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      Victimization among children and adolescents accessing the Meyer pediatric hospital: A retrospective study

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          Abstract

          Problem

          The consistent prevalence and occasionally severe consequences of bullying and victimization suggest the need to include a more accurate assessment of these episodes within the Emergency Departments (ED). However, the literature on mental health related symptoms of bullying/victimization treated in the ED is still scarce. The aim of this study is to assess the prevalence of peer victimization amongst children and adolescents referred to an Italian Pediatric Emergency Department. Differences between Hospital Departments, type of victimization and ages are tested.

          Methods

          A retrospective observational study was conducted with 705 subjects. The age range was from 6 to 18 years old ( M = 13.09; SD = 3.048).

          Findings

          15.3% of the sample reported to be victimized (8.2% occasionally; 7.1% systematically). For the Child and Adolescent Psychiatry Unit, we found a significant association between peer victimization and being adolescent (Fisher's p = 0.003). In addition, a significant association was found between verbal victimization and Child and Adolescent Psychiatry Unit (Fisher's p = 0.02) and physical victimization and Child Abuse Department (Fisher's p < 0.001).

          Conclusion

          Findings suggest the importance of an accurate assessment of victimization experiences of children and adolescents with access to ED, to prevent future re‐victimization and crystallization of symptoms across time.

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          Most cited references29

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          Consequences of bullying victimization in childhood and adolescence: A systematic review and meta-analysis

          AIM To identify health and psychosocial problems associated with bullying victimization and conduct a meta-analysis summarizing the causal evidence. METHODS A systematic review was conducted using PubMed, EMBASE, ERIC and PsycINFO electronic databases up to 28 February 2015. The study included published longitudinal and cross-sectional articles that examined health and psychosocial consequences of bullying victimization. All meta-analyses were based on quality-effects models. Evidence for causality was assessed using Bradford Hill criteria and the grading system developed by the World Cancer Research Fund. RESULTS Out of 317 articles assessed for eligibility, 165 satisfied the predetermined inclusion criteria for meta-analysis. Statistically significant associations were observed between bullying victimization and a wide range of adverse health and psychosocial problems. The evidence was strongest for causal associations between bullying victimization and mental health problems such as depression, anxiety, poor general health and suicidal ideation and behaviours. Probable causal associations existed between bullying victimization and tobacco and illicit drug use. CONCLUSION Strong evidence exists for a causal relationship between bullying victimization, mental health problems and substance use. Evidence also exists for associations between bullying victimization and other adverse health and psychosocial problems, however, there is insufficient evidence to conclude causality. The strong evidence that bullying victimization is causative of mental illness highlights the need for schools to implement effective interventions to address bullying behaviours.
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            A longitudinal study of bullying, dominance, and victimization during the transition from primary school through secondary school

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              Long-term effects of bullying

              Bullying is the systematic abuse of power and is defined as aggressive behaviour or intentional harm-doing by peers that is carried out repeatedly and involves an imbalance of power. Being bullied is still often wrongly considered as a ‘normal rite of passage’. This review considers the importance of bullying as a major risk factor for poor physical and mental health and reduced adaptation to adult roles including forming lasting relationships, integrating into work and being economically independent. Bullying by peers has been mostly ignored by health professionals but should be considered as a significant risk factor and safeguarding issue.
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                Author and article information

                Contributors
                annalaura.nocentini@unifi.it
                Journal
                J Child Adolesc Psychiatr Nurs
                J Child Adolesc Psychiatr Nurs
                10.1111/(ISSN)1744-6171
                JCAP
                Journal of Child and Adolescent Psychiatric Nursing
                John Wiley and Sons Inc. (Hoboken )
                1073-6077
                1744-6171
                10 June 2021
                November 2021
                : 34
                : 4 ( doiID: 10.1111/jcap.v34.4 )
                : 313-319
                Affiliations
                [ 1 ] Department of Education, Languages, Intercultures, Literatures and Psychology University of Florence Florence Italy
                [ 2 ] Child Psychology Unit A. Meyer Children's Hospital Florence Italy
                [ 3 ] Pediatric Gynecology Unit, Group for Prevention and Treatment of Abuse of Children and Adolescents (GAIA) A. Meyer Children's Hospital Florence Italy
                [ 4 ] Child Psychology Unit, Group for Prevention and Treatment of Abuse of Children and Adolescents (GAIA) A. Meyer Children's Hospital Florence Italy
                [ 5 ] Child and Adolescent Psychiatry Unit A. Meyer Children's Hospital Florence Italy
                Author notes
                [*] [* ] Correspondence Annalaura Nocentini, PhD, Department of Education, Languages, Intercultures, Literatures and Psychology, University of Florence, Via San Salvi, 12–Padiglione 26, 50135 Florence, Italy,

                Email: annalaura.nocentini@ 123456unifi.it

                Author information
                https://orcid.org/0000-0001-6145-5584
                https://orcid.org/0000-0001-5878-4109
                https://orcid.org/0000-0001-8920-9078
                http://orcid.org/0000-0001-9596-3341
                https://orcid.org/0000-0003-2302-3048
                Article
                JCAP12337
                10.1111/jcap.12337
                9292854
                34114305
                19a7caae-4eed-4d63-9980-15b018993578
                © 2021 The Authors. Journal of Child and Adolescent Psychiatric Nursing Published by Wiley Periodicals LLC

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 03 May 2021
                : 29 January 2021
                : 31 May 2021
                Page count
                Figures: 0, Tables: 3, Pages: 7, Words: 4561
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                November 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.7 mode:remove_FC converted:18.07.2022

                children and adolescents,emergency departments,peer victimization

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