Meta-Analysis: Effect of Bullying on the Risk of Suicide in Adolescents


  • Sholikha Dela Aprilia Master's Program in Public Health, Universitas Sebelas Maret
  • Hanung Prasetya Study Program of Acupuncture, Health Polytechnics, Ministry of Health Surakarta
  • Bhisma Murti Masters Program in Public Health, Universitas Sebelas Maret



Background: Mental health disorders are among the most important public health problems globally. Bullying affects the lives of many children and young people. Studies in high-income countries have reported an association between bullying and suicidal behavior among school adolescents. For example, studies in various parts of the United States found that students who were bullied were significantly more likely to experience suicidal ideation, planning, and suicide attempts. This study aims to determine the effect of bullying on the risk of suicide in adolescents

Subjects and Method: The meta-analysis was carried out according to the PRISMA flow chart and the PICO model. Q: Adolescent, I: Bullying , C: Not bullying, O: Risk of suicide. Search for articles in this study through databases that include PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "bullying" AND "suicide" AND "adolescent". A full paper article with a cross-sectional study, the research subjects were adolescents, the relationship size used was the adjusted odds ratio, the research outcome was suicide risk. Analysis done with Revman 5.3

Results:A total of 11 articles with a cross sectional design from Israel, China, Vietnam, Tanzania, Canada, the United States, Iran and South Korea totaling 124,728 research samples. The results showed that adolescents who were bullied had a risk of suicide 2.70 times compared to those who did not experience bullying (aOR=2.70; 95% CI=1.88 to 3.87; p<0.001).

Conclusion: Bullying can increase the risk of suicide in adolescents.


Barzilay S, Klomek AB, Apter A, Carli V, Wasserman C, Hadlaczky G, Hoven CW, et al. (2017). Bullying victimization and suicide ideation and behavior among adolescents in europe: A 10-Country Study’. J Adolesc Health, 61(2):79–186. doi: 10.1016/j.jadohealth.2017.02.002.

Benatov J, Klomek AB, Gal SC (2021). Bu-llying perpetration and victimization associations to suicide behavior: a longitudinal study. Eur Child Adolesc Psychiatry. doi: 10.1007/s00787021017769.

Center for Evidence Based Management (2014). Critical appraisal checklist for cross-sectional study. Retrieved from:

Duan S, Duan Z, Li R, Wilson A, Wang Y, Jia Q, Yang Y, et al. (2020). Bullying victimization, bullying witnessing, bullying perpetration and suicide risk among adolescents: A serial mediation analysis. J. Affect. Disord, 273: 274-279. doi: 10.1016/j.jad.2020.03.143

Eze JE, Chukwuorji JC, Ettu PC, Zacchaeus EA, Iorfa SK, Nwonyi SK (2021). Bullying and suicide ideation: testing the buffering hypothesis of social support in a Sub-Saharan African Sample. J Child Adolesc Trauma. 14(1):19–27. doi: 10.1007/s4065301900294w.

Hertz MF, Wrigth J (2013). Bullying and suicide: a public health approach. J Adolesc Health, 53. doi: 10.1016/j.jadohealth.2013.05.002.

Holt MK, Vivolo AM, Polanin JR, Holland KM, DeGue S, Matjasko JL, Reid G (2015). Bullying and suicidal ideation and behaviors: A meta-analysis. Pediatrics, 135(2), e496-e509. doi: 10.1542/peds.2014-1864

Hong L, Guo L, Wu H, Li P, Xu Y, Gao X, Deng J, et al. (2016). Bullying, depression, and suicidal ideation among adolescents in the fujian province of China a cross-sectional study. Medicine. 95 (5): 1–6. doi: 10.1097/MD.0000000000002530.

Kanyinga HS, Roumeliotis P, Xu H (2014). Associations between cyberbullying and school bullying victimization and suicidal ideation, plans and attempts among Canadian schoolchildren, PLoS ONE, 9(7). doi: 10.1371-/journal.pone.0102145.

Kim YS, Koh YJ, Leventhal B (2015). School bullying and suicidal risk in Korean middle school students. -Pediatrics, 115(2): 357-363.

Koyanagi A, Oh H, Carvalho AF, Smith L, Haro JM, Vancampvort D, Stubbs B, et al. (2019). Bullying victimization dan suicide attempt among adolescents aged 12–15 years from 48 countries, J Am Acad Child Adolesc Psychiatry, 58(9): 907-918.e4. doi: 10.1016/j.jaac.2018.10.018.

Kreski NT, Chen Q, Olfson M, Cerda M, Hasin D, Martins SS, Mauro PM, et al (2021). Trends in adolescent online dan offline victimization dan suicide risk factors. Pediatrics. 148(3). doi: 10.1542/peds.2020049585.

Litwiller BJ, Brausch AM (2013). Cyber bullying and physical bullying in adolescent suicide: the role of violent behavior and substance use. J Youth Ado-lesc. 42(5):675-684. doi: 10.1007/s109640139925-5

Murti B (2018). Prinsip dan metode riset epidemiologi (5th ed) (Epidemiological research principles and methods). Program studi ilmu kesehatan masyarakat, program pascasarjana, Universitas Sebelas Maret.

Nguyen DT, Dedding C, Pham TT, Wright P, Bunders J (2013). Depression, anxiety, and suicidal ideation among Vietnamese secondary school students dan proposed solutions: A cross-sectional study, BMC Public Health. 13(1). doi: 10.1186/14712458131195

Peng C, Hu W, Yuan S, Xiang J, Kang C, Wang M, Rong F, et al. (2020). Self-harm, suicidal ideation, dan suicide attempts in chinese adolescents involved in different subtypes of bullying: A cross-sectional study. Front. Psyhiatry. 11:1–10. doi: 10.3389/fpsyt.2020.565364.

Peng Z, Klomek AB, Li L, Su X, Sillanmaki L, Chudal R, Sourdaner A (2019). Associations between Chinese adole-scents subjected to traditional dan cyber bullying and suicidal ideation, selfharm dan suicide attempts. BMC Psychiatry. 19(1): 1–8.

Rettew DC, Pawlowski S (2016). Bullying. Child Adolesc. Psychiatr. Clin. 25(2): 235-242. doi: 10.1016/j.chc.2015.12.-002.

Shayo FK, Lawala PS (2019). Does bullying predict suicidal behaviors among in-school adolescents? A cross-sectional finding from Tanzania as an example of a low-income country, BMC Psychiatry, 19(1): 1–6. doi: 10.1186/s1288801924022.

Ziaei R, Viitasara E, Soares J, Bazarghani HS, Dastgiri S, Zeinalzadeh AH, Mohammadi R (2017). Suicidal ideation and its correlates among high school students in Iran: a cross-sectional study. BMC psychiatry. 17(1):1-7. doi 10.1186/s128880171298y




How to Cite

Aprilia, S. D., Prasetya, H., & Murti, B. (2023). Meta-Analysis: Effect of Bullying on the Risk of Suicide in Adolescents. Journal of Maternal and Child Health, 8(2), 138–147.