Pediatric Emergency Department Visits for Mental Health Crisis: Prevalence of Cyber-Bullying in Suicidal Youth
- 2k Downloads
The objective of this work is to (1) study the prevalence of cyber-bullying amongst adolescents referred by Pediatric Emergency Department (PED) for urgent psychiatric assessment and (2) to examine the association between cyber-bullying and suicidal behavior to assist emergency department professionals in screening for risk and triage. This is a retrospective study of patients referred by PED to an urgent psychiatric clinic. Data was extracted for those with bullying victimization. Clinical variables included demographics, reason for referral, type of bullying, substance use, abuse, past psychiatric history, diagnosis and outcome. The cyber-bullying group was compared to those with traditional bullying and a group with no-bullying. Data analysis was conducted using Chi squares, multinomial and bimodal logistic regression. The urgent psychiatric clinic assessed 805 patients in 24 months, the prevalence of bullying was 26.9 % (n = 217). The prevalence of Cyber-bullying was 13.5 % (n = 109) and traditional bullying was 13.4 % (n = 108). Cyber-bullying victims have more suicidal ideation (χ² = 7.82, p = .005; 85.3 vs. 69.4 %), more sexual abuse (χ² = 5.75, p = .02; 29.4 vs. 15.7 %), more emotional abuse (χ² = 10.8, p = .01; 30.3 vs. 12.0 %) and physical abuse (χ² = 6.13, p = .01; 27.5 vs. 13.9 %) and a higher inpatient admission rate. Suicidal ideation is the presenting problem in more than two-thirds of patients, especially females, with history of cyber-bullying who present to the PED. Screening questions about cyber-bullying could assist emergency room professionals in establishing risk and making triage decisions.
KeywordsPediatric emergency At-risk youth Cyber-bullying Suicidal behavior Bullying Mental health
- Dooley, J. J., Pyzalski, J., & Cross, D. (2009). Cyber-bullying versus face-to-face bullying: A theoretical and conceptual review. Journal of Psychology, 217, 182–188.Google Scholar
- Gan, S. S., Zhong, C., Das, S., Gan, J. S., Willis, S., & Tully, E. (2011). The prevalence of bullying and cyber-bullying in high school: A 2011 survey. International Journal of Adolescent Medicine and Health, 26, 27–31.Google Scholar
- Hinduja, S., & Patchin, J. W. (2009). Bullying beyond the schoolyard: Preventing and responding to cyber-bullying. Thousand Oaks, CA: Sage.Google Scholar
- Olweus, D. (2012). Cyber-bullying: An overrated phenomenon? European Journal of Developmental Psychology, 9, 1–19.Google Scholar
- Paglia-Boak, A., Adlaf, E. M., Hamilton, H. A., Beitchman, J. H., Wolfe, D., & Mann, R. E. (2014). The mental health and well-being of Ontario students, 1991–2011: Detailed OSDUHS findings. Retrieved Apr 25, 2015 from http://www.camh.ca/en/research/news_and_publications/ontario-student-drug-use-and-health-survey/Documents/2011%20OSDUHS%20Docs/2011OSDUHS_Detailed_MentalHealthReport.pdf.
- Prince, S., Wilmore, J., Ali, A., Leikin, B., & Ray, R. (2011). Mental Health, School Climate and Bullying among Youth: Results from the Ontario Student Drug Use and Health Survey 2009–2011. Retrieved Apr 25, 2015 from http://ottawa.ca/cs/groups/content/@webottawa/documents/pdf/mdaw/mtk1/~edisp/cap206005.pdf.