J Korean Med Assoc.  2013 Jul;56(7):554-558. 10.5124/jkma.2013.56.7.554.

The role of physicians in preventing school bullying

• Bahn GH
• Choi YS

• KMID: 2193043
• DOI: http://doi.org/10.5124/jkma.2013.56.7.554

Abstract

The number of reports of school bullying is not decreasing despite the efforts of various organizations. The effects of such phenomena are no longer limited to the victims and relevant schools, but should be considered to be a far-reaching social problem. In the past, the concept of school bullying was limited to physical threats and verbal abuse. Nowadays, school bullying is also understood to include social ostracism, sexual assault, and organized violence. Bullying involving cyberspace has been especially aggravated recently. In the event of school bullying, we must also consider bystanders as potential perpetrators and victims. There are three steps to managing school bullying: first, prevention; second, an appropriate response from the school and therapy in the event of bullying; third, minimizing the aftermath for the perpetrators and victims. Most victims complain of vague physical symptoms like headache, abdominal pain, and fatigue. Pediatricians involved in the primary treatment session should be especially alert for these early clues of victimization. Psychiatrists meet students who have already suffered from bullying. A victim often exhibits emotional and behavioral changes such as refusal to attend school, high anxiety and depression, low self-esteem, and greater potential toward self-mutilation or suicide. Long-term observational studies on not only the perpetrators and victims but also bystanders, who often comprise the majority of students, are necessary. Doctors should become more attentive to new developments in school bullying and engage themselves more with education on and prevention of school bullying.

Keyword

Schools; Violence; Bullying; Physicians; Role; Suicide

MeSH Terms

Abdominal Pain
Anxiety
Bullying
Crime Victims
Depression
Disulfiram
Fatigue
Headache
Humans
Psychiatry
Social Problems
Suicide
Violence
Disulfiram

Reference

1. Bhang SY, Yoo HK, Kim JH, Kim B, Bahn GH, Ahn D, Suh DS, Cho SC, Hwang JW, Lee YS. Revision of adolescent mental health and problem behavior screening questionnaire: development of adolescent mental health and problem behavior screening questionnaire-II. J Korean Acad Child Adolesc Psychiatry. 2011; 22:271–286.

2. Bhang SY, Yoo HK, Kim JH, Kim B, Lee YS, Ahn D, Suh DS, Cho SC, Hwang JW, Bahn GH. Victims of bullying among Korean adolescents: prevalence and association with psychopathology evaluated using the adolescent mental health and problem behavior screening questionnaire-II standardization study data. J Korean Acad Child Adolesc Psychiatry. 2012; 23:23–30.

3. Yang SJ, Stewart R, Kim JM, Kim SW, Shin IS, Dewey ME, Maskey S, Yoon JS. Differences in predictors of traditional and cyber-bullying: a 2-year longitudinal study in Korean school children. Eur Child Adolesc Psychiatry. 2013; 22:309–318.

4. Ministry of Gender Equality and Family. 2012 Comprehensive survey of Korean youth [Internet]. Seoul: Ministry of Gender Equality and Family;2012. cited 2013 Mar 7. Available from: http://www.mogef.go.kr/korea/view/policy/policy02_02a.jsp?func=view&idx=690202.

5. Kim SK, Kim NS. The role of the pediatrician in youth violence prevention. Korean J Pediatr. 2013; 56:1–7.