Adolescent Characteristics,Suicide,and Bullying in High School

Abstract

Youth Risk Behavior Survey 2011–2017 data were examined for associations among high school population subsets who self-reported suicide risk behaviors and experiences with bullying. High-school students who reported suicidal risk behaviors were 4.64 times more likely to have experienced bullying electronically. Ninth grade and female students were more likely than others to experience suicide risk behaviors and bullying. At the interpersonal level, school nurses are able to identify students who are experiencing bullying and who exhibit suicide risk behaviors. At the systems level, bullying prevention efforts should target all students. School nurses, administrators, policy makers, and health providers should consider data-driven recommendations in bullying prevention programs.

Keywords

Adolescents suicide high school school nursing population health bullying

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References

Anderson

L. J. W.

Schaffer

M. A.

Hiltz

O’Leary

S. A.

Luehr

R. E.

Yoney

E. L.

(2018). Public health interventions: School nurse practice stories. Journal of School Nursing, 34(3), 192–202. https://doi.org/10.1177/1059840517721951

Barboza

G. E.

Schiamberg

L. B.

Oehmke

Korzeniewski

S. J.

Post

L. S.

Heraux

C. G.

(2009). Individual characteristics and the multiple contexts of adolescent bullying: An ecological perspective. Journal of Youth Adolescence, 38(1), 101–121. https://doi.org/10.1007/s10964-008-9271-1

Basch

(2011). Healthier students are better learners: High-quality, strategically planned, and effectively coordinated school health programs must be a fundamental mission of schools to help close the achievement gap. Journal of School Health, 81(10), 650–662. https://doi.org/10.1111/j.1746-1561.2011.00640.x

Bohnenkamp

J. H.

Stephan

S. H.

Bobo

(2015). Supporting mental health: The role of the school nurse in coordinated school mental health care. Psychology in the Schools, 52(7), 714–727. https://doi.org/10.1002/pits.21851

Borup

Holstein

(2007). Schoolchildren who are victims of bullying report benefit from health dialogues with the school health nurse. Health Education Journal, 66(1), 58–67. https://doi.org/10.1177/0017896907073787

Brener

Kann

Shanklin

Kinchen

Eaton

D. K.

Hawkins

Flint

K. H.

(2013, March 1). Methodology of the youth risk behavior surveillance system 2013. MMWR: Morbidity and Mortality Weekly Report, 62(1), 1–23. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6201a1.htm

Bronfenbrenner

(1977). Toward an experimental ecology of human development. American Psychologist, 32(7), 513–531. https://doi.org/10.1037//0003-066x.32.7.513

Bronfenbrenner

(1994). Ecological models of human development. In Peterson

Baker

McGaw

(Eds.), International encyclopedia of education (2nd ed., Vol. 3, pp. 37–41). Elsevier.

Centers for Disease Control and Prevention. (n.d.). Considerations for school closure . https://www.cdc.gov/coronavirus/2019-ncov/downloads/considerations-for-school-closure.pdf

10.

Centers for Disease Control and Prevention. (2016a). 2015 YRBS data user’s guide . https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2015/2015_yrbs-data-users_guide_smy_combined.pdf

11.

Centers for Disease Control and Prevention. (2016b). YRBS questionnaire content – 1991–2017 . https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2017/YRBS_questionnaire_content_1991-2017.pdf

12.

Centers for Disease Control and Prevention. (2017a). 2017 national youth risk behavior survey . https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2017/2017_yrbs_national_hs_questionnaire.pdf

13.

Centers for Disease Control and Prevention. (2017b). Youth risk behavior survey (YRBS) 2017 standard questionnaire item rationale . https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2017/2017_standard_YRBS_item_rationale.pdf

14.

Centers for Disease Control and Prevention. (2018a). 2017 YRBS dataset user’s guide . https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2017/2017_YRBS_Data_Users_Guide.pdf

15.

Centers for Disease Control and Prevention. (2018b). Youth risk behavior survey. Data summary & trends report. 2007–2017 . https://www.cdc.gov/healthyyouth/data/yrbs/pdf/trendsreport.pdf

16.

Centers for Disease Control and Prevention. (2012). 2011 YRBS data user’s guide . ftp://ftp.cdc.gov/pub/data/yrbs/2011/YRBS_2011_National_User_Guide.pdf

17.

Centers for Disease Control and Prevention. (2014). 2013 YRBS data user’s guide . ftp://ftp.cdc.gov/pub/data/yrbs/2013/YRBS_2013_National_User_Guide.pdf

18.

