.
go back to reference Roth KB, Borges G, Medina-Mora ME, Orozco R, Queda C, Wilcox HC (2011) Depressed mood and antisocial behaviour problems as correlates for suicide-related behaviours in Mexico. J Psychiatr Res 45(5):596–602PubMedCrossRef Roth KB, Borges G, Medina-Mora ME, Orozco R, Queda C, Wilcox HC (2011) Depressed mood and antisocial behaviour problems as correlates for suicide-related behaviours in Mexico. J Psychiatr Res 45(5):596–602PubMedCrossRef
39.
go back to reference Rutter M (ed) (1995) Psychosocial disturbances in young people: challenges for prevention. Cambridge University Press, New York Rutter M (ed) (1995) Psychosocial disturbances in young people: challenges for prevention. Cambridge University Press, New York
40.
go back to reference Salmivalli C (1998) Koulukiusaaminen ryhmäilmiönä. [Bullying as group process]. Gaudeamus Tammer-Paino Oy, Tampere Salmivalli C (1998) Koulukiusaaminen ryhmäilmiönä. [Bullying as group process]. Gaudeamus Tammer-Paino Oy, Tampere
41.
go back to reference Salmivalli C, Kaukiainen A, Kaistaniemi L, Lagerspetz K (1999) Self-evaluated self-esteem, peer-evaluated self-esteem, and defensive egotism as predictors of adolescents’ participation in bullying situations. Pers Soc Psychol Bull 25(10):1268–1278CrossRef Salmivalli C, Kaukiainen A, Kaistaniemi L, Lagerspetz K (1999) Self-evaluated self-esteem, peer-evaluated self-esteem, and defensive egotism as predictors of adolescents’ participation in bullying situations. Pers Soc Psychol Bull 25(10):1268–1278CrossRef
42.
go back to reference Seals D, Young J (2003) Bullying and victimization: prevalence and relationship to gender, grade level, ethnicity, self-esteem, and depression. Adolescence 38(152):735–747PubMed Seals D, Young J (2003) Bullying and victimization: prevalence and relationship to gender, grade level, ethnicity, self-esteem, and depression. Adolescence 38(152):735–747PubMed
43.
go back to reference Sourander A, Ronning J, Brunsteind-Klomek A, Gyllenberg D, Kumpulainen K, Niemelä S, Helenius H, Sillanmäki L, Ristkari T, Tamminen T, Moilanen I, Piha J, Almqvist F (2009) Childhood bullying behavior and later psychiatric hospital and psychopharmacologic treatment. Arch Gen Psychiatry 66(9):1005–1012PubMedCrossRef Sourander A, Ronning J, Brunsteind-Klomek A, Gyllenberg D, Kumpulainen K, Niemelä S, Helenius H, Sillanmäki L, Ristkari T, Tamminen T, Moilanen I, Piha J, Almqvist F (2009) Childhood bullying behavior and later psychiatric hospital and psychopharmacologic treatment. Arch Gen Psychiatry 66(9):1005–1012PubMedCrossRef
44.
go back to reference Sutton J, Keogh E (2000) Social competition in school: relationships with bullying, Machiavellism and personality. Br J Educ Psychol 70:443–446PubMedCrossRef Sutton J, Keogh E (2000) Social competition in school: relationships with bullying, Machiavellism and personality. Br J Educ Psychol 70:443–446PubMedCrossRef
45.
go back to reference Theriot M, Dulmus C, Sowers K, Johnson T (2005) Factors relating to self-identification among bullying victims. Child Youth Serv Rev 27(9):979–994CrossRef Theriot M, Dulmus C, Sowers K, Johnson T (2005) Factors relating to self-identification among bullying victims. Child Youth Serv Rev 27(9):979–994CrossRef
46.
go back to reference Ten Have M, De Graaf R, Van Dorsselaer S, Verdurmen J, Van’t Land H, Vollebergh W, Beekman A (2009) Incidence and course of suicidal ideation and suicide attempts in the general population. Can J Psychiatry 54(12):824–833PubMed Ten Have M, De Graaf R, Van Dorsselaer S, Verdurmen J, Van’t Land H, Vollebergh W, Beekman A (2009) Incidence and course of suicidal ideation and suicide attempts in the general population. Can J Psychiatry 54(12):824–833PubMed
47.
go back to reference Tuisku V, Pelkonen M, Karlsson L, Holi M, Kiviruusu O, Ruuttu T, Punamäki R-L, Marttunen M (2006) Suicidal ideation, deliberate self-harm behavior and suicide attempts among adolescent outpatients with depressive mood disorders and comorbid axis I disorders. Eur Child Adol Psychiatry 15:199–206CrossRef Tuisku V, Pelkonen M, Karlsson L, Holi M, Kiviruusu O, Ruuttu T, Punamäki R-L, Marttunen M (2006) Suicidal ideation, deliberate self-harm behavior and suicide attempts among adolescent outpatients with depressive mood disorders and comorbid axis I disorders. Eur Child Adol Psychiatry 15:199–206CrossRef
48.
go back to reference Turner H, Finkelhor D, Ormrod R (2010) The effects of adolescent victimization on self-concept and depressive symptoms. Child Maltreat 15:76–90PubMedCrossRef Turner H, Finkelhor D, Ormrod R (2010) The effects of adolescent victimization on self-concept and depressive symptoms. Child Maltreat 15:76–90PubMedCrossRef
49.
go back to reference van der Stoep A, Adrian M, McCauley E, Crowell SE, Stone A, Flynn C (2011) Risk for suicidal ideation and suicide attempts associated with co-occurring depression and conduct problems in early adolescence. Suicide Life Threat Behav 41(3):316–329CrossRef van der Stoep A, Adrian M, McCauley E, Crowell SE, Stone A, Flynn C (2011) Risk for suicidal ideation and suicide attempts associated with co-occurring depression and conduct problems in early adolescence. Suicide Life Threat Behav 41(3):316–329CrossRef
50.
go back to reference Van Loon A, Tijhuis M, Picavet S, Surtees P, Ormel J (2003) Survey non-response in the Netherlands: effects on prevalence estimates and associations. Ann Epidemiol 13(2):105–110PubMedCrossRef Van Loon A, Tijhuis M, Picavet S, Surtees P, Ormel J (2003) Survey non-response in the Netherlands: effects on prevalence estimates and associations. Ann Epidemiol 13(2):105–110PubMedCrossRef
Metadata
Title
Involvement in bullying and suicidal ideation in middle adolescence: a 2-year follow-up study
Authors
Hanna-Kaisa Heikkilä
Juha Väänänen
Mika Helminen
Sari Fröjd
Mauri Marttunen
Riittakerttu Kaltiala-Heino
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
European Child & Adolescent Psychiatry / Issue 2/2013
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-012-0327-0

Other articles of this Issue 2/2013

European Child & Adolescent Psychiatry 2/2013 Go to the issue