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Bullying, Traditional

Edward Feller, BA, MD Reviewed 04/2024
 


BASICS

Bullying is systematic aggressive behavior or intentional harm, typically repeated by an individual or group over time, toward a perceived vulnerable individual. Bullying may range from name-ca...

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
Buxton D, Potter MP, Bostic JQ. Coping strategies for child bully-victims. Pediatr Ann. 2013;42(4):57-61.

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 micro aggressions may have cumulative effects not perceived by pare...

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