Centers for Disease Control and Prevention. (2019). YRBSS participation maps & history . https://www.cdc.gov/healthyyouth/data/yrbs/participation.htm

19.

Clark

K. A.

Cochran

S. D.

Maiolastesi

A. J.

Panchankis

J. E.

(2020). Prevalence of bullying among youth classified as LGBTQ who died by suicide as reported in the National Violent Death Reporting System, 2003–2017. JAMA Pediatrics, 1749(12), 1211–1213. https://doi.org/10.1001/jamapediatrics.2020.0940

20.

Cook

C. R.

Williams

K. R.

Guerra

N. G.

Kim

T. E.

Sadek

(2010). Predictors of bullying and victimization in youthhood and adolescence: A meta-analytic investigation. School Psychology Quarterly, 25(2), 65–83. https://doi.org/10.1037/a0020149

21.

Cuadrado-Gordillo

(2012). Repetition, power imbalance, and intentionality: Do these criteria conform to teenagers’ perception of bullying? A role-based analysis. Journal of Interpersonal Violence, 27(10), 1889–1910. https://doi.org/10.1177/0886260511431436

22.

Education Week. (2020, April 26). Map: Coronavirus and school closures . https://www.edweek.org/ew/section/multimedia/map-coronavirus-and-school-closures.html

23.

Eriksson

Ghazinour

Hammarström

(2018). Different uses of Bronfenbrenner’s ecological theory in public mental health research: What is their value for guiding public mental health policy and practice? Social Theory & Health, 16(4), 414–433. https://doi.org/10.1057/s41285-018-0065-6

24.

Espelage

D. L.

(2014). Ecological theory: Preventing youth bullying, aggression, and victimization. Theory into Practice, 53(4), 1–17. https://doi.org/10.1080/00405841.2014.947216

25.

Espelage

D. L.

Holt

M. K.

(2013). Suicidal ideation and school bullying experiences after controlling for depression and delinquency. Journal of Adolescent Health, 53(1), S27–S31. https://doi.org/10.1016/j.jadohealth.2012.09.017

26.

Finkelhor

Shattuck

Turner

Hamby

(2015). A revised inventory of adverse youthhood experiences. Child Abuse & Neglect, 48, 13–21. https://doi.org/10.1016/j.chiabu.2015.07.011

27.

Gini

Pozzoli

(2013). Bullied children and psychologic problems: A meta-analysis. Pediatrics, 132(4), 720–729. https://doi.org/10.1542/peds.2013-0614

28.

Gladden

R. M.

Vivolo-Kantor

A. M.

Hamburger

M. E.

Lumpkin

C. D.

(2014). Bullying surveillance among youths: Uniform definitions for public health and recommended data elements, Version 1.0. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, and U.S. Department of Education. http://www.cdc.gov/violenceprevention/pdf/bullying-definitions-final-a.pdf

29.

Hedegaard

Curtin

S. C.

Warner

(2020, April). Increase in suicide mortality in the United States, 1999–2018 (NCHS Data Brief No. 362). National Center for Health Statistics. https://www.cdc.gov/nchs/data/databriefs/db362-h.pdf

30.

Hellström

Persson

Hagquist

(2015). Understanding and defining bullying – Adolescents’ own views. Archives of Public Health, 73(4), 1–9. https://doi.org/10.1186/2049-3258-73-4

31.

Hepburn

Azreal

Molnar

Miller

(2012). Bullying and suicidal behaviors among urban high school youth. Journal of Adolescent Health, 51(1), 93–95. https://doi.org/10.1016/j.jadohealth.2011.12.014

32.

Hillard

Love

Franks

Laris

Coyle

(2014). “They were only joking”: Efforts to decrease LGBTQ bullying and harassment in Seattle public schools. Journal of School Health, 84(1), 1–9. https://doi.org/10.1111/josh.12120

33.

Hinduja

Patchin

(2019). Connecting adolescent suicide to the severity of bullying and cyberbullying. Journal of School Violence, 18(3), 333–346. https://doi.org/10.1080/15388220.2018.1492417

34.

Ivey-Stephenson

A. Z.

Demissie

Crosby

A. E.

Stone

D. M.

Gaylor

Wilkins

Lowry

Brown

(2020). Suicidal ideation and behaviors among high school students – Youth risk behavior survey, United States, 2019. MMWR: Morbidity and Mortality Weekly Report, 69(S1), 47–55. https://doi.org/10.15585/mmwr.su6901a6

35.

