title: Bullying Victimization (Being Bullied) Among Adolescents Referred for Urgent Psychiatric Consultation: Prevalence and Association With Suicidality.
abstract: OBJECTIVE
  To examine the prevalence of bullying victimization among adolescents referred for urgent psychiatric consultation, to study the association between bullying victimization and suicidality, and to examine the relation between different types of bullying and suicidality.
  
  
  METHODS
  A retrospective chart review was conducted for all adolescents referred to a hospital-based urgent consultation clinic. Our study sample consisted of adolescents with a history of bullying victimization. The Research Ethics Board of Queen's University provided approval. Data analysis was conducted using SPSS (IBM SPSS Inc, Armonk, NY). Chi-square tests were used for sex, suicidal ideation, history of physical and sexual abuse, and time and type of bullying, and an independent sample t test was used for age.
  
  
  RESULTS
  The prevalence of bullying victimization was 48.5% (182 of 375). There was a significant association between being bullied and suicidal ideation (P = 0.01), and between sex and suicidal ideation (P ≤ 0.001). Victims of cyberbullying reported more suicidal ideation than those who experienced physical or verbal bullying (P = 0.04).
  
  
  CONCLUSIONS
  Bullying victimization, especially cyberbullying, is associated with increased risk of suicidal ideation among adolescents referred for psychiatric risk assessment. The detailed history of the type and duration of bullying experienced by the victims should be considered when conducting a psychiatric risk assessment.
authors.affiliation: Psychiatry Resident, Department of Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Nazanin
authors.initials: N
authors.lastname: Alavi
authors.affiliation: Head and Chair, Department of Child and Adolescent Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Nasreen
authors.initials: N
authors.lastname: Roberts
authors.affiliation: Research Assistant, Department of Child and Adolescent Psychiatry, Queen's University, Kingston, Ontario.
authors.forename: Chloe
authors.initials: C
authors.lastname: Sutton
authors.affiliation: Social Worker, Urgent Consult Clinic, Hotel Dieu Hospital, Kingston, Ontario.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Axas
authors.affiliation: Registered Nurse, Urgent Consult Clinic, Hotel Dieu Hospital, Kingston, Ontario.
authors.forename: Leanne
authors.initials: L
authors.lastname: Repetti
mesh_terms: D000293:Adolescent; D058445:Bullying / Q000706:statistics & numerical data*; D015331:Cohort Studies; D019548:Crime Victims / Q000523:psychology / Q000706:statistics & numerical data*; D004637:Emergency Services, Psychiatric / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D009864:Ontario / Q000453:epidemiology; D015995:Prevalence; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016728:Self-Injurious Behavior / Q000453:epidemiology* / Q000523:psychology; D012737:Sex Factors; D059020:Suicidal Ideation