title: Association of being bullied in school with suicide ideation and planning among rural middle school adolescents.
abstract: BACKGROUND
  This study examined the association of ever being bullied in school with suicide ideation (ever thinking about killing oneself) and ever seriously making a plan to kill oneself (suicide planning) among rural middle school adolescents.
  
  
  METHODS
  Using the US Centers for Disease Control and Prevention's Middle School Youth Risk Behavior Survey instrument, 2 cross-sectional surveys were conducted among middle school adolescents (N = 1082) in a rural Appalachian county in Ohio in 2009 and 2012. Multivariable logistic regression models assessed the relationship of ever being bullied in school with suicide ideation and planning.
  
  
  RESULTS
  Overall, a total of 468 participants (43.1%) reported ever being bullied in school, and 22.3% and 13.2% of the adolescents surveyed reported suicide ideation and planning, respectively. In the multivariable analyses, ever being bullied in school was significantly associated with both suicide ideation (odds ratio [OR] = 2.4; 95% confidence interval [CI]: 1.7-3.5) and planning (OR = 2.5; 95% CI: 1.6-3.8).
  
  
  CONCLUSIONS
  The results show a strong association between being bullied in school and suicide ideation and planning among rural middle school adolescents. Prevention of bullying in school as early as in middle school should be a strategy for reducing suicide ideation and planning among adolescents.
authors.affiliation: College of Public Health, Kent State University, PO Box 5190, Kent, OH 44242. mbhatta@kent.edu.
authors.forename: Madhav P
authors.initials: MP
authors.lastname: Bhatta
authors.forename: Sunita
authors.initials: S
authors.lastname: Shakya
authors.forename: Eric
authors.initials: E
authors.lastname: Jefferis
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D017677:Age Distribution; D001061:Appalachian Region / Q000453:epidemiology; D040343:Behavioral Risk Factor Surveillance System; D058445:Bullying; D002487:Centers for Disease Control and Prevention, U.S.; D002648:Child; D005260:Female; D015438:Health Behavior; D006801:Humans; D016015:Logistic Models; D008297:Male; D009820:Ohio / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data; D012574:Schools; D017678:Sex Distribution; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data*; D059020:Suicidal Ideation; D014481:United States / Q000453:epidemiology
keywords: adolescents; bullying; ideation; planning; suicide