James

Reddy

S. P.

Ellahebokus

Sewpaul

Naidoo

(2017). The association between adolescent risk behaviours and feelings of sadness or hopelessness: A cross-sectional survey of South African secondary school learners. Psychology, Health & Medicine, 22(7), 778–789. https://doi.org/10.1080/13548506.2017.1300669

36.

Kann

McManus

Harris

W. A.

Shanklin

S. L.

Flint

K. H.

Queen

Lowry

Chyen

Whittle

Thornton

Lim

Bradford

Yamakawa

Leon

Brener

Ethier

K. A.

(2018, June 15). Youth risk behavior surveillance—United States, 2017. MMWR Surveillance Summaries, 67(8), 1–114. https://doi.org/10.15585/mmwr.ss6708a1

37.

Kann

Warren

Collins

Ross

Collins

Kolbe

(1993). Results from the national school-based 1991 youth risk behavior survey and progress toward achieving related health objectives for the nation. Public Health Reports, 108(S1), 47–55. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1403309/

38.

Kim

Colwell

Kata

Boyle

Georgiades

(2018). Cyberbullying victimization and adolescent mental health: Evidence of differential effects by sex and mental health problem type. Journal of Youth and Adolescence, 47(3), 661–672. https://doi.org/10.1007/s10964-017-0678-4

39.

Kim

Walsh

Pike

Thompson

(2020). Cyberbullying and victimization and youth suicide risk: The buffering effects of school connectedness. Journal of School Nursing, 36(4), 251–257. https://doi.org/10.1177/1059840518824395

40.

Kodish

Herres

Shearer

Atte

Fein

Diamond

(2016). Bullying, depression, and suicide risk in a pediatric primary care sample. Crisis: Journal of Crisis Intervention and Suicide Prevention, 37(3), 241–246. https://doi.org/10.1027/0227-5910/a000378

41.

Kub

Feldman

M. A.

(2015). Bullying prevention, a call for collaborative efforts between school nurses and school psychologists. Psychology in Schools, 52(7), 658–671. https://doi.org/10.1002/pits.21853

42.

Kvarme

Aabø

Sæteren

(2013). “I feel I mean something to someone”: Solution-focused brief therapy support groups for bullied schoolchildren. Educational Psychology in Practice, 29(4), 416–431. https://doi.org/10.1080/02667363.2013.859569

43.

Kvarme

Valla

Holen

Sagatun

(2020). Bullying in school: Importance of and challenges involved in talking to the school nurse. Journal of School Nursing, 36(6), 451–457. https://doi.org/10.1177/1059840519846649

44.

Lapidot-Lefler

Dolev-Cohen

(2015). Comparing cyberbullying and school bullying among school students: Prevalence, gender, and grade level differences. Social Psychology of Education, 18(1), 1–16. https://doi.org/10.1007/s11218-014-9280-8

45.

Lian

Luhani

Meixian

(2020). Trends and sex disparities in school bullying victimization among U.S. youth, 2011–2019. BMC Public Health, 20, Article 1583. https://doi.org/10.1186/s12889-020-09677-3

46.

Limber

(2014). Best practices in the prevention of bullying: An example of the Olweus bullying prevention program. In Masiello

M. G.

Schroeder

(Eds.), A public health approach to bullying prevention (pp. 127–148). American Public Health Association.

47.

Masiello

(2014). Identifying impact—monitoring and evaluating of a bullying prevention program. In Masiello

Schroeder

(Eds.), A public health approach to bullying prevention (pp. 253–273). Jones & Bartlett Learning.

48.

National Academies of Sciences, Engineering, and Medicine. (2016). Preventing bullying through science, policy, and practice. National Academies Press. 10.17226/23482

49.

National Association of School Nurses. (2018). The school nurse’s role in behavioral/mental health of students (position statement). https://files.eric.ed.gov/fulltext/ED581612.pdf

50.

National Association of School Nurses. (2019). Federal legislation and agencies . https://www.nasn.org/advocacy/advocacy-federal

51.

Olweus

(1978). Aggression in schools. Bullies and whipping males. Hemisphere Publishing.

52.

Olweus

(1994). Annotation: Bullying at school: Basic facts and effects of a school-based intervention program. Journal of Child Psychology and Psychiatry, 35(7), 1171–1190. https://doi.org/10.1111/j.1469-7610.1994.tb01229.x

53.

Olweus

(2013). School bullying: Development and some important challenges. Annual Review of Clinical Psychology, 9(1), 751–780. https://doi.org/10.1146/annurev-clinpsy-050212-185516

54.

