University of Oulu

Oulasmaa, L. E., Riipinen, P. K., Hakko, H. H., & Riala, K. R. (2021). Role of involvement in bullying as predictor for hospital-treated assault exposures among former adolescent psychiatric inpatients. The International Journal of Psychiatry in Medicine, 56(3), 189–204. https://doi.org/10.1177/0091217420982101

Role of involvement in bullying as predictor for hospital-treated assault exposures among former adolescent psychiatric inpatients

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Author: Oulasmaa, Lauri E1; Riipinen, Pirkko K1; Hakko, Helinä H2;
Organizations: 1Department of Psychiatry, Research Unit of Clinical Neuroscience, University of Oulu, Oulu, Finland
2Department of Psychiatry, Oulu University Hospital, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2022061647105
Language: English
Published: SAGE Publications, 2021
Publish Date: 2022-06-16
Description:

Abstract

Objective: Bullying is a common problem among children and adolescents. Previous studies have investigated the associations between involvement in bullying and various psychosocial and mental health outcomes thoroughly. However, only few studies have focused on the association between bullying and exposure to assaults. This study investigated whether the likelihood for severe assault exposure varies among three subgroups of bullying behavior: bullies/bully-victims, victims of bullying, and those not involved in bullying.

Method: The study population consisted of 508 adolescents (208 boys, 300 girls) aged between 13 and 17 years (mean age 15.5 years), admitted for psychiatric inpatient treatment between the years 2001–2006. Adolescents were interviewed at index hospitalization using semi-structured interview, K-SADS-PL, to assess DSM-IV based adolescent psychiatric disorders, and to obtain information on bullying behavior. Treatment episodes for assault incidents were obtained from the Finnish National Care Register for Health Care covering the entire-life of the study participants up to end of year 2016.

Results: 14.4% (n = 73) of the study participants had experienced severe physical or sexual assault leading to hospital treatment during their lifetime. Results of Cox regression analysis showed that girl bullies/bully-victims had nearly threefold increased likelihood for later assault exposure.

Conclusions: Since bullying behavior in childhood and adolescence is a significant predictor for later exposure to severe assault in girls, it should be paid attention to and intervened as early as possible. Moreover, psychosocial risk factors should be taken into account considering those in hospital treatment for severe assault exposure.

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Series: International journal of psychiatry in medicine
ISSN: 0091-2174
ISSN-E: 1541-3527
ISSN-L: 0091-2174
Volume: 56
Issue: 3
Pages: 189 - 204
DOI: 10.1177/0091217420982101
OADOI: https://oadoi.org/10.1177/0091217420982101
Type of Publication: A1 Journal article – refereed
Field of Science: 3124 Neurology and psychiatry
Subjects:
Funding: Funding: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Päivikki and Sakari Sohlberg Foundation, Helsinki, Finland; the Iso-Mällinen Foundation, Tyrnävä, Finland; the Kerttu Saalasti Foundation, Nivala, Finland; and the Alma and K.A. Snellman Foundation, Oulu, Finland.
Copyright information: Oulasmaa, L. E., Riipinen, P. K., Hakko, H. H., & Riala, K. R., Role of involvement in bullying as predictor for hospital-treated assault exposures among former adolescent psychiatric inpatients, The International Journal of Psychiatry (56, 3) pp. 189-204. Copyright © 2021 SAGE Publications. DOI: 10.1177/0091217420982101.