Skip to main content

Bullying, Traditional

Edward Feller, BA, MD and E. Janopaul-Naylor, MD Reviewed 06/2022
 


BASICS

Bullying is systematic aggressive behavior or intentional harm, typically repeated by an individual or group over time, toward a perceived vulnerable individual. 

DESCRIPTION

  • Commonly a pediatric...

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, impaired social relationships, and poor quality of life.

  • In traditional bullying, med...

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
Rettew  DC, Pawlowski  S. Bullying. Child Adolesc Psychiatr Clin N Am.  2016; 25(2): 235– 242.  [View Abstract]
2
Basil...

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 Yo...

CODES

ICD10

  • R4.5 Hostility

  • Z65.8 Other specified problems related to psychosocial circumstances

SNOMED

  • 247997008 Bullying

  • 248002008 Physical bullying

  • 247998003 Emotional bullying

  • 429683003 Bullying of child

  • 2...

CLINICAL PEARLS

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

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

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×