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Bullying, Traditional

Elizabeth Janopaul-Naylor, MD and Edward Feller, MD, FACP, FACG Reviewed 06/2018
 


BASICS

DESCRIPTION

  • “Aggressive behavior or intentional harm-doing by peers that is carried out repeatedly and involves an imbalance of power, either actual or perceived, between the victim and the bull...

DIAGNOSIS

HISTORY

  • For bully victims:

    • Emotional or peer problems; feeling unsafe at school; fear of a particular person; low peer acceptance

    • Poor academic performance

    • Somatic complaints: headache, abdomina...

TREATMENT

GENERAL MEASURES

  • Bully victimization is highly correlated with development of mental health complications (4)[A].

  • In traditional bullying, mediation between bully and victim may be counterprod...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • At medical visits, meet with patients alone to ask about bullying and victimization.

  • Consider psychiatric referral.

  • Alert teachers, coaches, supervising adults.

Patient Monitoring

REFERENCES

1
Wolke D, Lereya ST. Long-term effects of bullying. Arch Dis Child.  2015;100(9):879–885. {L-End} [View Abstract on OvidMedline]
2
Rettew DC, Pawlowski S. Bullying. Child Adolesc Psychi...

ADDITIONAL READING

  • Doty JL, Gower AL, Rudi JH, et al. Patterns of bullying and sexual harassment: connections with parents and teachers as direct protective factors. J Youth Adolesc.  2017;46(11)...

CODES

ICD10

  • R4.5 Hostility

  • Z65.8 Other specified problems related to psychosocial circumstances

ICD9

  • 312.01 Undersocialized conduct disorder, aggressive type, mild degree

  • 312.02 Undersocialized conduct dis...

CLINICAL PEARLS

  • Bullying can affect short- and long-term mental health and suicidal ideation.

  • Rarely reported to adults; daily microaggressions may have cumulative effects not perceived by parents, gua...

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