Olweus

Limber

S. P.

(2018). Some problems with cyberbullying research. Current Opinion in Psychology, 19, 139–143. https://doi.org/10.1016/j.copsyc.2017.04.012

55.

Perron

(2015). Looking at the factors associated with bullying and visits to the school nurse, in the United States. British Journal of School Nursing, 10(6), 288–295. https://doi.org/10.12968/bjsn.2015.10.6.288

56.

Pestaner

M. C.

Tyndall

D. E.

Powell

S. B.

(2021). The role of the school nurse in suicide interventions: An integrative review. Journal of School Nursing, 37(1), 41–50. https://doi.org/10.1177/1059840519889679

57.

Pontes

N. M. H.

Ayres

C. G.

Lewandowski

Pontes

M. C. F.

(2018). Trends in bullying victimization by sex among U.S. high school students. Research in Nursing & Health, 41(3), 243–251. https://doi.org/10.1002/nur.21868

58.

Rajan

Namdar

Ruggles

K. V.

(2015). Aggressive and violent behaviors in the school environment among a nationally representative sample of adolescent youth. Journal of School Health, 85(7), 446–457. https://doi.org/10.1111/josh.12272

59.

Salmeron

Christian

(2016). Evaluation of an educational program to improve school nursing staff perceptions of bullying in Pinellas County, Florida. Pediatric Nursing, 42(6), 283–292.

60.

Silva

Pereira

Mendonça

Nunes

De Oliveira

(2013). The involvement of girls and boys with bullying: An analysis of sex differences. International Journal of Environmental Research and Public Health, 10(12), 6820–6831. https://doi.org/10.3390/ijerph10126820

61.

Simpson

S. H.

(2015). Creating a data analysis plan: What to consider when choosing statistics for a study. Canadian Journal of Hospital Pharmacy, 68(4), 311–317. https://doi.org/10.4212/cjhp.v68i4.1471

62.

Smalley

B. K.

Warren

J. C.

Barefoot

N. K.

(2017). Connection between experiences of bullying and risky behaviors in middle and high school students. School Mental Health, 9(1), 87–96. https://doi.org/10.1007/s12310-016-9194-z

63.

Turpin

Boekeloo

Dyer

(2019). Sexual identity modifies the association between bullying and suicide planning among adolescents with same-sex sexual partners. Journal of LGBT Youth, 16(3), 300–316. https://doi.org/10.1080/19361653.2019.1575784

64.

Underwood

J. M.

Brener

Thornton

Harris

W. A.

Bryan

L. N.

Shanklin

S. L.

Deputy

Roberts

A. M.

Queen

Chyen

Whittle

Lim

Yamakawa

Leon-Nguyen

Kilmer

Smith-Grant

Demissie

Jones

S. E.

Clayton

Dittus

(2020). Overview and methods for the youth risk behavior surveillance system – United, 2019. MMWR: Morbidity and Mortality Weekly Report Supplements, 69(1), 1–10. https://doi.org/10.15585/mmwr.su6901a1

65.

U.S. Department of Health and Human Services. (2020a). Reduce bullying of lesbian, gay, or bisexual high school students – LGBT-05 . https://health.gov/healthypeople/objectives-and-data/browse-objectives/lgbt/reduce-bullying-lesbian-gay-or-bisexual-high-school-students-lgbt-05

66.

U.S. Department of Health and Human Services. (2020b). Reduce suicide attempts by adolescents – MHMD-02 . https://health.gov/healthypeople/objectives-and-data/browse-objectives/mental-health-and-mental-disorders/reduce-suicide-attempts-adolescents-mhmd-02

67.

U.S. Department of Health and Human Services. (2018). IVP-35 reduce bullying among adolescents . https://www.healthypeople.gov/node/4773/data_details

68.

Wang

Iannotti

Nansel

(2009). School bullying among adolescents in the United States: Physical, verbal, relational, and cyber. Journal of Adolescent Health, 45(4), 368–375. https://doi.org/10.1016/j.jadohealth.2009.03.021

69.

Wolfe

K. L.

Nakonezny

P. A.

Owen

V. J.

Rial

K. V.

Moorehead

A. P.

Kennard

B. D.

Emslie

G. J.

(2019). Hopelessness as a predictor of suicide ideation in depressed male and female adolescent youth. Suicide & Life-Threatening Behavior, 49(1), 253–263. https://doi.org/10.1111/sltb.12428